A study published in Diabetes (1993;42:1324-32) supports the suggestion that insulin resistance precedes type 2 DM and that there is great variability in insulin-stimulated glucose disposal (insulin action) measured by SSPG (Steady State Plasma Glucose) in healthy, nonobese persons with normal OGTT. They found that ~ 25% of individuals with normal glucose tolerance were about as insulin resistant as T2DM patients. In these persons, normal OGTT can be maintained by compensatory hyperinsulinemia until the pancreatic beta-cells burn out. This compensatory hyperinsulinemia is by no means a benign state: it is associated with high TG, low HDL & high BP. Hyperinsulinemia, per se, has been identified as an independent risk factor for CHD.
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Eat animal fats
Don't fear fat. Eating saturated fat will not make you fat. Eating refined carbs will.