“…50 On the endocrine activity side, increased lipid accumulation, 38,65 increased cholesterol and triglycerides, increased adipogenic differentiation in cells 66 as well as effects on glucose homeostasis, including increased insulin resistance, increased glucose levels and increased glucose uptake have been reported for TPP. 48,50,66,70,71 Obesity is commonly a major risk factor for T2 diabetes 72 and lipid accumulation and/or increased adipogenic differentiation in cells can lead to increased fat deposits, as shown in Green et al 50 and Cano-Sancho et al 66 A high triglyceride level could be a risk factor for T2 diabetes as well 73,74 and there is a strong correlation between increased plasma free fatty acids, leptin levels, lipid accumulation and insulin resistance. [75][76][77][78][79] Also, large fat cells and the resulting increased plasma non-esteried fatty acid concentration are risk factors for the development of noninsulin-dependent diabetes mellitus.…”