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There is a progression of the problem which takes more or less time depending on a number of factors among which are a person’s unique genes and gene expression; tolerance, sensitivity, insensitivity to insulin; chronic calories intake; exercise; time; and more. Diabetes mellitus Type II is also described as adult onset diabetes. This is because it supposedly “presents” when the patient is an adult, typically 40+ years of age.

Once you begin to understand the causes of Type II Diabetes, it becomes clear why this progression of the disorder occurs. It begins with a diet in which carbohydrates (sugars and sugars derived from starches) become such a large part of the diet through foods and beverages, it results in the chronic elevation of blood sugars and the chronic elevation of inflammatory insulin levels necessary for the cells to metabolize the sugars and store excess sugars as body fats.

The body’s metabolism, especially in the young who have a healthy appetite, more active growth hormones, and less time to accumulate fats I the liver and the pancreas may not show significant weight gains. Nonetheless, their liver, pancreas, and rest of the body is silently growing fatter with little notice. Usually aft a number of years except for the more extreme cases of thinner and fatter people, the weight gains and losses tend to balance out, but slowly begin to trend upwards. The waist line begins to add a couple of inches over several years. Finally a male may find their waist line is now exceeding 40 inches, and it is becoming very difficult to lose weight, and fter it is lost it soon returns. As a few more years go by his waist line increases from 40 to 44 and 46 inches. Once his waist reached 40 inches and larger, he silently began to experience the early stages of metabolic syndrome without noticing it at all. The metabolic syndrome means the insulin levels have been too high for such prolonged periods of time the cells became more and more insensitive to the insulin, As the insulin insensitivity worsened, the pancreas was caused to put out more and more insulin, which made the insulin insensitivity just that much more worse in a vicious circle. The higher the insulin levels went, the more the hormones controlling the storage of glucose as body fat was readjusted to aggressively store glucose as more body fat and not allow the existing body fat to be burned as fuel for the metabolism. This inability to burn body fat results in the progressive increase in body fat, weight gains, and an expanding waist line. When examined for diabetes, the physician may find the person has a metabolic syndrome and may by now show signs of pre-diabetes. With pre-diabetes there are a number of potential developing symptoms that may be associated with the early symptoms of diabetes, however a diagnosis of diabetes may not yet be made because the body’s metabolism is still heroically removing enough glucose from the bloodstream to keep it below an average of 100 mg/dl. As the male ages, however, the accumulation of the fats in the liver and pancreas along with the chronic worsening of the insulin insensitivity finally exceeds the ability of the pancreas to produce enough insulin to remove the excess glucose from the blood. This stage is often reached at some point after 40 years of age. It is only then, decades after the fats were becoming heavily accumulated in the liver and pancreas that the ability to remove glucose from the bloodstream well enough to remain at fairly normal levels that the symptoms of diabetes mellitus type II begin to become all too apparent and weight losses greater than 5-6% become increasingly impossible without severe starvation or bariatric surgery. That is also when the alternative, a ketogenic diet using nutritional ketosis to break the cycle makes it possible to lose substantial weight, control blood sugar without medications that raise insulin, and reverse the symptoms of diabetes.

At age 47 you are most likely experiencing the metabolic syndrome and perhaps be pre-diabetic, in which case you are just now reaching the age where you may soon experience the symptoms associated with being diabetic. The reason why you have not yet been diagnosed with diabetes while other people in your age cohort have may be attributable to differences in your genetic tolerance for insulin, your nutritional experience, and your exercise experience.