Is the habit of eating a lot of sugar, by itself, the direct cause of Type 2 diabetes?

1. Sugar and Diabetes: A Direct Cause?
‘Eating a lot of sugar causes diabetes’ is one of the most widespread myths. While it is an undeniable fact that sugar intake is closely related to diabetes, sugar itself does not directly attack the pancreas to cause the disease. The relationship is a bit more complex.

2. The Real Causes: ‘Overweight’ and ‘Insulin Resistance’
The most central cause of Type 2 diabetes is ‘insulin resistance.’ And the most powerful risk factor that triggers this insulin resistance is ‘overweight and obesity.’
– The Role of Sugar: Foods and drinks high in simple sugars, like table sugar and high-fructose corn syrup, are high in calories and have little nutritional value. Frequent consumption of such items can easily lead to becoming overweight or obese.
– Obesity and Insulin Resistance: When body fat, especially visceral fat, accumulates, the fat cells secrete inflammatory substances that interfere with our body’s insulin function. This is insulin resistance.
– Progression to Diabetes: As insulin resistance increases, the pancreas works harder to produce more insulin to control blood sugar, eventually becoming exhausted. This leads to the onset of Type 2 diabetes.

3. Conclusion
The habit of eating a lot of sugar is not so much a ‘direct’ cause of Type 2 diabetes, but rather acts as a ‘powerful risk factor’ or an ‘indirect’ cause by leading to obesity. Of course, for someone who already has diabetes, sugar intake is very harmful as it directly and rapidly spikes blood sugar.

Summary: Sugar consumption itself does not directly cause diabetes. However, excessive sugar intake leads to obesity, and this obesity is a key cause of Type 2 diabetes by increasing insulin resistance.


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대한당뇨병학회 https://diabetes.or.kr/
질병관리청 https://www.kdca.go.kr/
국립보건연구원 https://nih.go.kr/
대한영양사협회 https://www.dietitian.or.kr/
대한내분비학회 https://www.endocrinology.or.kr/
대한스포츠의학회 https://www.sportsmed.or.kr/
대한신경과학회 https://www.neuro.or.kr/english/
대한정신건강의학회 https://www.knpa.or.kr/
대한치주과학회 https://www.kperio.org/main/main.php/
대한수면의학회 https://www.sleep.or.kr/html/?pmode=intro/
대한신장학회 https://www.ksn.or.kr/

미국당뇨병학회 https://diabetes.org/
영국당뇨병학회 https://www.diabetes.org.uk/
미국안과학회 https://www.aao.org/
미국치과의사협회 (American Dental Association) https://www.ada.org/
국제항공운송협회 (IATA) https://www.iata.org/
미국 질병통제예방센터 (CDC) https://www.cdc.gov/
미국심장협회 (American Heart Association) https://www.heart.org/
세계보건기구 (WHO) https://www.who.int/
국제표준화기구 (ISO) https://www.iso.org/
인슐린 제조사 https://www.lilly.com/
미국소화기학회 (American Gastroenterological Association) https://www.gastro.org/
미국식품의약국 (FDA) https://www.fda.gov/
미국족부의학회 (American Podiatric Medical Association) www.apma.org/
미국 산부인과 학회 (American College of Obstetricians and Gynecologists) https://www.acog.org/
미국대사수술학회 (American Society for Metabolic and Bariatric Surgery) https://asmbs.org/

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