QUOTE from Dr Fung (emphasis mine):
“There is no real magic here. The mechanism of benefit is the simplest and most obvious. All bariatric surgeries are effective because they create a sudden, severe caloric reduction. The simplest explanation is often the correct one. Remember that insulin resistance is an overflow phenomenon. Our liver cells are jammed full of sugar and fat, like an overinflated balloon. Insulin signals the cell to open up the gates to allow glucose inside. The overflowing liver cells turn away the glucose, leaving it in the blood and triggering the phenomenon known as insulin resistance. To decompress the congested liver, newly created fat is exported to other organs, clogging up the pancreas and leading to lowered insulin secretion.
With sudden, severe caloric restriction, our body depletes liver glycogen stores in about twenty-four hours. Once that’s gone, we are forced to burn fat for energy. The body burns the fat from the liver and other organs preferentially, because it is more accessible than the fat stored in the adipocytes. Recall that this fat, contained within and around the abdominal organs, causes metabolic syndrome. Therefore, removing this ectopic, visceral fat reverses type 2 diabetes long before any substantial reduction in overall fat mass becomes apparent. Diabetes reverses within weeks of surgery, even though patients are still hundreds of pounds overweight. Removing fat from the organs leads to rapid metabolic improvement. Removing excess fat from the pancreas resolves beta cell dysfunction. As insulin secretion returns to normal, blood glucose begins to drop. Removing the excess fat from the liver, like deflating that overinflated balloon, reverses insulin resistance. The dual defects of type 2 diabetes resolve. What these surgical success stories show conclusively is that type 2 diabetes is a fully reversible disease. We have been led to believe that type 2 diabetes progresses inevitably, like age. But this belief is simply not true. Let’s juxtapose two facts:
•Type 2 diabetes is a largely reversible disease.
•With the standard treatments of low-calorie, reduced-fat diets and medications (including insulin), type 2 diabetes progresses.” 
NOTE – What does it say?
All bariatric surgeries create a severe caloric reduction, resulting in an immediate reduction of ectopic fat. This fat is burned first. Diabetes is reversed within weeks of surgery.
There is no real magic here. The mechanism of benefit is the simplest and most obvious.
People are still very overweight, but this reduction in ectopic fat has immediate results. Which are very beneficial!
Therefore, removing this ectopic, visceral fat reverses type 2 diabetes long before any substantial reduction in overall fat mass becomes apparent.
It’s not necessary to target this particular type of fat; it’s the first to be burned. Consequently, weight loss with the burning of this type of fat will be significantly helpful to anyone with type 2 diabetes and anyone who is overweight.
MY STRATEGY: Naturally empty the sugar bowl of my body by fasting; act deliberately to lose ectopic fat first.
What gets my attention?
Do I understand the need or problem?
Do I understand the potential solution?
Do I understand how to apply that strategy?
What questions do I have for the experts? What might be the answers?
Who needs to hear this?
What do I do next?
SOURCE – Footnotes:
 Quote from The Diabetes Code: Prevent and Reverse Type 2 Diabetes Naturally by Dr. Jason Fung; Greystone Books (April 3, 2018). Page 203.
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Key: Fung-18 Last Revision: 05-04-2021.Updated 01/11/2022.