Updated 06 February 2017

Gorging on food may lead to type 2 diabetes

A new study suggests that the oxidative stress on cells stemming from eating excessive amounts of food may be the missing link in the search for the cause of type 2 diabetes.


Everyone knows that high-calorie diets are tied to obesity and, too often, to type 2 diabetes. Now, a small study suggests that gorging on food can quickly tip the body into a "pre-diabetic" state.

The research involved six healthy men who were either of normal weight or overweight. The research team asked the men to consume 6,000 calories of a typical American diet every day for one week.

Read: High-calorie diet may slow Lou Gehrig's disease

That's a huge boost in food intake: According to the Institute of Medicine, a healthy diet for the average sedentary male aged 30 to 50 years should average around 2,200 calories per day.

The six men were monitored closely in a hospital as they engaged in the high-calorie diet. The men were also not allowed to engage in any physical activity during this time.

Reporting in Science Translational Medicine, a team led by Dr Guenther Boden, from Temple University in Philadelphia, said that all of the men gained an average of about 3.6kg (8 pounds) in just a week.

In addition, in as little as two days after starting the diet, all of the men reached a metabolic state known as insulin resistance often a precursor to diabetes. Insulin resistance occurs when the body produces the hormone, but cannot use it efficiently.

What exactly is happening?

According to Boden's team, fatty acids, inflammation and cellular stress have all been pointed to as possible culprits linking high-calorie diets,obesity and insulin resistance.

However, the new study suggests that the oxidative stress on cells stemming from eating excessive amounts of food may be the missing link. Oxidative stress involves the overproduction of oxygen byproducts that are toxic to cells, the researchers explained in a university news release.

After analysing the men's urine and fat tissue, the researchers spotted a rise in proteins associated with oxidative stress.

Oxidative stress appeared to trigger changes to a glucose transporter protein, known as GLUT4. These changes may have affected the protein's ability take up glucose in response to insulin, leading to insulin resistance, Boden's team theorised.

Read: Exercise doesn't help all type 2 diabetics

According to the researchers, the findings suggest an antioxidant treatment, or a therapy designed to target GLUT4, might someday help control obesity-linked insulin resistance.

One expert believes the study is an important one.

"The results of this study are valuable, considering so many Americans tend to take in excessive amounts of calories on a daily basis," said Dana Angelo White, a dietician and professor of sports medicine at Quinnipiac University in Hamden, Connecticut.

While the study was small and relatively brief, it "certainly does reinforce recommendations for folks to be mindful about their intake of calories and to exercise more," she said.

White also believes that "a diet high in antioxidants from healthy, lower-calorie foods, like fruits and vegetables, may also help to cut calories and impact increased oxidative stress."

Read more:

Short, intense workouts may be good for type 2 diabetics

Half of all American adults are diabetic or pre-diabetic

Foods that cut your risk of type 2 diabetes

Image: Overweight man holding calorie-rich plate from iStock


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Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.

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