Type 2 Diabetes Explained: What Insulin Resistance Means and What to Do Next
Type 2 Diabetes can sound like a simple blood sugar problem, but there is a bit more going on under the surface.
At its core, Type 2 Diabetes is usually driven by insulin resistance. This means the body is still making insulin, especially earlier on, but the cells are not responding to it as well as they should. Over time, the pancreas may struggle to keep up, blood glucose can stay higher than normal, and the risk of complications can increase.
That sounds heavy, and for some people it is. But it is also worth saying this clearly: Type 2 Diabetes is not a personal failure, and it is not only about willpower. Genetics, age, family history, ethnicity, body composition, sleep, stress, movement, medications, social factors and food environment can all play a role.
In this article, we’ll unpack more of what Type 2 Diabetes is, the difference between Type 1 and Type 2, and what you can do to reverse (or avoid) getting it.
What Is Type 2 Diabetes?
Type 2 Diabetes is a chronic metabolic condition where blood glucose remains higher than it should be. Diabetes Australia describes it as a condition where the body becomes resistant to insulin’s usual effects and gradually loses the capacity to produce enough insulin from the pancreas (Diabetes Australia, n.d.).
When we consume carbohydrates, our body breaks these molecules down into it’s simplest, manageable form known as glucose. This can be also understood as sugar.
Our pancreas then releases insulin, a hormone that knocks on the door of our cells and signals them to absorb this glucose for energy use or storage (found in our muscle or liver).
If we continue to consume carbohydates, and our cells are at full capacity, our cells practically ignore the door knock of insulin. This leads to the transportation of glucose to our liver, where it is converted into fatty acids and stored in our fat. Fortunately, insulin has an almost unlimited storage capacity for this!
As you can imagine over time after excessive stuffing of carbohydrates, our cells begin to ignore insulin further and our fat stores increase. This means, we also have elevated blood sugar for longer, and this is what leads to insulin resistance (or Type 2 Diabetes).
Type 1 and Type 2 Diabetes Are Different
Type 1 and Type 2 Diabetes are often spoken about together, but they are not the same condition.
Type 1 Diabetes is an autoimmune condition where the immune system attacks insulin-producing cells in the pancreas. People with type 1 diabetes need insulin.
Type 2 Diabetes usually develops through a combination of insulin resistance and reduced insulin production over time. Some people with type 2 diabetes may eventually need insulin, but many begin with lifestyle changes, oral medication, injectable medications or a combination of supports depending on their situation.
This matters because, if you do have Type 2 Diabetes, or insulin resistance, it is reversible. Through some simple dietary and lifestyle changes, you can get back on track!
Common Symptoms of Type 2 Diabetes
One frustrating thing about type 2 diabetes is that it can develop quietly, I often see people with some “common” symptoms that are actually Type 2 Diabetes red flags!
Some of these symptoms include increased thirst or urinary frequency, unexplained weight changes or even feeling unusually tired or flat.
We can also experience blurred vision, frequency infections, and even slow-healing of cuts or wounds.
The RACGP lists symptoms such as lethargy, frequent urination, increased thirst, infections, blurred vision, altered sensation, poor wound healing and weight loss as clinical symptoms that may suggest diabetes (RACGP, 2024).
Of course, many of these symptoms are common (such as lethargy) and can overlap as symptoms of iron deficiency. Regardless, if you are experiencing any of these symptoms, please consult with your GP and/or book a discovery call and I can see how I can help.
These symptoms can overlap with many other health issues, so they are not enough to diagnose diabetes on their own. But they are enough to justify a proper conversation with your GP.
Risk Factors of Type 2 Diabetes
The Australian Institute of Health and Welfare groups risk factors into behavioural, biomedical and fixed or non-modifiable factors. Behavioural risk factors may include dietary patterns, physical inactivity and smoking.
Biomedical risk factors may include impaired fasting glucose, impaired glucose tolerance, high blood pressure, dyslipidaemia, overweight, obesity and increased waist circumference. Non-modifiable factors include ageing, sex recorded at birth, family history and ethnic background (AIHW, 2026).
To simplify it, risk of Type 2 Diabetes is influenced primarily by:
- family history of type 2 diabetes
- increasing age
- a history of gestational diabetes
- polycystic ovary syndrome or signs of insulin resistance
- higher waist circumference or body weight
- high blood pressure
- abnormal cholesterol or triglycerides
- low physical activity
- smoking
- certain medications
- some ethnic backgrounds
- previous cardiovascular disease
- disrupted sleep, chronic stress and broader lifestyle pressures
This does not mean everyone with these risk factors will develop Type 2 Diabetes. Your chances though, can substantially increase if you tick most of these boxes.
Diagnosing Type 2 Diabetes
On top of symptoms, Type 2 Diabetes is further diagnosed through blood tests and often a skin prick.
The tests you’ll commonly see, and the optimal ranges for are below:
- Fasting blood glucose: a blood glucose test done while fasted to gather how well your body is clearing glucose. An optimal range is 4.44 – 5.55 mmol/L.
- HbA1c: a marker that reflects average blood glucose over roughly the previous two to three months. An optimal range is 0.041 – 0.057 (4.1% to 5.7%)
- Oral glucose tolerance test: a test that measures the response to a glucose drink over time, often used when results need more clarification.
Of course, there are more tests that may be done, including the measurement of inflammatory markers, lipid profile or liver function tests.
The most important point is, if you are worried, get tested. You may even wish to go out and buy a Continuous Blood Glucose Monitor, these devices can help you monitor your blood sugar in real time and only cost about $15 to trial.
The important point is simple: if you are worried, get tested. You do not need to wait until symptoms are obvious.
Why Insulin Resistance Matters
Let’s unpack a little more of why Insulin Resistance is a part of the bigger picture, because Insulin Resistance is often diagnosed before Type 2 Diabetes is.
When cells become less responsive to insulin, the body may need to produce more insulin to manage the same amount of glucose. This can happen in muscle, liver and fat tissue. Over time, insulin resistance is often linked with a broader metabolic picture that may include higher blood glucose, blood pressure changes, altered cholesterol, inflammation and increased cardiovascular risk.
This is often why other blood markers are tested (like lipid profile and inflammation), because Type 2 Diabetes care much often becomes less about glucose. The worse it gets, the management of cardiovascular function, kidney function, liver, and long-term health becomes more crucial.
This is not what we want to progress to, and because it is a reversible condition, it’s something I can help with.
Even starting with d daily walk after meals, improving protein intake, reducing ultra-processed foods, building muscle through resistance training and getting better sleep. These sound just like flashy “wellness tips” but they are actually ways to help your body utilise glucose more effectively.
For related nutrition context, you may also find these useful:
- Protein Intake for Exercise: A Practical Guide
- Protein Sources Guide: How to Get Enough Protein From Real Food
- Magnesium: Why This Mineral Matters for Energy, Stress, Sleep and the Nervous System
Food and Type 2 Diabetes
People often hear “blood sugar” and immediately think they need to cut out every carbohydrate under the sun.
This is a little too reductionist, and provides no real sustainable steps forward.
Carbohydrates do influence blood glucose, but the full meal matters. Fibre, protein, fat, food processing, portion size, timing, sleep, stress, movement and medication can all influence the response.
A practical food pattern for blood glucose support often focuses on:
- enough protein at meals.
- Consume fibre rich nutrient dense food over processed food. This means plenty of legumes, vegetables, oats, and intact grains (where tolerated).
- Always consume plenty of colourful vegetables daily.
- Do not overconsume fruit (yes, you can consume too much if you’re at risk of diabetes).
- healthy fats from foods such as olive oil, avocado, nuts, seeds and oily fish
- fewer sugary drinks and highly processed snack foods
- Not skipping meals, have breakfast, and ensure your meals are well timed through-out the day.
- Limit alcohol intake.
For some people, a lower-carbohydrate approach may be useful. For others, a Mediterranean-style pattern, higher-protein pattern, calorie-controlled approach or culturally tailored eating plan may be more realistic.
You find the diet plan, pattern or style that suits you, not what the internet tells you to do.
From a clinic standpoint, matching is highly individualised. This means, all treatment plans prescribed where clinically appropriate, sustainable and matched to you.
Movement Is Helpful
Your muscle is one giant glucose-consuming machine, so the more you use it, the more you help it utilise glucose.
When you move, especially when you use your muscles regularly, glucose has somewhere productive to go. This is one reason walking, strength training and breaking up long periods of sitting can be useful for blood glucose support.
RACGP guidance for adults with Type 2 Diabetes includes aiming for 150 minutes of aerobic activity each week, plus two to three resistance exercise sessions, where appropriate and safe for the individual (RACGP, 2024).
I honestly think this recommendation, while achievable, is not realistic for most people starting out and looking to reverse their condition.
My recommendations for most clients and starting points include:
- 10-15 minute walk after one meal each day; lunch is usually a good one here.
- Two simple 20-30 minute training sessions a week (this could even just be bodyweight at home).
- Moving or standing up every hour on the hour, especially if you sit at work.
- Gradually increasing your steps (if you track it) over the day (incremental is key).
It’s best to note, if you have diabetes complications, cardiovascular disease, dizziness, neuropathy, foot problems or have been inactive for a long time, get professional guidance first.
This means seeing your GP, and finding a professional in physical movement (such as a personal trainer or exercise physiologist).
What is Type 2 Diabetes “Remission”
This generally means blood glucose markers have returned below the diabetes range for a sustained period without glucose-lowering medication, though definitions can vary.
Remission is always possible for people with Type 2 Diabetes, particularly when some foundational diet and movement strategies are implemented and sustained over a period of time.
Ongoing monitoring does still matter though to ensure full remission, and this will depend on the length of time, age and other various factors present in the individual.
Medication Is Not a Failure
As a natural health specialist, it can be shocking for me to say this but, there is always a time and place for medication. If you are having astronomically high blood glucose readings, your health is at risk and you need medication in the short-term to save your life.
The Australian Diabetes Society’s 2026 glycaemic management algorithm notes that treatment for Type 2 Diabetes should be individualised, including appropriate blood glucose and HbA1c targets that consider the person’s situation and preferences (Australian Diabetes Society, 2026).
What this essentially means is, some people really do need medication early, and some need tapered support over time, it’s all individualised.
Most clients who come to me are already on medication (and that is completely okay). I work with your GP, your medication, and we put together a broader plan to work on your food, movement, and any other targeted areas of support.
When to Get Checked
Speak with your GP or healthcare provider if you have symptoms, a family history of diabetes, a history of gestational diabetes, high blood pressure, abnormal cholesterol, PCOS, unexplained fatigue, frequent infections, increased thirst or urination, or concerns about your blood glucose.
You should seek medical advice promptly if symptoms are significant, worsening or accompanied by unexplained weight loss, vomiting, confusion, severe dehydration, chest pain or shortness of breath.
If you already have Type 2 Diabetes, do not change prescribed medication, insulin, alcohol intake around medication, or carbohydrate intake dramatically without clinical guidance.
FAQ
What is type 2 diabetes in simple terms?
Type 2 Diabetes is a condition where blood glucose stays too high because the body does not respond to insulin properly and may eventually struggle to make enough insulin. This is often linked with insulin resistance.
What are the first signs of Type 2 Diabetes?
Possible signs include tiredness, increased thirst, passing urine more often, blurred vision, slow wound healing, frequent infections and tingling or numbness in the hands or feet. Some people have no obvious symptoms and are diagnosed through blood tests.
Can Type 2 Diabetes be prevented?
Some cases may be delayed or prevented, especially when modifiable risk factors are addressed early. Helpful areas can include nutrition, physical activity, weight management, smoking cessation, sleep and regular screening for people at higher risk.
Can Type 2 Diabetes go into remission?
Some people can achieve remission, particularly with early and structured changes that improve blood glucose and reduce metabolic strain. Remission is not the same as a permanent cure, and ongoing monitoring is still important.
Do I need to cut out all carbohydrates if I have Type 2 Diabetes?
Not necessarily. Carbohydrate quality, portion size, fibre, protein, meal timing, activity and medication all matter. Some people do well with lower-carbohydrate approaches, while others need a different plan. It is best to personalise this with a qualified healthcare professional.
Is Type 2 Diabetes only caused by being overweight?
No. Body weight can be one risk factor, but type 2 diabetes is influenced by genetics, age, ethnicity, family history, body fat distribution, physical activity, blood pressure, cholesterol, gestational diabetes history, medications and other factors.
When should I get tested for Type 2 Diabetes?
If you have symptoms or risk factors, speak with your GP. In Australia, routine risk assessment is recommended from age 40 for people without specific risk factors, and earlier or more regular testing may be recommended for higher-risk groups.
References
Australian Diabetes Society. (2026). Australian Type 2 Diabetes Glycaemic Management Algorithm (May 2026). https://www.diabetessociety.com.au/guideline/australian-t2d-glycaemic-management-algorithm-june-2024/
Australian Institute of Health and Welfare. (2026). Diabetes: Australian facts – Risk factors for diabetes. https://www.aihw.gov.au/reports/diabetes/diabetes/contents/diabetes-risk-factors
Diabetes Australia. (n.d.). Type 2 diabetes. https://www.diabetesaustralia.com.au/about-diabetes/type-2-diabetes/
Diabetes UK. (n.d.). Type 2 diabetes. https://www.diabetes.org.uk/about-diabetes/type-2-diabetes
Royal Australian College of General Practitioners. (2024). Defining and diagnosing type 2 diabetes. https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/management-of-type-2-diabetes/defining-and-diagnosing-type-2-diabetes
Royal Australian College of General Practitioners. (2024). Type 2 diabetes: Goals for optimum management. https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/management-of-type-2-diabetes/type-2-diabetes-goals-for-optimum-management
Royal Australian College of General Practitioners. (2024). Lifestyle interventions for the management of type 2 diabetes. https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/management-of-type-2-diabetes/lifestyle-interventions-for-the-management-of-type
