I saw a question on here recently about type 2 diabetes and how it is caused by constant insulin spikes from sugars and high GI foods over years. Given that elite athletes in sports such as football, rowing or cycling ect. Often require close to 2x the calorie intake of a regular person a day and a large amount of that is simple carbohydrates for their training, would their body build up a resistance to insulin also, or is their blood sugar not spiking in the same way as a sedentary person due to the need for those sugars as fuel?
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