non insulin dependent diabetes mellitus, accounts for 80-90% of all cases of diabetes in the US, most patients generally have some level of obesity, caused by insulin resistance, may have normal or higher levels of insulin released by pancreas, deficiency in response of pancreatic beta cells to glucose, patients are insensitive to endogenous insulin, correlates with excess abdominal fat, abnormally high waist to hip ratio, excessive abdominal fat, inflated fat cells and over-nourished liver/muscle cells, resist deposit of glycogen, so it stays in the blood, hyperplasia (proliferation) of pancreatic beta cells, normal/increased insulin in mild forms of T2D, difficult to treat because not just one cause: reduction in insulin receptors, mutation in insulin receptor gene, could be due to signal transduction pathway
-complications: heart disease, stroke, kidney disease, eye problems, possible blindness, diabetic neuropathy and nerve damage, in feet specifically, depression
-treatment: lifestyle changes, more exercise, less sweets, controlled diet