The subject is a little hard to understand at first, but here is what I know.....
Insulin resistance, meaning your body ends up producing excess insulin that goes unused in the metabolic process, can lead to diabetes in this respect - your pancreas will lose sensitivity and your body will not produce ENOUGH insulin. Kind of like it wore out from producing so much.
In my case, my insulin is not extrememly high, but higher than normal and my doctor likes to keep tabs on it. My HbA1c levels have always been normal, as well as my glucose. These are three things that should be monitored regularly if you are insulin resistant. Once the HbA1c goes out of whack, that's the first sign of something being wrong in terms of diabetes. HbA1c, basically, is a 6-week indicator of blood sugar levels. If you have family history of diabetes, it's important to get these tests. Of course, the main goal is to get the insulin level under control so that it doesn't get to this point.
I hope this makes sense.
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