Type two diabetics ever start using insulin, in fact most are treated with diet, exercise, and oral medications, and this is the current obesity epidemic in America and other countries around the world. The requirement for additional insulin comes from the overabundance of fat cells in the body, and too few muscle cells. These fat cells are greedy little buggers, which actively work against the insulin the body makes. The oral medications can help some of them suppress the effect, and enhance the body's ability to make additional insulin. But if a person's body has enough additional fat, the oral medications can't do enough to handle the load and insulin injections are needed. The insulin resistance problem can also increase a person's propensity to put on more weight; can make the problem worse still. The downward spiral with health continues. Medical evidence may start way back in the genetic makeup of the person. The insulin resistance may cause type II diabetes, which in turn is made worse by increased insulin resistance. The medical solution that is often recommended when this spiral is created is bariatric surgery, which you may know as the old gastric bypass. While fat is insulin resistant, muscle eats blood sugar for breakfast even when it is just sitting still. That's why muscle is so warm to the touch.

 

The slower solution that requires more work than the quick fix with the longer lasting permanent consequences and the correct approach is to build muscle, to shed weight, and to tackle the problem without surgery.