Well, that’s obviously wrong, because you can see that your blood glucose doesn’t go up until after the pancreas fails. So a lot of people say it’s the high blood glucose that kills off the pancreas. So as it shuts down what you can see is that the blood glucose goes up. And then something happens, that is the pancreas which is overproducing all this insulin eventually reaches its limit and it can no longer keep up with the insulin resistance and it starts to shut down. So even up to two years before, you can see the fasting glucose is less than 6, which is not bad.įor the most part it would be very difficult to see, but compared to the normal control group, you can see they maintain a very stable sort of blood glucose. Now as the blood glucose starts to go up, what happens is that the pancreas starts to produce more insulin and that keeps the blood glucose relatively stable. So even up to 13, 14 years before the blood glucose starts to go up. So this is the Whitehall Study where they look at the blood glucose kind of in the years prior to diagnosis.Īnd what you can see is that by the time you diagnose type 2 diabetes, you’ve actually had it for a long time. So type 2 diabetes actually falls into a kind of a phase 1 and a phase 2.

So what is it? It’s a disease of the elevated insulin resistance, but there’s actually two phases to it. So the thing about type 2 diabetes is that I think that we think about it all in the wrong manner. So that’s fine, but is limited to health professionals.

Dr jason fung the diabetes code