Any disruption to blood glucose homeostasis will perpetuate the progression of the condition, so high morning blood glucose effects metabolism the same as high postprandial blood glucose.
High morning blood glucose is indicative of excessive adrenal counter regulation to any lowering of blood glucose overnight. In other words, improper blood glucose regulation, related specifically to the interaction between stress hormones and lowering blood glucose. This process will never allow blood glucose to lower to normal. In essence - diabetes.
2. People with metabolic syndrome/diabetes can have carbohydrate if they fast long enough.
People with metabolic syndrome/diabetes need to avoid anything that further disrupts their blood glucose so they can increase their chances of achieving proper blood glucose regulation over time. Consuming carbohydrates disrupts blood glucose. Fasting for extended periods, disrupts blood glucose. So both of these practices will only further disrupt blood glucose and progress the condition.
3. Do all obese people have high insulin levels?
The Insulin Hypothesis (IH) is incomplete, so it only tells us part of the story of metabolic dysfunction. It begins the story downstream from the actual initial trigger, which is chronic disruption in blood glucose regulation.
High insulin levels are not perfectly correlated with obesity. There are about 15% of obese people who don't have elevated insulin levels. This is most likely due to beta cell mass loss and/or dysfunction, alongside other abnormalities in insulin/fat mass function. A 'C-Peptide Test' is recommended, for these people, in order to see if they are still producing their own insulin and what function it still has.
Obesity is a condition between the complex interplay of blood glucose and hormones, not just one hormone, but many. The person who is experiencing active obesity, can become obese at low to normal levels of insulin, because of other hormonal abnormalities and the dysfunction of insulin expression in various tissues.
4. I follow "macro" recommendations and still cannot lose weight.
A lot of people are calling certain practices "following macros", when they really aren't.
Macronutrient recommendations, often referred to as simply "macros", are hardline numbers, which are followed for the tracking of daily macronutrient intake from every meal. These personalized recommendations are usually derived from an online calculator or through a dietitian/coach/program. Your goals, weight, gender, activity level and body fat percentage are all factored into the results. Sometimes, other factors like calories, are also included.
Tracking macros sometimes requires the need to weigh or measure food intake. You also need to know what the macronutrients are, within the food you eat, not the entire portion of food itself, since you aren't tracking portions, you are tracking macronutrients. For example, you need to know how much fat and/or protein, your chosen cut of meat has, not how much total meat you have.
Knowing your daily macronutrients in percentages, eyeballing your plate, simply being "low carb or "keto" and/or guessing, ARE NOT tracking of macros. You are also not following macros by simply repeating your favorite guru's mantra of "eating enough fat", "getting adequate protein" or "restricting carbs". There has to be numbers associated with those statements and every guru has their own recommendations as to what those are. That's why you have to follow one protocol and stick to it, rather than 20 different mixed approaches. Remember, tracking of macros is based on hardline numbers and requires knowledge of your chosen foods composition.
The only problem with "following macros" is that there is one metric which is left out of the equation and it's one that every person with metabolic dysfunction needs to know - their blood glucose control. In other words, the macros which are recommended for you, do not take into account how they may affect your blood glucose. So a person with metabolic dysfunction, should not only calculate their macros, but they need to monitor how these macros are affecting their blood glucose by using a blood glucose meter and checking their 2 hour postprandial readings.
The Insulin Hypothesis (IH) is incomplete, so it only tells us part of the story of metabolic dysfunction. It begins the story downstream from the actual initial trigger, which is chronic disruption in blood glucose regulation.
High insulin levels are not perfectly correlated with obesity. There are about 15% of obese people who don't have elevated insulin levels. This is most likely due to beta cell mass loss and/or dysfunction, alongside other abnormalities in insulin/fat mass function. A 'C-Peptide Test' is recommended, for these people, in order to see if they are still producing their own insulin and what function it still has.
Obesity is a condition between the complex interplay of blood glucose and hormones, not just one hormone, but many. The person who is experiencing active obesity, can become obese at low to normal levels of insulin, because of other hormonal abnormalities and the dysfunction of insulin expression in various tissues.
4. I follow "macro" recommendations and still cannot lose weight.
A lot of people are calling certain practices "following macros", when they really aren't.
Macronutrient recommendations, often referred to as simply "macros", are hardline numbers, which are followed for the tracking of daily macronutrient intake from every meal. These personalized recommendations are usually derived from an online calculator or through a dietitian/coach/program. Your goals, weight, gender, activity level and body fat percentage are all factored into the results. Sometimes, other factors like calories, are also included.
Tracking macros sometimes requires the need to weigh or measure food intake. You also need to know what the macronutrients are, within the food you eat, not the entire portion of food itself, since you aren't tracking portions, you are tracking macronutrients. For example, you need to know how much fat and/or protein, your chosen cut of meat has, not how much total meat you have.
Knowing your daily macronutrients in percentages, eyeballing your plate, simply being "low carb or "keto" and/or guessing, ARE NOT tracking of macros. You are also not following macros by simply repeating your favorite guru's mantra of "eating enough fat", "getting adequate protein" or "restricting carbs". There has to be numbers associated with those statements and every guru has their own recommendations as to what those are. That's why you have to follow one protocol and stick to it, rather than 20 different mixed approaches. Remember, tracking of macros is based on hardline numbers and requires knowledge of your chosen foods composition.
The only problem with "following macros" is that there is one metric which is left out of the equation and it's one that every person with metabolic dysfunction needs to know - their blood glucose control. In other words, the macros which are recommended for you, do not take into account how they may affect your blood glucose. So a person with metabolic dysfunction, should not only calculate their macros, but they need to monitor how these macros are affecting their blood glucose by using a blood glucose meter and checking their 2 hour postprandial readings.
You will not accomplish anything by "eating to your macros" and ignoring your blood glucose.
5. It doesn't matter what food your daily carbohydrate allotment comes from, even if it's sugar.
False. Not for the person with metabolic syndrome/diabetes.
Twenty grams of carbs from sugar and 20 grams of carbs from vegetables is only the same as far as energy goes, but energy intake is not the main cause of metabolic dysfunction and cannot be addressed by counting carbs or calories. Energy intake simply effects small up and down variations in total weight. Energy partitioning is the main cause of metabolic abnormalities, so we approach metabolic interventions, on this blog, from the perspective of their effect to blood glucose not Pepsi Co's perspective, as that hasn't worked.
As far as energy intake is concerned, 20 grams of carbs is 20 grams of carbs, regardless of where it comes from. This simplistic metric can be used if you are a calorimeter or need to lose vanity weight or make the team, while being otherwise healthy, but it doesn’t work for obesity or metabolic dysfunction. If it did work, there would be no reason to continue researching obesity and we would all be thin eating Snack Wells at a caloric deficit.
The processing and compartmentalization of macronutrients is detrimental for the obese. This is because there fat mass responds, in an exaggerated way, to any obesogenic stimuli and sugar is obesogenic. It disrupts blood glucose profoundly and for a prolonged period of time. Sugar only grows fat mass and the obese do not need anything stimulating their, already insulin sensitive, fat mass to continue growing. For this reason, your 20 grams of carbs needs to come from whole carbohydrates, not as added sugar.
6. I stalled 20 lbs. from my goal. I am having a weight plateau.
The people giving plateau advice, never ask the most important question of all: "How do you know you are experiencing a plateau?" Like I have said before, being 5 - 20 lbs. from your "goal weight" is not a true plateau.
Though the mechanisms for any plateau are basically the same, a down regulation of leptin expression, they differ in one very important key aspect - having to lose 5 - 20 lbs. is not pathological or detrimental to metabolism, nor is it obesity. It's vanity weight, plain and simple. We do not deal with vanity weight loss, on this blog, as vanity weight has nothing to do with obesity nor is it treated in the same way.
5. It doesn't matter what food your daily carbohydrate allotment comes from, even if it's sugar.
False. Not for the person with metabolic syndrome/diabetes.
Twenty grams of carbs from sugar and 20 grams of carbs from vegetables is only the same as far as energy goes, but energy intake is not the main cause of metabolic dysfunction and cannot be addressed by counting carbs or calories. Energy intake simply effects small up and down variations in total weight. Energy partitioning is the main cause of metabolic abnormalities, so we approach metabolic interventions, on this blog, from the perspective of their effect to blood glucose not Pepsi Co's perspective, as that hasn't worked.
As far as energy intake is concerned, 20 grams of carbs is 20 grams of carbs, regardless of where it comes from. This simplistic metric can be used if you are a calorimeter or need to lose vanity weight or make the team, while being otherwise healthy, but it doesn’t work for obesity or metabolic dysfunction. If it did work, there would be no reason to continue researching obesity and we would all be thin eating Snack Wells at a caloric deficit.
The processing and compartmentalization of macronutrients is detrimental for the obese. This is because there fat mass responds, in an exaggerated way, to any obesogenic stimuli and sugar is obesogenic. It disrupts blood glucose profoundly and for a prolonged period of time. Sugar only grows fat mass and the obese do not need anything stimulating their, already insulin sensitive, fat mass to continue growing. For this reason, your 20 grams of carbs needs to come from whole carbohydrates, not as added sugar.
6. I stalled 20 lbs. from my goal. I am having a weight plateau.
The people giving plateau advice, never ask the most important question of all: "How do you know you are experiencing a plateau?" Like I have said before, being 5 - 20 lbs. from your "goal weight" is not a true plateau.
Though the mechanisms for any plateau are basically the same, a down regulation of leptin expression, they differ in one very important key aspect - having to lose 5 - 20 lbs. is not pathological or detrimental to metabolism, nor is it obesity. It's vanity weight, plain and simple. We do not deal with vanity weight loss, on this blog, as vanity weight has nothing to do with obesity nor is it treated in the same way.
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