Ep:369 THE SCIENCE BEHIND TREATING INSULIN RESISTANCE IN DIABETES (1&2)

Step-by-Step Tutorial: Managing Insulin Resistance in Diabetes

Step 1: Understand the Basics of Diabetes

• Diabetes can be categorized into Type 1 and Type 2.
• Type 1 diabetes involves the pancreas producing almost no insulin, requiring injected insulin for management.
• Type 2 diabetes primarily involves insulin resistance.
• Chronic excessive carbohydrate consumption can lead to elevated blood sugar levels, causing damage in blood vessels and other areas.
• Type 1 diabetics have very low levels of insulin, while Type 2 diabetics have high levels of C peptide (a precursor for insulin).

Step 2: Recognize the Role of Insulin in Blood Sugar Management

• Insulin helps regulate blood sugar levels by facilitating the uptake of glucose into cells.
• In insulin resistance, cells block the effects of insulin, leading to elevated blood sugar levels.
• Type 2 diabetics may produce high levels of insulin but still have elevated blood sugar due to insulin resistance.

Step 3: Implementing Dietary Changes

• To manage insulin resistance, reduce carbohydrate consumption significantly.
• Eliminating carbohydrates can help reduce insulin resistance over time.
• Lowering carbohydrate intake can lead to a decrease in insulin levels and improved blood sugar control.

Step 4: Adjusting Insulin Dosages

• Initially, individuals with insulin resistance may need to increase their insulin doses to bring down elevated blood sugar levels.
• Increasing insulin temporarily helps normalize blood sugar levels and reduce insulin resistance.
• As blood sugar levels stabilize, insulin doses can be gradually reduced.

Step 5: Monitoring Blood Sugar Levels

• Regularly monitor blood sugar levels to track the effectiveness of dietary changes and insulin adjustments.
• Use devices like Dexcom to monitor blood sugar levels and adjust insulin doses accordingly.

Step 6: Consider Medical Intervention

• In some cases, medications like gp1 Agonists may be prescribed to help regulate blood sugar levels and insulin production.
• These medications can help in managing insulin resistance and improving blood sugar control.

Step 7: Long-Term Management

• Continuously monitor blood sugar levels and adjust insulin doses as needed.
• Over time, with proper diet and insulin management, insulin resistance can be reduced, and blood sugar levels can be stabilized.
• Aim to achieve low insulin production levels and stable blood sugar levels for optimal diabetes management.

By following these steps and understanding the science behind treating insulin resistance in diabetes, individuals can effectively manage their condition and improve their overall health outcomes.