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fat people and insulin resistance?

by 287 · June 04, 2013 at 10:50 PM

Do all people who are or were once fat have insulin resistance? I think my struggle is in my head.. I'm 18 and about 30lbs overweight, and I don't know if I'm insulin resistant....I overeat, but its mainly a response to emotions/thoughts...my body seems to be working A-okay in terms of recognising satiety and hunger for now...although I do worry that I'll fuck myself p...and the worry makes me wanna eat! aaagggh! Helpmehh :s

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37013 · March 30, 2013 at 05:08 PM

Do you know if you're okay with wheat, or is it possible wheat is part of your problem?

I have a long yo-yo history so I've been overweight/obese more than I've been lean. Needless to say, even on easygoing paleo I feel the best ever.

I don't seem to be very, if at all, insulin resistant. For me, if I am eating wheat I fall into binge eating and I gain weight. If I don't eat any wheat at all, I can eat until satisfied and lose weight. I include butter, cream and lots of fruit in my diet, along with as much meat and vegetables as desired yet the weight gradually slides off.

I also fast very comfortably. Some days I eat my (usually) one meal at mid-day and other days I have fruit in the morning and my main meal in the afternoon. I don't experience any energy fade even if I don't eat at all for a day and I'm not excessively hungry the next morning either.

To me, the above indicates I'm not insulin resistant. The other thing I've noticed is that when I'm eating wheat and therefore gaining, my body shape morphs from pear toward apple; when I'm off wheat, the middle of my body actually loses the most fat and I head back toward pear shape.

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39204 · March 30, 2013 at 06:25 PM

Probably the best way to prevent it is by preventing mitochondrial atrophy in skeletal muscle.

https://www.thieme-connect.com/ejournals/abstract/10.1055/s-2007-978828
http://care.diabetesjournals.org/content/28/3/662.short
http://care.diabetesjournals.org/content/21/8/1353.short
http://jcem.endojournals.org/content/85/7/2463.short
http://care.diabetesjournals.org/content/26/11/2977.short
http://europepmc.org/abstract/MED/9309627

There are piles of studies on the subject. I suspect that the vast majority of the benefit can be achieved by performing one set to concentric failure (in the 10 or so rep range) for each muscle group once a week. It would take about 30 minutes.

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10069 · March 30, 2013 at 11:59 PM

The way to find out is to get tested. The main indicators of insulin resistance that I had when I was diagnosed were high A1C (mine was 8 - normal is below 6) and high fasting blood glucose (mine was 200 on repeated tests - normal is about 100). I worked on the problem - restricting high glycemic carbs, exercising and losing weight - and both numbers came down to normal levels over several months.

Then I moved and went to a new doctor. He used a number derived from an NMR LipoProfile, which uses a combination of LDL particle number and size to come up with an Insulin Resistance Score, or LP-IR. This test shows more directly that my insulin resistance is extremely low (5, on a scale where below 45 is considered healthy).

The dangerous part of this is that I had no idea I was diabetic, and could have been T2 for over a year without knowing it. That's the value of getting a screening test.

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655 · March 30, 2013 at 06:02 PM

Erin-

Do all people who are or were once fat have insulin resistance? <<<

All is pretty strict compliance level....

There is a very strong correlation between fatness & insulin resistance.

I'm not an diabetes expert but vicariously I've gone thru the Type 1/2 journey & learned a fair amount. I have a friend who's kinda Type 1 kinda Type 2

I also got "the fear" placed in my by a pre-diabetes diagnosis so I shifted to diabetes prevention about 8 months ago. I was quite motivated to "self-experiment" & got myself a blood sugar meter. Being an engineer I did a LOT of food / meal blood sugar response "tests". I didn't just do a poke test at 1-1/2 to 2 hours... I did one every 15 minutes to capture the entire blood sugar response. I bought a LOT of test strips. :)

You write "I don't know if I'm insulin resistant"... the fact that you need very little insulin points towards "not insulin resistant".

I assume you calc you doses based on carb intake & projected exercise? Or is your use so little that you don't need to?

In any case since your "overweightness" indicates too many calories / too many carbs or at least a timing imbalance between carb intake, exercise & insulin dosing. I am reluctant to make suggestions since you have the added complication of being Type 1.

Unfortunately, I found diabetes maint MD's to be less than helpful or concerned about optimal outcomes of diabetes suffers. :( They typically adhere to the ADA diet suggestions.... whole grains,etc. I can see their dilemma, go with the accepted practice (safe) or go cutting edge (risky for them).

I wold suggest taking a look at Dr Mark Hyman's The Blood Sugar Solution, I read with Type 2 in mind & its been ~7+ months so I do not recall if it had Type 1 suggestions. He was a huge proponent of slow carbs.

I think you;ve got a very good handle on this..you just need some support. For emotional eating issues & fat loss for women I suggest visiting joining (free) http://blackgirlsguidetoweightloss.com/

This woman has gone from 330 lbs to personal trainer / yoga instructor size. She has 130,000 + subsribers. I felt her info was useful & I made donataion as well

http://blackgirlsguidetoweightloss.com/its-all-mental/what-exactly-is-emotional-eating/

However, if I stop exercising I need to use alot more insulin. So I'd be willing to bet, even over diet exercising regularly is the key to not being insulin resistant. I don't train heaps, just 3 times a week + walking and it helps a-lot. I find my insulin usage doubles when I stop doing this.<<<<<

I think the key is... keep doing what you're doing, it seems to be working. Make small changes & see the effects. See if you can find a diabetes pro who can think.

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638 · March 30, 2013 at 05:24 PM

Nope, they don't. I am about 30lbs overweight and I have type 1 diabetes and need to inject insulin as my body makes none. I eat healthy and exercise often and I used a very limited amount of insulin to control my blood sugars compared to someone who is insulin resistant. I'm pretty sure this would be the same with any person.

However, if I stop exercising I need to use alot more insulin. So I'd be willing to bet, even over diet exercising regularly is the key to not being insulin resistant. I don't train heaps, just 3 times a week + walking and it helps a-lot. I find my insulin usage doubles when I stop doing this.

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7944 · March 30, 2013 at 03:48 PM

This podcast addresses your question very well: http://paleomagonline.com/episode-6-dr-david-pendergrass/

Transcript here:http://paleomagonline.com/wp-content/uploads/2013/03/PMR_Episode-Six-Transcript.pdf

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