Ep. 110: The True Cause of Insulin Resistance and Diabetes from the Bioenergetic View

In this episode we discuss:

Why insulin resistance and diabetes are not caused by excess carbohydrate consumption and are not actually an insulin signaling problem 

The problems with the idea of metabolic flexibility, earning your carbs, and the carb-insulin model of obesity 

Why carbs are beneficial even for people who have insulin resistance or diabetes 

The role of fat burning and stress in driving insulin resistance 

Specific diet, movement, and supplement recommendations to reverse insulin resistance and diabetes 

Free Energy Balance Mini-Course: https://www.jayfeldmanwellness.com/energy/

Check out the Energy Balance Solution program here: https://www.jayfeldmanwellness.com/solution/

Click here to check out the show notes: https://www.jayfeldmanwellness.com/ep-110-the-true-cause-of-insulin-resistance-and-diabetes-from-the-bioenergetic-view/

Timestamps:

0:00 – intro

1:14 – metabolic flexibility, earning your carbs, the carb-insulin model of obesity, and dispelling other common insulin resistance myths

7:48 – low-carb, keto, and carnivore diets may improve symptoms but are not the solution for insulin resistance

13:13 – what the mainstream views of insulin resistance gets wrong when it comes to what causes insulin resistance

15:50 – why you might not want to use a continuous glucose monitor and the unnecessary fear of blood glucose spikes

17:48 – whether insulin is harmful and whether we want to keep insulin levels as low as possible

22:15 – whether we can restore optimal insulin sensitivity without low-carb diets 

25:16 –the bioenergetic view of insulin resistance 

27:12 – insulin resistance as an adaptive evolutionary process that is crucial for survival

31:22 – the difference between physiological and pathological insulin resistance

34:40 – how inhibited glucose oxidation causes insulin resistance

40:46 – how fatty acid oxidation causes increased production of ROS, slows cellular respiration, and blocks glucose oxidation (The Randle Cycle)

51:06 – the harms of ROS production from fatty acid oxidation and other forms of stress

53:04 – insulin resistance as an energy deficient state

54:19 – insulin resistance is not an insulin signaling problem, it’s an energy production problem 

58:30 – the role of stress hormones (like cortisol) in insulin resistance 

1:02:09 – how insulin and carbohydrates decrease stress 

1:05:59 – how to fix insulin resistance and restore insulin sensitivity by fixing our capacity to produce energy  

1:10:38 – specific diet, movement, and supplementation recommendations for insulin resistance and diabetes 

1:17:55 – why you don’t need to tailor your carb intake to your carb tolerance