Overweight people tend to develop resistance to insulin over time. Although the
pancreas is making insulin, the body can’t use it properly. This creates a buildup of glucose in the bloodstream, which can result in high levels of both blood glucose and insulin in your bloodstream.
Excess insulin causes normal skin cells to reproduce at a rapid rate. For those with dark skin, these new cells have more melanin. This increase in melanin produces a patch of skin that’s darker than the skin surrounding it. Thus, the presence of acanthosis nigricans is a strong predictor of future diabetes. If too much insulin is indeed the cause, it’s relatively easy to correct with
proper diet,
exercise, and blood sugar control.