Seema: Introduction and initial diagnosis

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Type 2 diabetes is commonly diagnosed in middle age.
As has been described, Seema currently carries a lot of fat around her waist (central obesity). This is very common in type 2 diabetes as obesity (especially around the middle) is related to a reduction in the effect of insulin.
So, even though the body might be producing enough insulin (unlike Carlos with type 1 diabetes), the body does not respond to it.
In many people with type 2 diabetes, they later go on to experience damage to their pancreas, so that they end up not producing enough insulin either.