#113 … almost 50% of adult Americans now have diabetes or prediabetes.

40DO Thesis #

#113 … almost 50% of adult Americans now have diabetes or prediabetes.

QUOTE It probably won’t surprise you to hear that most of my patients have insulin resistance or diabetes. And if you are sitting there thinking, “Phew, that’s not me, “you actually might want to think again, because almost 50% of adult Americans now have diabetes or prediabetes. That is almost 120 million of us. But that’s hardly everyone who has issues with insulin. Because as I was saying, people have elevated insulin levels due to insulin resistance for years, even decades, before the diagnosis of even prediabetes is made. Plus it’s been shown that 16-25% of normal-weight adults are also insulin resistant. So, in case you’re keeping track, this is a heck of a lot of us.

So, the trouble with insulin resistance is: If it goes up, we are at great risk for developing type 2 diabetes. But also, insulin makes us hungry, and the food we eat much
more likely to be stored as fat. Insulin is our fat storage hormone. So we can start to see how it’s going to be a problem for diseases like obesity and metabolic issues like diabetes.
But what if we traced this problem back to the beginning, and we just didn’t have so much glucose around that insulin needed to deal with? Let’s take a look at how that could be.

Everything you eat is either a carbohydrate, a protein or a fat, and they all have very different effect on glucose and therefore insulin levels, as you can see on the graph. So when we eat carbohydrates, our insulin and glucose are going to spike up fast. And with proteins it looks a lot better. But take a look at what happens when we eat fat. Essentially nothing, a flat line. And, this is going to wind up being very important.

So, now I want to translate that graph for you into a real-world situation. I want you to go back and think about the last time you ate an American version of Chinese food. We all know there’s rules associated with this, right? And the first rule is: You’re going to overeat. Because the stop signal doesn’t get sent until you are literally busting at the seams. Rule number two is: In an hour you’re starving. Why? Well, because the rice in that meal caused glucose and insulin to skyrocket, which triggered hunger, fat storage and cravings. So, if you are insulin resistant to begin with, and your insulin levels are already higher, you really are hungrier all the time.

And we have this setup: Eat carbs, your glucose goes up, your insulin goes up, and you have hunger and fat storage. So, how do we recommend to these people to eat, because it seems like that would be really important, and it is. [1]




QUESTIONS for thinking it through:
How could this clarify my Reality?
How could I add this to my Disciplines?


[1] from the transcript of Reversing Type 2 diabetes starts with ignoring the guidelines, presentation by Dr Sarah Hallberg at TEDxPurdueU, (2,919,883 views) at https://www.youtube.com/watch?v=da1vvigy5tQ. (Access the transcript by clicking on “…” to the right of the title.) Dr. Sarah Hallberg is the Medical Director of the Medically Supervised Weight Loss Program at IU Health Arnett, a program she created. She is board certified in both obesity medicine and internal medicine and has a Master’s Degree in Exercise Physiology. Her program has consistently exceeded national benchmarks for weight loss, and has been highly successful in reversing diabetes and other metabolic diseases. Dr. Hallberg has a B.S., Kinesiology & Exercise Science, Illinois State University, 1994, M.S., Kinesiology & Exercise Science, Illinois State University, 1996 and M.D., Des Moines University, 2002. She is also the medical director of Virta Health, founded in 2014 with the goal of reversing diabetes in 100 million people by 2025 (https://www.virtahealth.com/about).



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This blog is part of the Listicles Project – an attempt to bring into focus the archetypes of wisdom, the ideas about a topic which occur again and again in the conversation – a “common sense” understanding. The purpose of this post is to encourage people to think and provide them with fuel for that purpose; it does not advise or recommend. You must think for yourself and consult with others with expertise as you make your own decision – “Where there is no guidance, a people falls; but in an abundance of counselors there is safety” Proverbs 11:14. I am not a physician or licensed health professional. As you think, please consult your health advisers before taking any action. (Please consult the “Read Me” page above for more caveats.)

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