Your Doctor Is Wrong About Insulin Resistance
Hello Health Champions. You may be aware that insulin resistance is at the root of most modern disease such as
diabetes and high blood pressure and heart disease, but did you also know that most of
what we're being told about insulin resistance is wrong? And the reason this is so disturbing
is that insulin resistance is so critically important to understand. But I'll let you decide
how important. Type 2 diabetes affects 500 million people in the world today but there's two
to three times that many people that have pre-diabetes meaning if they don't change something
dramatically, in 5 to 10 years they'll probably be, most of them will be diabetic. So that's upwards
of 2 billion people who have this or we'll get this condition and it's the leading
cause of blindness kidney failure and amputation but if that wasn't bad enough insulin resistance
also is contributing or causing metabolic syndrome which causes heart disease stroke
hypertension and even cancer. So we're talking probably 90% of all the things that people
suffer from and die prematurely are related to insulin resistance and it also means that
the thing we spend money on 90% of the health-care costs are for insulin resistance and related
problems. And these costs are growing so astronomical that it's becoming a burden on most economies in the
world. Let's look at a few phrases I found to see if we can start understanding what they're saying and why
they're saying it and what's really going on. The first phrase we want to take a look
at is "Insulin resistance occurs when excess sugar circulate in the body" and while that's
not completely wrong it does have some problems with it when we evaluate cause and effect
Second: "Over time the pancreas' ability to release insulin begins to decrease, which leads to
the development of type 2 diabetes", and this is from medicalnewstoday.com, which was reviewed
by medical professionals, PhD, registered nurses medical doctors etc.
So what's the problem here? Well, let's try to sort out the sequence of things first they look at blood sugar only
They look at excess sugar and when they talk about the development of type 2 diabetes they're
talkin about blood sugar only. They're diagnosing this with fasting blood glucose and with A1C
which are measures of blood sugar. They don't look at anything else to diagnose this. So if
we look at blood sugar when we get high blood sugar the body responds with increased insulin
and now if we maintain this year after year after year eventually the body develops insulin
resistance and make sure you stay with me all the way to the end because a lot of these
pieces and a lot of these reasons will come back to this video so that in the end it will
make a whole lot of sense to you. Here is what happens when you're insulin-resistant now the cells
don't want the sugar anymore. So it started with high blood sugar but because of the insulin
resistance it causes a loop to cause further increase blood sugar and so forth so now you're
stuck in a loop and you need to do something different to break this loop but because they
only look at the blood sugar they sort of don't ask me why did this blood sugar get
high in the first place? Well that was because we ate foods on a regular basis. You ate it frequently
that caused high blood sugar so-called high glycemic index food and that's basically any
form of sugar, or starch, carbohydrate, processed foods etcetera, which is abundant today. Insulin
is one thing that leads to insulin resistance but there is one more thing and that is when
the liver looks congested when we get a fatty liver because the liver is metabolically overwhelmed
than the liver gets insulin resistant and that contributes to the body's overall insulin resistance
and this is caused by fructose. Fructose can only be metabolized in the liver and therefore
any time we eat a significant amount that places an enormous burden on the liver. It gets congested,
fatty liver and so on. and then this sugar which contains glucose and fructose; the glucose is a very
high glycemic food and the fructose affects the liver. So this is why sugar is the absolute
worst thing and probably the biggest contributor to insulin resistance and fatty liver but then
once that liver is congested now any kind of high glycemic food anything that raises
blood sugar is going to keep us stuck in this loop and what we find is that in most type
2 diabetes there is no problem at all with the pancreas and we'll talk more about this on
on another slide but the pancreas ability to release insulin does not decrease most type
2 diabetics make tons of insulin but that's not the problem. If you do a Google search for
insulin resistance you find this statement treatment can help but this condition can't
be cured and Google references Mayo Clinic and others. Now, there's four words we have to understand
to understand why they're saying this. We have to understand how they're using these
words and that's: Treatment, Help, Condition and Cure. So treatment what does that mean? A lot of
people think of treatment as massages or exercise or diet intervention etcetera
but in the medical contact strictly speaking treatment means pill, shot for surgery, right?
Then help. What does help mean? What can treatment help with? What are they talking about? They
are only talking about lowering blood sugar. Type 2 diabetes to them. Insulin resistance to them
is. The problem is high blood sugar, so help means lower blood sugar. The problem here is
that when the body gets insulin resistant and you do something to lower blood sugar the body has
a reason to resist that blood sugar and if you do something to lower that blood sugar
you increase the insulin resistance. You make the body more insulin resistant when you do the
intervention from the outside. What about condition? What does that mean? Well it's typically about a collection
of signs and symptoms that indicate that something isn't working. And very often we think about
something that's broken. There's an organ or tissue that not working the way it's supposed to. It failed
because it's broken. But when I think about it, I think about an adaptation. I think about
whenever you push the body in a certain direction the body is going to respond. If you sit on
the sofa all day long your muscles will go away. If you go to the gym and work out then
your body will make more muscle. It adapts. in response to your lifestyle. Well blood sugar is
no different. High chronic insulin levels is no different. Your body is responding. It's
adapting, it's changing and shifting things but all the pieces are still working. All the organs,
everything is doing exactly what it's supposed to do under those circumstances. It's an intelligent
adaptation. And when they say no cure. What do they mean by that? Well, again they're talking
about no pill shot or surgery that will make the problem go away but again why won't it
because the pill shot or surgery the help will lower blood sugar but it will make the
problem worse. So obviously you can't reverse insulin resistance with a treatment that's going to
increase insulin resistance. What you need to do is solve the problem from the inside.
You need to change the lifestyle. You need to remove those things that the body adapted
to and then your body will reverse the adaptation. That's what the body does.
Next point of confusion is: "It isn't exactly clear what causes insulin resistance", and this is
from cdc.gov Now usually the common causes that they're saying may be involved is genetics,
a family history and while there's definitely a genetic predisposition it is also about
the fact that in families we develop similar habits with parents eat a certain food and
then they raise you on that food and that more than anything predisposes you to develop whatever
they had. Being sedentary is also a contributing cause often referred to and weight is often a contributing
cause which it is not it is a correlation it coexist it doesn't cause it. There are overweight people
without insulin resistance and there's insulin resistant people who are not overweight. In
a lot of people with insulin resistance cause this way but not the other way around. But
let's look at the actual thing so you have three things you have blood sugar insulin
and cell that we need to understand so the blood sugar is the glucose at the energy potential
energy in the blood now insulin is a communicator insulin stands between the cell and the blood
and it says hey cell let me tell you about this blood sugar and it introduces the idea
of blood sugar and it helps this blood sugar get into the cell. It basically sells the cell on
the idea of blood sugar. And if this happens once in awhile like couple of times week or
several times a week for certain periods of the year like in the summer when fruit and
plants are abundance that's once in a while and then the cell is going to be super happy
and really healthy because then this blood sugar is a good idea. But what if this happens
chronically. And by chronic we mean 365 days a year 6 times a day and it happens with processed
foods and things that are not natural and thinks that we weren't normally exposed to very
frequently or even at all now this chronicity turns this communication into nagging.
So if someone comes to talk to you and you're enjoying a good conversation then you're saying
hey this was good let's do it again but if someone comes every 5 minutes and says the
same thing over and over and over now that is nagging and what happens if someone is
nagging now you become resistant and your cell is no different whenever it gets overwhelmed
whenever it gets bombarded then it starts getting resistant and what is it becoming
resistant to? The insulin. So it is absolutely perfectly clear the cause of insulin resistance is insulin.
Does it matter what are genetics are and all these other things? Yes they're variables they're
predispositions but in the end insulin causes insulin resistance
One thing we really want to try to clear up is how people look at this.
So people go get the blood work done they go to the doctor every year and the doctor says
no you don't have it you don't have it you have no disease know you don't have it yet.
And then one year all of a sudden you have it. You went from no disease to disease.
Did that really happen in a year and the answer is no, but let's understand why this happens, because they're
looking at glucose and they're saying if it 70 to 100 then you normal if it's over
125 ,you're diabetic. Then sometimes they measure A1c. This is becoming more frequent fortunately
but it's still kind of rare and A1C is supposed to be between 4:00 and 5.6. That's a healthy
level if you're over 6.5, you're diabetic. If you're between these levels you're pre-diabetic. A1c
is a measurement of how much of this glucose that sticks to your red blood cells to the
hemoglobin in your red blood cells this is called hemoglobin A1c and a blood cell
lives for that 100 days so the glucose is an instantaneous measurement in this moment
in time, but A1C is a measurement of what happened in the last hundred days. What was your average
in the last hundred days. And if you only look at these two markers you're going to miss
when the problem develops because glucose is a controlled variable, and the body controls
it with insulin. So what if you measure insulin? Well now, they say the normal range should
be 2.6 to 25 right these things have to be maintained within very narrow range is but
insulin supposedly can vary tenfold. A thousand percent more is okay in the medical reference
So the key to understand is that glucose is controlled variable but the question is how hard does the body have
to work to maintain that blood sugar at an idea level. So then they created something
call HOMA-IR, homeostatic model assessment of insulin resistance and they take a formula.
They take glucose multiplied by insulin they divide by a constant, and they just picked this constant to get
an ideal number to be one. So then if your number goes up to two, that means your body is
working twice as hard to maintain the glucose within this level so the reality is that it's
not about no disease or disease not black and white. It's a continuum and type 2 diabetes is the full-blown
manifestation of uncontrolled insulin resistance. Pre-diabetes means it's pretty bad but you're
not quite there yet. On the other end of the spectrum we have good these are people who
are very insulin sensitive that's where you want to be and then on the way there means
it's not great. You've started kind of slipping up the scale. And when we look at blood sugar
then blood sugar is controlled so it does this it stays the same and then all of a sudden
when the system is finally overwhelmed then the blood sugar goes up and you have diabetes.
In reality, this is what's happening. Let's say that you start off your insulin sensitive
if your blood sugar is 90, your insulin reading is 3. Those are really good numbers now your
A1C is probably going to read something like 5.3 could be little bit less, a little bit more
but in the ballpark. Now your HOMA-IR, we multiply this by that ,divide by the constant
we have 0.7, so you're very insolent sensitive now a few years go by 5, 8, 10 years
We measure your glucose again. It's the same, right. It's the same, but had we measured your insulin
we would see that it's gone up dramatically your A1C might have gone up a little bit because
your body ultimately manages to get it back down to 90. Cos it's controlled. It's working really hard
to do this, but it takes is a little bit longer to get it down to your average A1C is probably
a little bit higher. Now we look at your HOMA-IR, it's 2.0. So now we see that you're
3 times more insulin resistant your body has to work 3 times harder than it did back here, but
the glucose is the same. We go another few years glucose is still 90, but now it
takes 18 units of insulin. Your A1C is starting to increase and again your HOMA-IR doubled.
Now it takes four times more effort for your body to maintain that glucose level. A few more years go
by and finally your glucose cannot be controlled anymore you got 150 they say oh dear you have
diabetes look at that and your insulin which they don't measure is sky-high and your A1C
is going to be above this it could be 7, 8, 9, 10, 12, 14. Once the dam breaks there's
really no controlling it anymore and if we calculate your HOMA-IR now, it's getting
astronomical because the insulin is high but even with that high insulin the glucose is
not controlled anymore. So here's the question. We said earlier that they claimed that type 2 diabetes develops because the
pancreas output reduced. That it can't make enough insulin anymore but if we actually
measure insulin we see that's not true. Insulin is higher than ever but the body is intelligent
and the body has to weigh the pros and cons because it knows there are damaging effects
of high blood sugar and there are damaging effects of insulin which one do we pick And the body
could keep making more insulin but then it would make you more and more insulin resistant
it would increase everything to do with metabolic syndrome, such as heart disease and stroke
and high blood end obesity and it says like you push me into a corner I can't solve all
these problems so it's just not going to be real pretty from here on out. And I want to drive this point
home one more time that diabetes is diagnosed based on blood sugar they measure glucose
and A1C and it looks like the progression is like this red arrow when in reality the
progression of insulin resistance is based on insulin which looks like this it's pretty
linear and if we measure it then we can see where we are on this scale. Are we good?
Are we not great, or are we pre-diabetic or worse. And there's a lot of confusion about the diet as well. Most
often recommended insulin resistance diet is to eat low-fat. They tell you - eat low fat food
cuz it has so many calories. They tell you to eat low fat dairy. They tell you to eat lots of
grain. They tell you to avoid the white bread and the sugar, they've come that far but they say
eat plenty of rice and plenty of whole wheat bread
and so forth which is a terrible idea because all those things raise insulin and
it's not about calories. It's not about calories making you fat and the fat causing insulin
resistant it's the insulin that causes insulin resistance, so you want to avoid the sugar and
the carbohydrates, all forms of carbohydrates, not entirely but a lot of them and then you
want to eat think they're a satisfying and high fat because those things don't trigger
much insulin. They tell you to avoid saturated fats because again there's this misconception
that saturated fat is a bad fat. Well there's no evidence to that in fact people who eat the
most saturated fats turn out to be the healthiest. They are very satisfied. It's easy to reduce carbohydrates.
It's easy to do intermittent fasting and reduce and reverse all your insulin resistance and your disease markers.
So there's just no evidence that saturated fat would be a problem unless
you eat a lot of sugar at the same time then you can't metabolize any fats properly. They tell you to eat
lean protein and they say avoid the beef and the lamb and all those fatty sources - eat
chicken and the best cut according to them is chicken breast because it's the leanest
Well not only is it boring but chickens are not raised very well if you find grass fed
beef or grass-fed lamb those animals had a natural life. They ate things they were supposed
to eat. Not so with chickens. There is almost impossible to find healthy chicken pasture-raised
chickens that had a healthy life. A lot of things you hear don't make much sense but this one
has to take the price. Don't skip meals because that makes your insulin swing up and down.
No it doesn't - skipping a meal brings your insulin down and that's not a problem unless you are
hypoglycemic and you would be hypoglycemic if you eat frequent high carb and sugar meals
so if you try to increase and decrease increase if you trying to balance your blood sugar
with frequent meals that is where you have the blood sugar swings. The solution is to
eat things that don't cause the spike then you're not going to have the bottom out. So if
you stabilize your blood sugar by eating high-fat and eating saturated fats that are satiating
and by avoiding the carbs and the grain and the low fat dairy and all the things they
recommend. Now your blood sugar stabilizes your insulin swings stabilize and now it's
easy to skip a meal and now your insulin comes down which is a good thing. It doesn't
swing up and down. It comes down. That's what you want. And if it's that wasn't crazy enough
they added that this leads to belly fat which makes your body more likely to resist insulin.
Now here they kind of have a point again with the fatty liver that we talked about that the
belly fat is associated with fatty liver which is insulin resistant it does make you more
likely to resistance insulin but the skipping of the meals and stabilizing blood sugar is
the solution to that belly fat and makes you less likely to resist insulin. So if you watched
the whole thing then it should be perfectly clear by now that insulin resistance is not
a disease. Nothing is broken. The body is intelligent. It's doing exactly what it is supposed to. When we push it the body will adapt.
And what was it that pushed it? It was sugar primarily, so what do we do? We eliminate
the sugar. Carbs contributed so we reduce carbs. The number of meals stimulate insulin.
The more frequently you eat the more frequently you stimulate insulin so we reduce the number
of meals. If you're being sedentary then that makes you more likely to develop insulin resistance
If you're already insulin resistant, it's not going to do a whole lot, but exercise is always
a good thing if you do it the right way and I've done tons of videos on that. How to do
low-stress exercise just for this. And stress is a contributing component. Stress causes cortisol
Cortisol drives blood sugar which drives insulin so we use ways of distressing, breathing exercises
meditation etcetera. And as far as the official guidelines unfortunately the best advice I
have is to do the opposite that the clinical experience and the testimonials from millions
of people say that they get the best results when they do the opposite. The only thing that
you can follow along is in terms of sugar everyone at this point agrees that sugar is a bad
thing. Processed foods that's a bad thing and trans fats are a bad thing. Avoid those, but
other than that pretty much do the opposite of what they say. If you enjoyed this video
you will love that one next, and if you really want understand how the body works and learn
how to master your health then make sure you subscribe, hit that bell and turn on all the
notification so you never miss a life-saving video. Thanks so much. I'll see you next time.