I'm pretty sure it is middle ear.
You would have to burn 3500 calories
<span>When you have type 2 diabetes, your body still makes insulin. But as time goes on,
your pancreas may make less and less insulin, which will make it harder
to keep your blood sugar in your target range. ... Over time, high
blood sugar can damage many parts of your <span>body
</span></span>
Food Processing, could be. Or even the handling of edible items.