Which lifestyle factors are commonly associated with the development of type 2 diabetes?

The factors leading to the development of type 2 diabetes are primarily linked to lifestyle choices that impact insulin sensitivity and blood glucose levels. A poor diet, characterized by high intake of refined carbohydrates and sugars, is closely associated with weight gain and increased fat accumulation around the abdomen, which are significant contributors to insulin resistance. Lack of physical activity contributes to a sedentary lifestyle, which can exacerbate these issues and lead to obesity—a major risk factor for type 2 diabetes. Obesity can cause changes in how the body processes glucose and increases inflammation, further elevating diabetes risk.

The other options suggest healthier behaviors or dietary practices that are generally associated with lowering the risk of developing type 2 diabetes rather than contributing to its onset. For example, a high fiber diet and regular exercise are known to improve insulin sensitivity and assist in weight management, thus reducing diabetes risk. Similarly, strict calorie tracking and low carbohydrate intake may be used in dietary management of diabetes rather than being identified as risk factors for developing it. Hence, the correct response emphasizes the detrimental lifestyle factors that have a direct association with the onset of type 2 diabetes.