Defining ‘excess’ is the problem. Your glycogen stores are full at about 1,500kcal total. If you don’t exercise it takes very little to fill up with glycogen. At which point, if your calorie consumption exceeds output, and if you continue to eat carbs, insulin will rise, lipogenesis will begin, VLDL levels rise and HDL levels will fall. At which point fatty liver begins, subcutaneous and visceral fat stores increase, ‘insulin resistance’ begins and – in time – blood sugar levels rise. It is not complicated. Clearly, some people deal with this situation better than others and can cope with lots of sugar. Others cannot. Look up Beradinelli Siep lipodystrophy for a good example of how those who cannot create fat cells rapidly become diabetic.
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