as time goes by, the pancreas begins to fatigue from excess insulin production. it is making plenty of keys, but they don't fit, and the brain continues to call upon the overworked pancreas to produce still more insulin. the pancreas will eventually begin to fatigue. the situation now includes misshapen and stretch out insulin receptors along with a fatiguing pancreas. this scenario eventually results in inadequate insulin production and insulin that no longer fits receptors. as a result of this progressive process, prediabetes becomes irreversible type 2 diabetes
if you have diabetes, it mean that your pancreas has experienced some degree of fatigue. the degree of pancreas fatigue and insulin resistance determines if you have
prediabetes
type 2 diabetes that responds to treatment with diet and exercise