14/05/2026
Why we get sick?
Damage to the body starts when we are young. We often treat metabolic disease like a cliff we fall off in our 60s, but it’s actually a long slide that starts in our 20s.
I have written about Insulin Resistance (IR) many times over the years but recent information I have seen from Dr Ben Bikman PhD, who is a prominent metabolic scientist and Associate Professor at Brigham Young University, (BYU) has prompted me to write this.
Also there have been other interesting scientific articles I have seen about sickness and its underlying causes, all of which has influenced me in writing what I believe to be very important health related information.
It is not only older adults that suffer health problems that are usually associated with the elderly, but more and more young people are now suffering from bad health and bad lifestyle choices.
Damage to the body starts when we are young, we often treat metabolic disease like a cliff we fall off in our 60s, but it’s actually a long slide that starts in our 20s."
HIGH INSULIN
High blood insulin has always been a very important issue for me but often overlooked in standard clinical practice. When you have a blood test seldom is insulin included.
Why this is important and not normally included by doctors I will explain, but first I will tell you the problems of having elevated insulin.
High levels of insulin (hyperinsulinemia) causes insulin resistance (IR) and they both are often the underlying drivers of a broad range of chronic health issues. When your cells stop responding enough to insulin, the pancreas pumps out even more making the matter worse. This chronic "over-insulination" negatively affects almost every organ in your body.
The main job of insulin is to take blood sugar away and take it into your cells for energy. (one of its main functions) Not only will high levels of blood sugar/glucose over time damage organs, but will also damage tissues, nerves and blood vessels and cause much harm to your body.
So having insulin resistance and not being able to lower blood sugar and insulin, will have a devastating effect on health and disease.
Why do you think Type 1 diabetics are skinny? Because they lack the anabolic (storage) signal of insulin. Without it, the body literally wastes away because it cannot store energy. Take insulin away from a Type 2 diabetic and they lose fat.
Here is a list of the primary health problems associated with hyperinsulinemia. (Thanks to AI for this information)
Metabolic & Cardiovascular Issues
• Type 2 Diabetes: Eventually, the pancreas can no longer keep up with the demand for more insulin, leading to elevated blood glucose levels
• Dyslipidemia: High insulin signals the liver to produce more VLDL particles, leading to high triglycerides and low HDL (the "good" cholesterol). It also shifts LDL particles toward a dangerous smaller, denser, and more inflammatory pattern.
• Hypertension (High Blood Pressure): Insulin causes the kidneys to retain sodium and can overstimulate the sympathetic nervous system, both of which increase blood pressure.
• Atherosclerosis: The combination of inflammation and high lipids promotes the buildup of plaque in the arteries, significantly increasing the risk of heart attacks and strokes.
Organ-Specific Damage
• Non-Alcoholic Fatty Liver Disease (NAFLD): High insulin promotes "de novo lipogenesis," where the liver converts excess energy into fat, leading to inflammation and potentially cirrhosis.
• Kidney Stress: Chronic hyperinsulinemia can damage the delicate filtration units of the kidneys (nephrons) even before blood sugar becomes high enough for a diabetes diagnosis.
• Polycystic O***y Syndrome (PCOS): In women, high insulin can cause the ovaries to produce excess androgens (male hormones), leading to menstrual irregularities and fertility issues.
Cognitive & Cellular Health
• Cognitive Decline: There is a strong link between insulin resistance in the brain and neurodegenerative diseases. Some researchers even refer to Alzheimer’s as "Type 3 Diabetes" due to the brain's inability to process glucose efficiently.
• Increased Cancer Risk: Insulin is a growth hormone. High levels can stimulate the growth of certain cells and may increase the risk of cancers like colon, breast, and pancreatic cancer.
• Systemic Inflammation: Insulin resistance triggers the release of pro-inflammatory cytokines from fat tissue, contributing to joint pain and general fatigue.
Obesity
High insulin and insulin resistance is the best way to become fat. Obesity is both a hormone and calorie problem, not just about how much food you eat.
Insulin resistance will stimulate hormones that will slow down your metabolism and create the environment so your body can store fat.
The 3 drivers of insulin resistance
There is another interesting result of being insulin resistant. Two hormones are also released, along with small proteins used for "cell signalling” called Cytokines. The hormones are Cortisol and Epinephrine - why do these matter?
First let me tell you briefly what they do, then what their roles are in insulin resistance.
- [ ] Epinephrine is the "Go!" signal for energy, meaning ‘fight or flight’, get ready for action
- [ ] Cortisol is the "Hold!" signal for stress, meaning, helps sustain energy and functions during stress
- [ ] Cytokines are the "Alert!" signal for the immune system.
When they all rise at once, the body goes into a high-alert metabolic state and causes a mechanical and chemical block, which gums up the works.
Here is a summary of what these 3 do when there is insulin resistance.
Cytokines
• Action: Blocks insulin receptors (IRS-1).
• Effect on Health: Sustains chronic inflammation and "locks" glucose out of cells.
Cortisol
• Action: Forces the liver to make new glucose.
• Effect on Health: Leads to high fasting blood sugar and muscle breakdown.
Epinephrine
• Action: Releases fatty acids and glucose into the blood, insulin forces the liver to re-package them into fat.
• Effect on Health: Keeps blood sugar high by forcing the liver to dump glucose into the blood. Increases liver fat and further worsens insulin resistance.
DIABETES DRUGS
So - why not just take drugs?
Everything you put in your body has a ramification. You need to weigh up the good and bad between the drugs doing the right thing and doing the wrong thing to your body.
ie a balance between what you want and what you don’t want.
Here are some of the drugs your doctor may suggest you take, if you are living with high blood glucose.
Metformin
This drug works reasonably well by helping insulin sensitivity and bringing blood glucose down. Yes it does lower blood glucose and helps IR, but surprisingly it does this by acting as a mild mitochondrial stressor by inhibiting mitochondrial function especially in muscle.
Exercise on the other hand makes muscle mitochondria bigger and stronger, but if you take metformin and do exercise it wipes out metformin’s ability to function.
Whereby, exercise alone is twice as effective. Metformin can also have gut issues. So it depends on your health and other factors whether you should take it or not, discuss it with an informed doctor.
GLP-1 agonist
GLP-1 agonists are made in the gut. They inhibit Glucagon which lowers blood glucose and thereby improving diabetes and insulin levels.
The original drug was called Ozempic, which was a low dose drug and worked quite well, but then the same drug was developed but was around 5 times as strong - it was called Wegovy. The problem with this higher dose was it slows gastric emptying, which is the rate at which food leaves the stomach and enters the small intestine.
While this helps with blood sugar and controls hunger, the higher dose can bring about problematic gastrointestinal (GI) side effects. The slower movement through the GI tract can take up to 30 hours to move through and can cause wind build up, ie burping and flatulence, and food can ferment or remain undigested.
Other problems seen are nausea and vomiting, feeling full after only a few bites, acid reflux and constipation.
Sulfonylureas
A class of oral medications used to treat Type 2 diabetes by stimulating the pancreas to release more insulin to lower blood sugar levels.
You can see the trouble here, if you only concentrate on glucose and don’t worry about insulin you are just making matters worse, especially if you are insulin resistance.
DIET
Data from around the world says that the average diet consists of around 70% carbohydrates, fat and protein make up roughly the other 15% each. Here are some statistics showing insulin’s response to the macronutrients we eat.
Fat:
No insulin response
Protein:
Basically only a small insulin response, but does depend on the type of protein and how much is consumed at a time.
Carbohydrates:
Insulin level will go up around 10-20 times from fasting insulin to after meal level and will take around 3 hours to come back down in an insulin sensitive person. If you eat a lot of carbs in one meal the time to come back down could be 10 plus hours.
Also, it matters very much the type of carbs you eat. Vegetables and berries won’t affect your blood glucose and insulin levels that much, but unfortunately most people are consuming highly processed and high sugar foods, so glucose and insulin elevation is that much more severe.
In a healthy person’s metabolic system, insulin levels are not static; they fluctuate dynamically to keep blood glucose within a very narrow, safe range.
An interesting study I recently looked at was young adults/students were given high amounts of high glycemic (quick acting) carbohydrates for 1 week. Scientists then did a fasting blood draw (ie in the morning before breakfast) and found their blood glucose was normal, but insulin levels had risen 2.5 times.
They had developed a degree of insulin resistance. This is an example of ‘normal glucose - abnormal insulin’, you wouldn’t know this if you only checked glucose.
Why do diabetes doctors and diabetes associations tell their patients to eat carbohydrates? I truly don’t know. They should know that reducing or eliminating carbs in the short term will eliminate their diabetes.
There is a significant 'institutional inertia' in medicine that prioritizes managing symptoms with lifelong medication over addressing the dietary root cause. Has it something to do with the billions of dollars made by selling drugs - maybe?
What is my advice?
1. Control carbohydrates. Especially the simple fast food variety, not healthy berries and vegetables or those that don’t cause a glucose spike.
2. Eat enough protein. Protein doesn’t spike glucose levels like carbs and is very important in maintaining adequate muscle mass, especially for those exercising or the elderly.
3. Don’t fear fat. Especially grass fed animal fats that are stable, nutrient-dense and rich in fat-soluble vitamins A, D, E and K2. As well, animal fats contain small, natural amounts of Linoleic acid which helps with inflammation and supports metabolic health. But also be careful of excessive amounts of Linoleic acid that is found in seed oils because they can promote pro-inflammatory byproducts.
Note: In nature protein always comes with fat, and is why the body prioritises protein and fat together.
a) Combining protein with fat controls glucose and insulin more than protein alone. Protein by itself especially in higher amounts can convert some amino acids into glucose through a process known as gluconeogenesis.
Combined with fat it slows down the digestion and provides an alternative fuel source (fatty acids/ketones), so the body doesn't feel the "emergency" need to create as much glucose from protein.
b) The two together controls gastric emptying and prevents glucose and insulin spikes, especially when protein is eaten by itself.
c) Eating them together triggers the release of satiety hormones telling your brain you are fuller, this can last for hours.
d) The fat/protein relationship is necessary for the fat soluble vitamins to be fully utilised by the body.
e) Fats with protein support the hormonal environment allowing hormone control, tissue building and repair.
f) Eating fat with protein ensures if you are low on carbs you will have enough fuel (fat) to burn for energy without destroying muscle.
I hope I have given you fuel for thought. This information can have a direct effect on your health and longevity.
Graeme