The Jackson Laboratory

Type 2 Diabetes

Type 2 diabetes is a chronic metabolic disorder that affects more than 37 million Americans and an estimated 530 million people worldwide.

Also known as type 2 diabetes mellitus, the disease occurs when the body cannot effectively use insulin, leading to high blood sugar (glucose) levels. The disease is driven by the body’s inability to effectively use insulin—a hormone that regulates blood sugar—combined with a gradual decline in insulin production. Over time, elevated blood glucose levels damage blood vessels and organs, increasing the risk of heart disease, kidney failure, vision loss and nerve damage. While medications and lifestyle changes can help manage the disease, there is no cure, and many patients struggle to maintain long-term control.

A 3D rending of insulin binding to insulin receptors. Credit: The Jackson Laboratory
A 3D rending of insulin binding to insulin receptors. Credit: The Jackson Laboratory

What is type 2 diabetes?

Type 2 diabetes is a condition in which the body becomes resistant to insulin or does not produce enough insulin, resulting in elevated blood glucose levels. Insulin allows cells to absorb glucose from the bloodstream and use it for energy. When this process is impaired, glucose builds up in the blood, leading to chronic hyperglycemia.

Type 2 diabetes is the most common form of diabetes and is often linked to a combination of genetic risk and lifestyle factors.

The disease develops over time and is influenced by a complex interplay of genetics, environment and lifestyle. While often associated with obesity, type 2 diabetes can affect individuals across a wide range of body types and backgrounds. Beyond blood sugar, type 2 diabetes is a systemic condition that impacts multiple organ systems, including the heart, kidneys, eyes and nervous system.

Fast facts about type 2 diabetes

  • Type 2 diabetes accounts for about 90–95% of all diabetes cases
  • More than 37 million Americans have diabetes; most have type 2 diabetes
  • Prediabetes affects nearly 1 in 3 U.S. adults and often has no symptoms
  • Type 2 diabetes develops when the body becomes resistant to insulin or does not produce enough insulin

Sources: CDC, Journal of the American Medical Association News

What is the difference between type 1 and type 2 diabetes?

Type 1 and type 2 diabetes both affect how the body regulates blood sugar, but they have different causes. Type 1 diabetes is an autoimmune disease in which the immune system destroys insulin-producing cells in the pancreas, leaving the body unable to make insulin. People with type 1 diabetes require lifelong insulin therapy.

Type 2 diabetes develops when the body becomes resistant to insulin or cannot produce enough insulin to maintain healthy blood sugar levels. It is influenced by genetic, lifestyle and environmental factors and often develops gradually over time. Type 2 diabetes often develops gradually, with subtle or no symptoms in its early stages. Many individuals remain undiagnosed until complications begin to emerge. Common symptoms of type 2 diabetes may include increased thirst, frequent urination, fatigue, blurred vision and slow-healing wounds. However, many people experience few or no symptoms in the early stages.

Type 2 Diabetes Research at The Jackson Laboratory

JAX Professor Michael Stitzel, Ph.D.
JAX Professor Michael Stitzel, Ph.D.

JAX Professor Michael Stitzel leads a research program at The Jackson Laboratory focused on understanding how genetic and cellular variation contributes to type 2 diabetes and pancreatic islet dysfunction. His work explores how changes in the non-coding regions of the genome—the regulatory DNA sequences that control when and where genes are active—can influence diabetes risk and beta cell function. Using advanced genomics, single-cell sequencing and functional genetic approaches, the Stitzel Lab studies how diabetes-associated genetic variants affect pancreatic islet cells, including insulin-producing beta cells. His team has helped identify regulatory DNA elements and genes linked to type 2 diabetes risk, while also mapping how different islet cell types respond to metabolic stress and inflammation.

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