I think of it this way. I have actually just got myself into reversal as a T2D on orals by using a low carb way of life and weight loss. I have proven to myself and the A&E doctors that I m hyperinsulinemic as insulin drips do nothing for my blood sugars. So now when I eat carbs, the insulin resistance I had has gone, and my body stores the excess glucose away in my body as it is meant to. My body is like a battery, so if I do not use that stored energy up by exercise or low carb diet, then it will charge up again until it is full, and then I lay down visceral fat instead. This brings the diabetes back again. So I will keep LC diets going
One other thing I discovered during my reseach is that adipose fat cells get created by switcheng on unprogrammed stem cells. Once programmed it seems these cells cannot be readily re programmed as muscle, especially in the visceral area.so this is why we get love handles that are difficult to shift. We have to empty out the fat then keep them from refilling again Fat cells once created do not go away, just deflate, but are always ready to fill again given the chance. Hence the yo-yo diet syndrome, and wattles.