Which statement best describes Type 2 diabetes progression?

• A. The pancreas stops producing insulin.
• B. The body produces insulin and uses it efficiently.
• C. The pancreas makes insulin but cells are less responsive, leading to high blood glucose.
• D. There is no insulin involved.

Answer: (C)

In Type 2 diabetes progression, the key change is insulin resistance. The body's cells become less responsive to insulin, so even though insulin is present, glucose stays in the bloodstream rather than entering cells to be used for energy. The pancreas often continues to produce insulin—and may even ramp up production initially to compensate—so the situation is not that insulin is absent. Over time, the insulin-producing cells can wear out and insulin production may decline, making high blood glucose harder to control. This description contrasts with the idea that the pancreas stops producing insulin (that reflects Type 1 or late-stage failure) and with the notion that insulin is unnecessary or not involved.