In diabetics, higher blood glucose levels may be influenced by the body's handling of fat, requiring more insulin to suppress lipolysis or more glucose to outcompete fat for energy.

“consumption in the diabetic and that reflects often in my opinion at least you know underlying issues with how fat is handled that you either need more glucose to induce more insulin in order to suppress lipolysis in the diabetic okay or more glucose to out compete fat to get burnt in tissues and so ultimately i think a lot of what's setting blood glucose is competition between glucose and fat”