TYPE 2 DIABETES is really just advanced insulin resistance. Rather than a condition that develops overnight, the onset of type 2 diabetes is a lengthy process that takes many, many years to manifest. It begins with insulin resistance, often starting decades before the high blood sugar levels characteristic of a diabetic emerge.
Insulin resistance is characterized by hyperinsulinemia – the secretion of higher than normal amounts of insulin either after eating, or continuously even when fasting. The clinical manifestations of IR apart from hyperinsulinemia include hyperglycemia, hyperlipidemia, increased circulating inflammatory marker levels, and diminished plasma adiponectin levels.
The first grievous error of considering insulin insufficiency as the cause of TYPE 2 DIABETES has misled generations of doctors, leading to the mistreatment of hundreds of millions of people with prediabetes and TYPE 2 DIABETES. In reality, hyperinsulinism predates TYPE 2 DIABETES for five to ten or more years.