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So, the first root cause of weight-loss resistance is insulin resistance. It’s so common, that we just have to dig in and figure out if you’re on that spectrum.
We need to find out – are your cells sensitive to insulin? Can they handle insulin? Can they listen to the signaling that insulin is telling them, which is “open up and let glucose come in so that we can burn it for energy!” Or are they blocked, so that glucose can’t get into your cells? And then it stays circulating into your bloodstream, to be turned into fat for storage.
So, some people are thin and have insulin resistance, it’s not just people who are overweight. So you can be of normal weight or thin and still be on the spectrum of insulin resistance, which is pretty interesting.
And a lot of women, about 70%, with polycystic ovarian syndrome, have insulin resistance to some degree. And in fact our American population, at least half of us have insulin resistance over age 65, and under age 65 it’s 40% of adults over 18 with insulin resistance.
It’s really epidemic, and so it’s a huge passion of mine to really educate people, to really understand what it is, and to kind of get the concept, so we’re not just touting “Ketogenic! Low carb! Carbs are evil! Sugar is evil!” … all that stuff. It’s not that carbs are evil, it’s just that we have a plethora of insulin resistance, and there are reasons for this, why it’s so rampant.
The genetics for insulin resistance are not bad in themselves, it’s actually a thrifty thing to be able to “hold on” during times of famine. However, we don’t have times of famine in industrialized Western countries. We are undernourished, but we’re generally overfed. And the epidemic of this has led to an epidemic of insulin resistance.
what to do?
So there are ways to back out of insulin resistance, actually before you develop type II diabetes. There are ways to heal it, and to get your cells more sensitive to insulin, able to burn sugar, and stop that fat storage. And this is absolutely something we need to look at in all situations of weightless resistance.
I recommend identifying insulin resistance early, before it becomes prediabetes or type II diabetes! It takes years and years to develop, and it takes a while to reverse. This is far easier to do when identified early on.
I screen adults age 18 and over, as well as children at risk. Childhood risk factors include family history, whether or not mom had gestational diabetes, diet and exercise habits, BMI, and medications.
The functional screening I like to do includes fasting glucose and insulin, hemoglobin A1c, comprehensive lipid panel, comprehensive metabolic panel, and occasionally C-peptide and a glucose/insulin tolerance test.
Jump to the next root cause #2, which is inflammation.