It is opinion only. My opinion is as good as there's so it should go something like this:
Excess Carbohydrates > Liver insulin resistance > muscle cell insulin resistance > hyperinsulinema > weight gain > cravings > low FFA, ketones > uncontrolled hunger, eating > obesity > beta cell death > type 2 DM
It does not matter, the only solution to all this is a low carb diet, to get the insulin down, and free the fat for utilization.
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