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I haven’t read anything on this subject that says precisely this. I’m just piecing together things I have read from various sources. So, this is more in the nature of a question than a statement of what I know. Lets hope this is not a well recognized theory already.
It would seem to me that these two diabetics came to their situation along two different roads. The classical obese diabetic (Type II) began producing excess levels of insulin while still young. My understanding is that this is triggered by high levels of emotion in childhood. These high levels of insulin production drove insulin resistance as the cells down-regulated to block the infusion of too much glucose. So, with IR, even moderate levels of circulating glucose was forced into the fat cells where the glucose would be stored as fat. So, excessively high insulin levels drive insulin resistance, drive fattening. And after 40 years of living and driving the beta cells excessively, their output finally can not keep pace with the ever increasing levels of insulin resistance. There is a clinical diagnosis of diabetes. After some period of time as a diabetic the Beta cells begin to exhaust themselves and the diabetic reality becomes increasingly unreversible.
The lean diabetic suggests there was no long period of insulin over-production. I say this because that would have fattened the individual. So, it would seem that the lean diabetic is not a consequence of years of over-producing insulin, but rather some event at some time in the individuals life that reduced the strength of the beta cells. It's likely, as I see it, that these individuals may display no insulin resistance at all. The end result of becoming insulin dependent may be the same. But, how these two individuals arrived there are completely different. I welcome any comments.
It would seem to me that these two diabetics came to their situation along two different roads. The classical obese diabetic (Type II) began producing excess levels of insulin while still young. My understanding is that this is triggered by high levels of emotion in childhood. These high levels of insulin production drove insulin resistance as the cells down-regulated to block the infusion of too much glucose. So, with IR, even moderate levels of circulating glucose was forced into the fat cells where the glucose would be stored as fat. So, excessively high insulin levels drive insulin resistance, drive fattening. And after 40 years of living and driving the beta cells excessively, their output finally can not keep pace with the ever increasing levels of insulin resistance. There is a clinical diagnosis of diabetes. After some period of time as a diabetic the Beta cells begin to exhaust themselves and the diabetic reality becomes increasingly unreversible.
The lean diabetic suggests there was no long period of insulin over-production. I say this because that would have fattened the individual. So, it would seem that the lean diabetic is not a consequence of years of over-producing insulin, but rather some event at some time in the individuals life that reduced the strength of the beta cells. It's likely, as I see it, that these individuals may display no insulin resistance at all. The end result of becoming insulin dependent may be the same. But, how these two individuals arrived there are completely different. I welcome any comments.