So, now we can go back to our "what causes diabetes" question by looking at what causes insulin resistance.
Drum roll please...
Obesity is the major contributing factor to the loss of sensitivity to insulin! Approximately
80-90% of individuals with type 2 diabetes are obese (which just means 20% or more above their recommended weight). If these
people were not obese, they most likely would not have ever developed diabetes.
Such a bold statement, I know! Let me
back it up.
Excess body fat contributes to diabetes in a very direct way. When fat cells, particularly those around
the mid-section of the body, become full of fat, they secrete a number of biological products (such as leptin, resistin, tumor
necrosis factor etc).
These products dampen the effect of insulin, or to stay with our lock and key analogy it's
like they file down the points and ridges of the insulin "key" until they don't work anymore. These same products
also go in and tell your pancreas not to release as much insulin while at the same time coaxing your liver into producing
more glucose!
Not only do increased fat cells produce substances that are bad for insulin function, they impede the
production of substances good for insulin function. For example, the protein adiponectin.
This friendly little protein
is associated with improving insulin sensitivity. It helps reduce inflammation and lower triglicerides. It also blocks hardening
of the arteries (arteriosclerosis) -- and fat tries to make it hard for this protein to live.
All of these
things working against you is bad, but it doesn't result in diabetes over night. Your pancreas is a fighter and is often
able to produce insulin despite the obstacles we give it to overcome. But even a powerful pancreas will give out eventually
and complete failure to output insulin occurs.
So now we've answered our what causes diabetes question by covering
both parts of our simple diabetes definition: a disease in which the body either does not produce (pancreas failure) or cannot
properly use (insulin resistance) insulin.