5 words that saved my life - "I think you have diabetes"

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5 words that saved my life - "I think you have diabetes" - by Joy Sypher

A recent discussion reminded me of the first few days right after my Type 2 diabetes diagnoses, 17 years ago. Back then, healthcare providers often considered Type 2 Diabetes as a progressively worsening ailment. While I was offered counseling to help with the emotional impact of a long-term progressive disease, I was never educated on any other eating plan other than the recommended diet from the ADA that was high in carbohydrates, seed oils and grains.

I knew there had to be another answer. I had watched my parents suffer ill health for as far back as I could remember, and I did not want that for my children. In that moment I became my own advocate. I was looking for an answer and I took to the internet.

What is insulin resistance?

Insulin resistance serves as a precursor to various metabolic disorders. Unfortunately, it is often only tested for when other symptoms of these diseases manifest. Conditions such as Type 2 Diabetes Mellitus, Cardiovascular Disease, Polycystic Ovary Syndrome (PCOS)/Erectile Dysfunction (ED), Hypertension, Non-Alcoholic Fatty Liver Disease (NAFLD), and infertility may develop if insulin resistance remains untreated. Early detection and intervention are crucial to prevent or manage these conditions effectively.

It is crucial to highlight the prevailing understanding that metabolic disease stemmed from insulin resistance—an underlying condition that can be reversed.

A recent human prospective study conducted in the United States demonstrated that a staggering 88% of adult Americans exhibit signs of being metabolically "unfit." This finding emphasizes the urgent need to address metabolic health concerns within the population.

As I reflect on my own journey, it becomes evident that advancements in metabolic science are reshaping our understanding of Type 2 Diabetes. With the recognition that insulin resistance lies at the core of the disease and its potential reversibility, individuals like me can embark on a path towards reclaiming metabolic health and improving overall well-being.

The Role of Insulin:

Insulin, a hormone produced by the pancreas, plays a vital role in regulating glucose levels in the bloodstream. Its primary function is to facilitate the movement of glucose from the bloodstream into cells, where it is used as a source of energy. Insulin acts as a "key" to unlock cells, allowing glucose to enter and fuel various bodily processes. However, when cells become resistant to insulin, glucose remains trapped in the bloodstream, leading to metabolic imbalances.

Recognizing Insulin Resistance:

Identifying insulin resistance can be challenging as it often goes unnoticed until metabolic disorders develop. While routine testing for fasting insulin is not yet widespread, certain symptoms may indicate the presence of insulin resistance.

These include:
  • A waistline over 40 inches in men and 35 inches in women, indicating abdominal obesity, which is closely linked to insulin resistance. Blood pressure readings of 130/80 or higher, suggesting hypertension, a common comorbidity of insulin resistance.
  • Fasting glucose levels over 100 mg/dL, indicating impaired glucose metabolism.
  • Elevated fasting triglyceride levels above 150 mg/dL, signifying abnormal lipid metabolism.
  • Low HDL cholesterol levels (below 40 mg/dL in men and 50 mg/dL in women), which is associated with insulin resistance and increased cardiovascular risk.
  • Skin tags or patches of dark, velvety skin known as acanthosis nigricans, which are often seen in individuals with insulin resistance.
Underlying Causes of Insulin Resistance:

Insulin resistance can arise from various factors, including genetics, obesity, sedentary lifestyle, poor dietary choices, chronic inflammation, hormonal imbalances, and certain medications. Genetic predisposition, combined with environmental factors, can increase the risk of developing insulin resistance. Excess body fat, particularly visceral fat around the abdomen, releases inflammatory substances that impair insulin signaling, contributing to insulin resistance.

The Link to Metabolic Disorders:

Insulin resistance serves as a precursor to various metabolic disorders. Unfortunately, it is often only tested for when other symptoms of these diseases manifest. Conditions such as Type 2 Diabetes Mellitus, Cardiovascular Disease, Polycystic Ovary Syndrome (PCOS)/Erectile Dysfunction (ED), Hypertension, Non-Alcoholic Fatty Liver Disease (NAFLD), and infertility may develop if insulin resistance remains untreated. Early detection and intervention are crucial to prevent or manage these conditions effectively.

Addressing Insulin Resistance:

Reversing insulin resistance and reclaiming your health is crucial for overall well-being. While a detailed discussion of the strategies to reverse insulin resistance is beyond the scope of this blog, it is important to emphasize the significance of early detection and appropriate interventions. Lifestyle modifications, including regular exercise, a balanced diet rich in whole foods, weight management, stress reduction techniques, and adequate sleep, play a crucial role in improving insulin sensitivity. Medications and, in some cases, insulin therapy may be prescribed by healthcare professionals to manage insulin resistance and associated metabolic disorders.

Conclusion:

Insulin resistance is a condition that significantly impacts our metabolic health. While routine testing for fasting insulin levels is not yet commonplace, recognizing the symptoms and understanding the associated risks is crucial. By prioritizing early detection, intervention, and adopting appropriate lifestyle changes, it is possible to address insulin resistance and mitigate its potential complications. Together, let us take proactive steps towards better metabolic health and a brighter future. Remember, consulting with healthcare professionals, joining support groups, and staying informed about the latest research can provide valuable guidance on managing insulin resistance effectively.

Written by Joy Sypher
Published July 15th, 2023

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