Type two diabetes explained
Australian researchers believe they may have unlocked the key to why eating too much sugar and fat causes type two diabetes.
BY Meredith Griffiths | Sep 29, 2009

They say that overeating stimulates the conversion of oxygen into toxic free radicals, or oxidants, which stop the body using insulin properly.

That causes the pancreas to burn out, leading to diabetes.

The team from the Garvan Institute in Sydney says their findings are an important step to creating better treatments.

Professor David James from the Garvan Institute says it all takes place in the part of a cell called the mitochondria.

"If we eat the right amount of food, most of the nutrients get diverted into energy production and all is well," he said.

"But if we overeat, we can actually make the mitochondria oversupplied with nutrients and now instead of converting the nutrients to energy, they can start to convert the nutrients into oxidants."

Professor James says the oxidants then lead to insulin resistance.

"Where insulin is unable to do its job properly in muscle and fat cells, that in turn leads to pancreas oversecreting insulin in order to get the job done," he said.

"And so if that extra burden goes on and on and on for a long time, it can result in the pancreas essentially burning out."

That is diabetes, and for the moment, it is irreversible.

Natural defence mechanism

The scientists say that the body may be producing oxidants in the mitochondria as a natural defence mechanism.

"The signal says, I've had enough nutrients, please, no more," Professor James said.

"In fact, the insulin resistant mechanism may be a way that the cell tries to deal with that, to shut down an additional nutrient burden that accompanies overeating."

The findings mean that doctors may now be able to prevent the development of type two diabetes.

"One could easily imagine now developing anti-oxidants that will specifically target this particular place in muscle and fat cells," Professor James said.

He added that the antioxidants would have to take the form of specifically targeted drugs.

"There are lots and lots of antioxidants on the market," he said.

"You know, you can walk down the supermarket and there are loads and loads of them, but the problem I suspect with most of those is that they will not target the production of oxidants inside mitochondria."

The research is being published this week in the journal Proceedings of the National Academy of Sciences.

2009 Australian Broadcasting Corporation. All Rights Reserved.


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Rowen Higgs
10/30/2009 10:16:20 PM
Very informative, will be interesting to see how research progresses in the coming years.
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Michelle Williams
10/30/2009 12:43:53 PM
Thanks for the wake up call, reading this article encourages me to control myself.
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Kelly Laidlaw
10/26/2009 8:14:44 PM
Great article! I think it's great that more and more research is being done into non-insulin dependant diabetes (Type 2). If people become more aware and trying to alter their lifestyles we can reduce the burden of this disease on individuals health and also the money that is spent treating this disease.
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Michael Potter
10/25/2009 9:27:19 PM
Thanks for the article...I think! OK, so I'm overeating...and now there's even more reason to stop. How come my willpower won't come to the party?
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Linda Courtney
10/25/2009 1:24:36 AM
I had gestational diabetes twice and as hard as it is I still have to watch myself. A great and well written article, very informative.
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Claire Nally
10/23/2009 3:46:24 PM
The statement "Australian researchers believe they may have unlocked the key to why eating too much sugar and fat causes type two diabetes" is inaccurate. It is not just sugar and fat that causes diabetes there is a range of other factors including genetics. If you consume more food than your body requires and you do not exercise regularly you are at a greater risk of developing diabetes. A good indicator is your waist measurement which will show if you are carrying excess fat around your abdomen - this is also a huge risk factor. Also you should try to limit your intake of processed foods as they are less filling, less nutritional, usually lacking in vitamins and minerals. Stick to a healthy diet with daily exercise and you probably won't even need to worry about getting diabetes and if you have type 2 diabetes exercise and diet can reduce your need for medication.
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An-Lun Lin
10/17/2009 9:40:28 PM
The findings in this study have shed more light on the causes of diabetes. As a health professional, I see people with type II diabetes and the implications it brings on their overall health. Hopefully this can lead to prevention or cure in the future.
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julie evans
10/13/2009 12:21:13 AM
Thanks for this article. I was recently told I had type 2 diabetes. I found this article very helpful.
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Vicki Olsen
10/8/2009 11:43:07 AM
Found this to be an informative and lucid article explaining the cellular basis for Type Two Diabetes.
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Vicki Olsen
10/7/2009 11:38:32 AM
It's great to have such a lucid article explaining type 2 diabetes, and how overeating contributes to its development. Today I read another article on MiNDFOOD implicating lack of sufficient sleep on a regular basis also being a contributing cause to this disease. Thank you for your short well-written articles that help point us all in the right direction.
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Marion M Cameron
10/5/2009 8:07:43 AM
Thank you for the excellent article on type 2 diabetes. It explains my brothers condition better. I was also interested in the fact that it was the Garvan Institute that had made this revelation. I know they are doing very progressive work on rheumatoid arthritis and would be very interested to know how that research was going. It was covered by TVNZ One some time ago but no more has been heard. I must congratulate your journalists on their very good work on all of your articles. Their investigative skills are second to none. A very good magazine.
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Jenni Payne
10/2/2009 9:56:55 AM
That makes a lot of sense. A lot of people at risk though wouldn't think about changing their lifestyle, probably a lot due to the fact of how we live today eg busy, stressed. So if the only way to combat it is through medical technology then I say go for it!
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Alexandra Pennycuick
10/2/2009 6:49:22 AM
Thank you this is a great article which has cleared a lot of unanswered questions for me!
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Lesley Burns
10/1/2009 2:52:23 PM
That's interesting indeed. One thing I think people only think of sugar as being not good for diabetics when in actual fact fat is bad too. Then we get different theories and ideas and that confuses it again. As a person with unstable blood sugar I found eating little and often in smaller quantities really helped especially if I went for low fat/sugar.
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Carolyn Bennett
10/1/2009 1:52:17 PM
I thought type 2 diabetes was preventable but reading some of the other comments it isn't always black and white. Great to read that they are finding our how our bodies work and how to make them work better.
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Lesley Walker
9/30/2009 11:59:51 PM
What gets me is they tell us to eat healthy and I have a medical condition that stops me from eating many foods, so I eat fresh fruit (healthy) but yes I am only supposed to eat small amounts because of my diabetes, which I'm sorry but totally stuns me how much sugar is in fresh fruit.
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Leanne Le Sueur
9/30/2009 7:23:14 PM
Diabetes is very strong in our family, my uncle had it since he was 4 years old and he not long passed away at 64. He was going to be rewarded for one of the most longest surviving diabetics in New Zealand/Australia. He sadly didn't get to receive his medal so his wife will get it in memory of him. Also my aunty has it and my nana. It is a horrible thing to watch someone have as they can have terrible shocks and go into comas. I reckon people do deserve a medal to have to inject themselves several times a day.
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D McGrath
9/30/2009 1:23:17 PM
Thank you for this fabulous article. It is good to have a better understanding of how this disease is related to our eating habits.
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Peter Tam
9/30/2009 12:57:59 PM
Type 2 Diabetes is an easily preventable disease if people just take the effort to eat less and exercise.
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Jacqui Pepper
9/30/2009 12:10:32 PM
I received an email from my brother in England this morning to say he just had been diagnosed with Type 2 diabetes. So it was really interesting to see the article on your site. I've suggested to him he should read the article. Keep up the good work MiNDFOOD.
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tracy russell
9/30/2009 11:20:15 AM
Why must we always put the ambulance at the bottom of the cliff? Why can't people take responsibility for their own health and not over-eat in the first place?
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Teegan Shaw
9/30/2009 11:19:27 AM
This sure is an interesting read and a big wake-up call. Diabetes does run in my family and I know I am overweight. That's it, it's time to start eating less. What great research, it certainly helps me to understand it more.
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Michelle Gorst
9/30/2009 10:49:50 AM
This is exciting news regarding antioxidants targeting the mitochondria to prevent Type 2 Diabetes in the future. As my father is a Type 2 diabetic and two uncles on the other side of the family I have been doing the best I can to keep it at bay.
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Sharon Benjamin
9/30/2009 10:18:36 AM
It is surprising when you weigh your food and look at correct portion sizes. Most people overeat - even healthy foods because portion sizes have grown over the years without our realising it.
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Richard Mahon
9/30/2009 8:19:43 AM
This research is very promising. My father has type 2 diabetes along with a raft of other complications, including acute pancreatitis earlier this year and surgery on his liver less than two weeks ago. Last night he told me that he now has to start taking two shots of insulin per day, so this article couldn't be more timely for me on a personal note. I am well aware that I am in the high risk category from a hereditary point of view as well as needing to improve my lifestyle in terms of diet and exercise. It is therefore good to know that there is something on the horizon for the treatment of diabetes. But I think most importantly for me I now have a greater understanding of the process and effects of "nutrient oversupply", and it has hit home that I really MUST get on top of my bad eating habits if I want to avoid the same pain and tribulation that my father is going through. A real wake up call.
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Marihi Mason
9/30/2009 8:14:42 AM
time to start eating less then..
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lorrae westwood
9/30/2009 8:01:35 AM
My husband has just been told he has it and this article has been great for me to understand it a little better thanks for having this type of article.
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Melissa Parkes
9/30/2009 6:56:43 AM
My partner (29 years old) was recently diagnosed with type 2 diabetes and he had a low body fat percentage, very little fat on his body and exercised five times a week. There was no sign he was overeating and no tell tale abdominal fat. He has managed to control it with eating, exercising and tablets but it is scary to think that the usual guides didn't apply!
 
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