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The difference is that IR prevents the uptake of glucose into cells, causing high BG. This leads the pancreas to pump out more and more insulin to try to correct the problem.That is really interesting! I thought being severely IR was the same as having diabetes. It's very complex this condition. I've had it 6 months and still struggling to understand the ins and outs! From what you have said I would imagine you could eat what you like including cakes without spikes and BS would remain normal. Not that you would but I do see that you have sweet things in your diet without consequence. Anyway it's an inspirational story and thank you for sharing. Very helpful.
This causes damage to the pancreas (amongst other things) which will eventually be irreversible, This is diabetes itself.
If the cause of IR (fat around pancreas and liver) is removed before the damage is significant or irreversible, then I believe this to be a complete cure.
It may be that my pancreas is damaged but that I am living within its capabilities as I do have under 200g of carbs a day, which is quite low compared to the general population. If I ate the 300g/day recommended I may be fine or I may not be. I'm very happy with my diet/exercise though and don't feel that I am missing out on anything.