I thought that Type II Diabetes went through a progession where first your pancrease was putting out a huge amount of insulin (basically going full tilt) but that many of your body's systems had become so insulin resistant that even that amount was insufficient. Then, your ability to produce insulin drops off as the beta cells are destroyed.

If this is the normal progression, I'm wondering about the people in the first stage where their pancreas is still capable of delivering a lot of insulin but where their body needs even more than that do to the high resistance.

Or is this stage what we are now hearing referred to as pre-diabetes and diabetes is only the case after a lot of the beta cells have been destroyed.