The authors argue that type 2 diabetes is a complex metabolic condition that involves more than just high blood sugar, originating from two primary problems: the body's reduced sensitivity to [restricted term] and the compromised ability of the cells responsible for [restricted term] production. People with this condition experience persistently high levels of glucose in their bloodstream.
Type 2 diabetes arises from a multifaceted interaction involving resistance to [restricted term] and impaired functionality of beta cells within the body.
A diagnosis of type 2 diabetes in a clinical setting is typically the culmination of approximately thirteen years of preceding [restricted term] resistance. The body reacts by producing more [restricted term], which results in a slower rise in blood glucose levels. [restricted term] resistance is primarily triggered by the accumulation of fat inside the abdominal cavity rather than by overall obesity. The initial buildup of fat occurs within the liver.
When carbohydrates and proteins are digested, [restricted term] is secreted into the bloodstream by the pancreas. [restricted term] is processed directly by the liver. The liver's ability to store excess glucose as glycogen is not unlimited. Once the body's capacity for storage is exceeded, it starts to create additional fat via a mechanism termed de novo lipogenesis. The liver is capable of synthesizing fat and sending it to fat cells for storage, but if it creates more fat than can be stored, this excess can lead to a buildup in the liver itself, which may result in a condition known as fatty liver. Sugar-derived fructose plays a significant role in the development of conditions linked to fatty liver. The liver stands alone as the organ responsible for converting excess fructose into fat.
The liver, when burdened with an excess of fat, reaches a threshold beyond which it cannot take in more sugar, signaling a state of [restricted term] resistance. The pancreas releases more [restricted term] when glucose levels rise, which signals the liver to absorb the glucose. The cycle continues to cause damage as it repeats. [restricted term] resistance precipitates higher [restricted term] levels, which then worsen the state of fatty liver. Excess fat not only accumulates within liver cells but also around the abdominal organs, which can be assessed by determining the girth of the midsection. An increase in visceral fat is a significant marker for metabolic syndrome, which includes ailments like type 2 diabetes. The accumulation of excess fat within muscle cells is a crucial factor in the emergence of [restricted term] resistance.
The second significant irregularity is that the malfunctioning of the beta cells usually becomes apparent well over ten years following the initial onset of [restricted term] resistance. Beta cell impairment is not considered the primary cause of dysfunction, since their function can be fully recovered following extended periods of elevated glucose levels. Regular use typically enhances the capabilities of the human system rather than diminishing them. Engaging in consistent...
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The writers believe that the conventional focus on lowering blood sugar levels has not only been ineffective in stopping the progression of type 2 diabetes but might have even hastened it. The potential damage from too much [restricted term] may be equally harmful as the adverse effects of elevated glucose levels when assessing the side effects of medications. Drugs merely exchange one form of harm for another, failing to yield lasting advantages. Type 2 diabetes symptoms can be greatly alleviated by losing weight, which is often a result of undergoing bariatric surgery. Incorporating periods of intermittent fasting and lowering the consumption of carbohydrates can offer advantages akin to surgical interventions, all without undergoing any actual surgical procedures.
The authors recognize that medications designed to lower blood sugar levels in those with type 2 diabetes might not yield enduring advantages since they do not tackle the root problem of excessively elevated [restricted term] levels.
The writers believe that the dramatic increase in instances of type 2 diabetes is linked to excessive consumption of refined carbohydrates and sugars, suggesting that reducing intake of these foods might be a beneficial solution.
The dietary recommendations for Americans in 1977 suggested that a person's daily calorie consumption should be made up of 50 to 60 percent carbohydrates. Efforts to decrease dietary fat, which was previously believed to harm health, unintentionally resulted in an increased consumption of sugar. Over the last hundred years, consumption of fructose, found in substances like table sugar and high-fructose corn syrup, has quintupled. Fructose has a more detrimental impact on metabolic health compared to glucose. Every cell in the body can use glucose as a source of energy, but only the liver has the ability to process fructose, and it does so without limitation. Excessive fructose is converted into new fat by de novo lipogenesis (DNL) and overwhelms the liver's ability to export it, causing liver fat to build up. Studies have shown...
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The authors believe that type 2 diabetes stands out because, unlike most diseases that impact a single organ, it can damage every system within the body.
Diabetes wreaks havoc throughout all systems of the body. Numerous complications affect both microvascular and macrovascular conditions.
The smaller blood vessels primarily supply nourishment to organs such as the eyes, kidneys, and nerves, which are susceptible to microvascular system diseases. Annually, approximately 10,000 individuals in the United States lose their sight due to damage to the minuscule blood vessels in the retina, a condition known as retinopathy. Every year in the United States, more than 100,000 individuals are identified with severe kidney failure, with the majority of these instances being attributed...
The Diabetes Code