When insulin attaches itself to something else. This can occur in two ways. First, when a cell needs energy, insulin can bind with a special purpose receptor on the surface of a cell (about 2/3 of human body cells, including muscles, but not including nerve cells). The cell then can bring glucose (sugar) inside; thus enabling energy production in the cell. Some cells can store glucose internally (liver cells and muscle cells primarily), but others, most importantly, nerve cells, cannot. With the help of insulin, the cell can absorb 'fuel' and proceed to do its work. But sometimes the body acts against itself. In this second case, the insulin binds with the proteins that are supposed to tag antigens (substances or fragments of cells) which are foreign to the body (i.e., antibodies). If the insulin is an injected form and not made internally, the body may see the insulin as an outside or "foreign" substance. When the foreign insulin binds with the antibodies, it does cannot work as intended.