Dexamethasone (DEX) in excess causes insulin insensitivity and hyperinsulinemia in rodents.
DEX-induced hyperinsulinemia is associated to reduced insulin clearance in rats and mice.
Reduced insulin clearance is associated to decreased activity of hepatic IDE, mainly in rats.
Reduction in hepatic IDE activity results from post-translational modulation, at least in rats.
Downregulation of insulin clearance may be beneficial for the glycemic control.