What Is Insulin Resistance? (Diet Is Very Important!)
What is insulin resistance? A lot of people have heard of insulin resistance
they know that it's a big problem but how big a problem is it and where
does it come from is insulin a bad thing? well today we're going to talk about all
these things so that you understand it and hopefully so that you understand it
well enough to help others start understanding it because this is maybe
the biggest health problem that we have in the Western world
stay tuned (logo) insulin resistance is exactly what it sounds like it's the body's
resistance to insulin insulin is a good thing it's been around for as long as
life has been around and it helps us survive the purpose of insulin is to
store the excess whenever we have feast versus famine when there's a feast and
we have some extra then the insulin is there to store it so insulin is an
anabolic hormone anabolic means to build up and what are we building up we're
building up tissues we're building up reserves we're building muscles we're
building fat we're building up anything that can help us survive later so when
we have plenty we want to save for a rainy day so that later when we don't
have so much we can start using those stores we can break down the stores and
that's called catabolic but today we're going to talk about the anabolic part
because that's what insulin is. the purpose of everything that you eat is to turn that
food into fuel and building blocks and insulin has to do with both but when we
talk about insulin resistance we're primarily concerned about the fuel apart
so anytime that you eat something that raises blood sugar that sugar is in the
bloodstream and it can't get into the cell without the help of insulin so
insulin is like a key it's a hormone that plugs into the lock and it opens up
the door so the glucose can get inside the cell and
this is a very tightly very precisely regulated process it doesn't happen by
itself and remember that insulin is an anabolic hormone it stores the excess so
when we eat carbohydrates then there is an enormous response of insulin because
that purpose of that carbohydrate is part of it is fuel in the moment but
most of it gets converted into fat that we can put in storage and use for later
protein also has a moderate insulin response because protein also gets
turned into tissues we use it to build tissues and muscles but fat doesn't have
any insulin response to speak of it's virtually zero because fat doesn't get
turned into storage or into tissue it is already the form that the body needs it
which is fuel so when we eat carbs we want to turn it into fat for future use
but the fat itself is already fuel so it doesn't have an insulin response to
it everything that you eat is to become blood sugar one way or another and the
body likes it to be in a very very narrow range and if you eat after a meal
it should be somewhere between 80 to 120 if it's been awhile since you ate then
it should be somewhere probably between 75 and 95 a fasting blood glucose and
that's a very very narrow band that means that at any given time you have it
about one teaspoon of sugar in your bloodstream so anything more than that
is excess and it has to be stored and that's what the insulin does and why
does the body want the blood glucose so tightly regulated because excess is
toxic to the brain and diabetic without insulin where the blood sugar go
through the roof they can end up in a coma or if they take too much insulin so
their blood sugar plummets they can also end up in a coma so on the one hand it's
toxic on the other hand it is too low to where the body the brain doesn't have
enough fuel to function that's why the brain functions the best it can do the
things it needs to do at a very steady supply it's like you throw a log on the
fire and it gives a steady stream of warmth for for many many hours
carbohydrates is more like you throw a can of gasoline on the fire and it all
burns up in an instant so if we want to capture that all that energy then we
have to be able to convert it to something else and store it so that's
what's happening so let's look at a normal situation with a cell so this
here is a cell and inside it I've written little triangles that are
supposed to be glucose that's not their normal shape but it's just easier to
draw that way and we have a small number then some of that glucose gets converted
into fat and some of the fat is circulating around on its own but in
both cases we have just enough for that cell to function for a while and then
outside the cell we have more glucose that's the blood glucose it hasn't
entered the cell yet and the red circles are insulin and the insulin is there to
assist the glucose to enter the cell so as we use up some glucose inside the
cell then it needs to be replenished so that the cell has fuel for its continued
function and this would be a normal situation it's tightly regulated it's a
flow and it's an ongoing process that gives the body what it needs and not too
much not too little but when we start eating a lot of carbohydrates and we
start eating many many times a day and we start eating snacks in between
now we have more carbohydrate we have more glucose so that's all of these
little triangles in the cell is jam-packed with glucose and when
the cell can't use that glucose it starts converting it into fat and it
starts storing inside the cell first as fat and then it starts spilling over so
that it gets into the blood and then it can get into other cells to be stored as
fat anything the body can't use at the time has to be stored and then outside
the cell we still have tons and tons of glucose there's an abundance there's an
excess of glucose outside the cell because we keep eating carbohydrates we
keep eating frequent meals so the body doesn't have a chance to burn through
the stuff that you ate at the previous meal or yesterday so the stuff just
keeps building up but remember in the bloodstream it's toxic the brain can't
handle that much glucose so that's an emergency and the body says hey we got
to get this glucose out of the bloodstream let's make a bunch of
insulin so the more glucose we have the more insulin is needed to push to open
up the door for that glucose to get into the cell but the cell is already full
where is it going to go and this is where the cell becomes insulin resistant
because there is a excess of glucose inside the cell there's an excess of
glucose outside the cell because of the excess glucose outside there's also an
abundance of insulin called hyperinsulinemia there's too much
insulin and all that insulin is trying to push the glucose in but there is no
room and the cell is saying can't take anymore I don't care
how desperate you are to get rid of that glucose in the bloodstream we have all
we can handle that is how insulin resistance happens
and the problem now is because the insulin is a storage hormone it's an
anabolic hormone it works primarily to put things inside the cell rather than
allowing them out then we have all of this fat inside this cell and an inside
a bunch of other fat cells and inside the liver but we can't get to it because
there's too much insulin insulin is a storage hormone it's a one-way hormone
it puts things in it doesn't allow things to get back out so if we look at
the top reasons of why this mechanism happens then it has to do with one blood
glucose when we eat a lot of carbohydrates then we're driving up
glucose on a regular basis but that is typically not enough because there are
lots of cultures around the world that have subsisted on a high carb diet
they've eaten potatoes they've eaten corn they've eaten rice at very very
high levels but they still don't develop insulin resistance or at least not
significantly or at least not in young ages so the second thing that's
required is frequency and if you just eat a couple times a day you could
probably live a long life and eat high carb and not develop insulin resistance
the third factor though is the key and this is where our societies have changed
so much and so quickly and the third reason is sugar because sugar is a
special thing sugar exists in nature in very very limited quantities its present
in vegetables its present in milk its present in fruits but in small
quantities but when we refine it when we start adding it when we extract it a
white crystal stuff and put it in a bag and we add it to catch up and to
dressings and to cookies and ice cream now we're getting many many many times
more than we ever could from nature and what's the problem with
that the problem with sugar is that it is 50% glucose and 50% fructose and the
fructose is a special kind of sugar the glucose can go straight into the
bloodstream and it can be dispersed and every cell in the body can use the
glucose so if you're weighing 200 pounds then you have 200 pounds of cells that
can use glucose so that glucose gets evenly dispersed and it gets burned off
by those cells but the fructose can only be metabolized by the liver so now the
sugar is 50% glucose and 50% fructose so if you ate a hundred grams of sugar you
got 50 grams of glucose to go evenly but you also have 50 grams of fructose that
can only be metabolized and transformed by the liver and the liver even though
it's a sizable organ it's somewhere around three pounds so the liver now is
getting 70 times more sugar than the rest of the body on average and that is
the overload that breaks the camel's back and the liver is your primary
metabolic organ it's supposed to do hundreds of different things it converts
one thing to another it detoxifies you it handles your proteins it changes
blood blood sugar it detoxifies alcohol it makes glycogen and does all these
different things and now we just threw a 70 times bigger load of sugar onto the
liver so this the the packed cell this is what happens to the liver and so
sugar accelerates insulin resistance many many many times it is even you
could go so far as to say it's difficult to get insulin resistance without sugar
but once you have insulin resistance now you kind of broke the machine you
have a certain carbohydrate tolerance built into the machine but the sugar
broke it and once it's broken now you have to backtrack you have to go much
much further you have to be much much stricter to reverse it then you would
have to be to maintain it and then in the light 1900s I don't know the exact
date 70s 80s somewhere they figured that you know sugar is conceivably the worst
food ever devised by mankind but let's see if we can make it a little bit worse
let's see if we can really ramp it up and create some poison on steroids if
you will and that's when they figured out how to make high fructose corn syrup
because now they developed a cheap sweetener that has a higher rate of
fructose so fructose is the stuff that poisons the liver because they can't go
anywhere else and high fructose corn syrup is anything that has higher than
50% fructose so they just increased the horrendous portion of sugar even a
little bit more and now we're seeing and then you combine that with the low fat
diet and you scare people from fat and all of a sudden we have an epidemic of
epic proportion of insulin resistance and diabetes and obesity and so forth so
there are many ways of figuring out if your insulin resistant and we're going
to talk more in later videos but one of the basic things is to measure your a1c
your a1c your hemoglobin a1c is a three-month average it's a way of
measuring what your blood sugar is on average over a period of three to four
months and if it is below five point three then in my opinion it's good it's
okay you are insulin sensitive and in the medical world if it is between five
point seven and six point four then you are pre
diabetic then your insulin resistance equals pre-diabetes and if it's over 6.5
then you have diabetes and according to current numbers I don't have the exact
ones but approximately 20% of the population is diabetic and according to
official number somewhere around 30 percent are insulin disease resistance
or pre-diabetic what does that mean it means if you don't change something if
you just keep doing what you're doing then if you're pre-diabetic you are more
than likely to become diabetic at some point in time and the official
guidelines suggests that you're okay all the way up to 5.7 but it kind of it's
obvious that it doesn't start at 5.7 you don't just all of a sudden end up there
it's a slippery slope so I would say that you want to start paying attention
as soon as you get over 5.3 now you know that you're developing you're starting
the early signs so instead of waiting for the full-blown diabetes or the
severe insulin resistance why don't we start working at it when you have mild
or slight insulin resistance and just to give you an idea of how widespread this
problem is then you could just look around and imagine the number of
overweight people which is somewhere around three-quarters of the population
in the United States and that matches very very closely to these numbers 20%
diabetic 30% insulin resistant and in my opinion 30% and I'm guessing at the
number of people that have that but just based on overweight people and
lifestyles I would say some around 80% of the population have mild to severe
insulin resistance or diabetes and again if you don't change something then that
pre-diabetes that insulin resistance will continue to get worse and why
should you be concerned because pre-diabetes and
biddies are associated with weight gain increased blood pressure increased risk
of stroke and increased risk of cardiovascular disease so all of the
stuff that kills the most people is associated with insulin resistance and
pre-diabetes when is the best time to stop it when
it's full-blown or in the early stages the answer is pretty obvious so let me
ask you something based on what we've talked about based
on your current understanding of based on what we talked about does this have
anything to do with food and if you paid any attention I think you would say that
yes it has everything to do with food and why am I asking that because when I
went to do get my own blood test done there was a little flyer on the wall
from the CDC government agency Centers for Disease Control and they had a
screening test where they wanted to check and have a little questionnaire to
see if you were insulin resistant and here's what they were asking have you
had a baby that weighed over nine pounds at birth then give yourself a point do
you have a sibling with type-2 diabetes give yourself a point do you have a
parent with type-2 diabetes give yourself a point are you overweight
give yourself five points are you under 65 years of age but you do little to no
exercise then give yourself five points are you between 45 to 64 years old give
yourself five points are you over 65 give yourself nine points and then
they're saying if you are three to eight points then you should watch your
lifestyle you should eat low-fat food you should
eat high grain food you should try to be active don't smoke and lose weight isn't
that great advice eat low-fat because that has no insulin response eat
high grain because that has the most insulin response be active is a good
idea because activity helps the body burned through the glucose that's in the
muscles and the muscles can get the glucose from the bloodstream with less
insulin when you're active so that is a good idea and of course don't smoke
that's not a new thing that's good advice and then they say lose weight and
you're screaming after understanding this I would love to but I can't because
I'm insulin resistant alright they're getting everything backwards the insulin
resistance insulin is a storage hormone it's the insulin that stored the weight
and it's the insulin that keeps you from burning it so that's useless advice
because it's sort of just stating the obvious you would if you could and if
you're nine points or more which the only thing you have to do is to be over
65 to get nine points then you should see your doctor because you're probably
insulin resistant and they're right there the statistics point to that fact
but what they're missing is there's not a single question here about food how
many sodas do you drink how much sugar do you eat do you eat processed foods
none of that all of this means is if you had a baby over nine pounds you produced
a lot of insulin because you ate a lot of carbs if you have a sibling with
type-2 diabetes they ate a lot of carbs so probably you eat a lot of carbs if
you had a parent with type-2 diabetes they ate a lot of carbs so you probably
ate a lot of carbs if you are overweight then you probably ate a lot of carbs if
you are let under 65 and you don't exercise then you probably ate a lot of
carbs but you didn't exercise to give your body a chance to burn it off and
by the time to develop insulin resistance now the exercise is still
beneficial but it can't really fix the problem if you're 45 to 64 then that's
how long you've been alive eating carbs and if you're over 65 years old then
you've had more than 65 years to eat carbs this is what they're saying but
there's no question about food in here and then they tell you eat low fat high
grain etc so based on that based on that complete ignorance it is no mystery why
we have 80 percent overweight people and 80 percent insulin resistance and why
the top killers are things like cardiovascular disease stroke and
diabetes we have to start understanding that it's a storage problem the cells
have too much fuel and in the presence of insulin they can't use it and what's
the medical solution is to give people things to push even more to help the
body push more sugar into the cell to be converted to fat that's the solution and
when the body can't keep up anymore and when the metformin and the glucophage is
aren't enough then we inject them with insulin to try to push even more inside
and it's the exact opposite of the solution so that's how insulin
resistance works we're going to do some more videos on it so that we can expand
and and provide more detail and specific situations if you enjoy this kind of
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you care about because it could save their life thanks for watching