[mdbug]

Mainly sugar causes a secretion of insulin, as you seem to know. But you seem to assume that insulin or frequent high insulin levels cause insulin resistance. As far as I know, that's not the case. Insulin sensitivity can be affected by many different factors and it's not perfectly understood why cells become insulin resistant. Known risk factors that can lead to insulin resistance include obesity, genetic factors and inflammation.

[throwawaycities]

> But you seem to assume that insulin or frequent high insulin levels cause insulin resistance.

In another comment You stated obesity causes T2D. As I previously stated there are obese people that do not get T2D, but more importantly there are skinny people who get T2D.

In response you replied to another comment claiming there are medical cases where people who do not eat carbs get T2D in attempt to disprove my position. Again I ask you to link a single case of T2D where the patient did not consume carbs/sugars. It would be the same as trying to find a case of non alcoholic fatty liver disease where the patient does not consume carbs/sugars, another chronic condition that is linked to obesity but not cause by obesity, it is cause by chronic damage to the liver by way of processing sugar, like T2D it just doesn’t happen without carbs/sugars.

Consider that in many - not all - cases of pre-diabetes and even full T2D, patients can make dietary/lifestyle changes to reverse their insulin resistance and even get off medication entirely. Reversing T2D is successfully done by reduction of sugar/carb consumption, it can be but doesn’t need to be a ketogenic diet. But I have never heard of any case where a patient successfully reversed T2D with weight loss alone without reduction of carb/sugar intake.