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1 After you eat, carbohydrates break down into sugar and enter the bloodstream in the form of glucose, a sugar that serves as a primary source of energy. 2  Normally, the pancreas responds by producing insulin, which allows sugar to enter the tissues.
Glucose is a source of fuel for the body. An organ called the pancreas makes insulin. The role of insulin is to move glucose from the bloodstream into muscle, fat and liver cells where it can be used as fuel. Insulin is a hormone produced by the pancreas to control blood sugar. People with diabetes have high blood sugar because their pancreas does not make enough insulin, their muscle, fat and liver cells donât respond to insulin normally, or both.