Mutations in the INSR gene result in rare inherited syndromes causing insulin resistance. such as leprechaunism (Donohue syndrome). Rabson-Mendenhall syndrome and insulin resistance type A. Leprechaunism is an autosomal recessive disorder associated with extreme insulin resistance that leads to hyperinsulinemia. https://www.hindigyanvishv.com/flash-deal-Iowa-Cubs-Foam-Finger-p32059-hot-value/