Insulin resistance experts help

[ickihun]

No I am not on a low fat diet at all. Can you explain why you think this?

I do not know if I have a fat liver. I did get some blood liver test. How can you see this?
Alat 21 -/35
Asat 16 --/30

I believe those are liver result.
I say do low carb high fat diet for liver detox?

When a person has high ldls and low hdl it is normal where diet is concerned.
Diet influences cholesterol but hereditary high cholesterol shows both high not them reversed like yours.
Are you eating enough fat to provide good hdl? What fats are you using?
Exercise reduces cholesterol. What exercise do you do? Any walking?

What is your liver enzymes level in your routine blood tests?

 

[Flair]

@Flair
The condition you have seems to be high insulin and normal blood sugar. You have been on a low carb diet therefore it would seem your BS should be easy to control, but it is not.
Your symptoms are the reverse of someone with diabetes. So it make no sense to treat you like you have diabetes, something else is going on.
I did a google search looking for things besides sugar that would make insulin go high. "hormone stimulate insulin production" and ""insulin release" hormones" and combinations. I found some information but it takes time to comb thru each detail and look up new words. I think you will have to pick up the search for an answer.
My guess is something for some reason is stimulating the pancreas beta cells to produce insulin. It could be artificial sweeteners or growth hormones. Your situation is unusual and out of the capabilities of this forum to solve. We aren't doctors, can't see your medical history, give you blood tests nor properly diagnose your specific condition.
The expert you need to see is an endocrinologist, someone that specializes in the human endocrine system. Most general doctors know the basics and some of the common ailments but yours needs a specialist that knows about unusual conditions.
This forum has experience with common ailments but not yours.

Insulinoma – a tumor of beta cells producing excess insulin or reactive hypoglycemia.
https://en.wikipedia.org/wiki/Insulinoma

Good Luck

Above I did put the liver test Asat and alat. Other I don t have. Is that what you mean.

I do not eat low fat at all. I eat butter olive oil avocado use cod liver.
Do not watch to eat low fats. So don t know why it is reversed. Also eat nuts in salade etc. Do not eat processed foods.

I do walk 12000 steps a day. Do dance 1 a week. I am active.

I do not but low fat product with high carbs in it. Use also greek fulltime fat yoghurt.

 

[Flair]

Above I did put the liver test Asat and alat. Other I don t have. Is that what you mean.

I do not eat low fat at all. I eat butter olive oil avocado use cod liver.
Do not watch to eat low fats. So don t know why it is reversed. Also eat nuts in salade etc. Do not eat processed foods.

I do walk 12000 steps a day. Do dance 1 a week. I am active.

I do not buy low fat product with high carbs in it. Use also greek fulltime fat yoghurt.

 

[Flair]

@Flair
The condition you have seems to be high insulin and normal blood sugar. You have been on a low carb diet therefore it would seem your BS should be easy to control, but it is not.
Your symptoms are the reverse of someone with diabetes. So it make no sense to treat you like you have diabetes, something else is going on.
I did a google search looking for things besides sugar that would make insulin go high. "hormone stimulate insulin production" and ""insulin release" hormones" and combinations. I found some information but it takes time to comb thru each detail and look up new words. I think you will have to pick up the search for an answer.
My guess is something for some reason is stimulating the pancreas beta cells to produce insulin. It could be artificial sweeteners or growth hormones. Your situation is unusual and out of the capabilities of this forum to solve. We aren't doctors, can't see your medical history, give you blood tests nor properly diagnose your specific condition.
The expert you need to see is an endocrinologist, someone that specializes in the human endocrine system. Most general doctors know the basics and some of the common ailments but yours needs a specialist that knows about unusual conditions.
This forum has experience with common ailments but not yours.

Insulinoma – a tumor of beta cells producing excess insulin or reactive hypoglycemia.
https://en.wikipedia.org/wiki/Insulinoma

Good Luck

Thank you. I went to an endocrinoloog he did not find anything. But he also does not treat nor do an oggt test. Only when I get diabetis.

he did ask can I have insulinoma. He said no your sugar will then go extreem low. And you will get very sick. So he says I do t have it. But does not do something with blood test.

 

[merlo]

My goal is certainly to try to keep insulin low if I can . It is also true that since I started testing it came down from 20 to 8. I am also aware that is it quite volatile, and so could be a much higher number at an individual test depending on what had been eaten the previous day before fasting, and depending on your state of health overall.

The critical issue is how much is swirling around much of the time, unfortunately there are no continuous monitors to tell you that. The other issue is that the more circulating insulin you have the harder it will be to lose weight, because it is the fat making hormone.

As far as I understand it - eating ANY food causes an insulin response including fats and proteins. Thus one could get a high insulin response by eating a lot of fats and proteins even if this did not cause blood glucose to rise. This is why people like Dr Jason Fung recommend some fasting. It is also why a diet which consist of smaller meals of any time snacked all day long is likely to give rise to higher levels of insulin compared to eating with large gaps in-between even if the snacks are low carb. There are many people out there recommending that one should have 13 hours between dinner and breakfast for ALL of the population to try to give one's body the best chance of going back to low levels between meals.
I did take part in a study that showed that fasting insulin levels are correlated to time spent on the LCHF diet and come down gradually over a period of a few years This makes sense given how long it will have taken for insulin levels to rise in the first place.

In my own case the reduction from 20 to 8 came with - about 1300 calories a day, 60% fat, 20% carbs, 20% protein. Focused on saturated fats, above round vegetables, no seed oils. Actually my weight itself stayed stable throughout that insulin transition and I too have trouble getting to the next stage in weight loss.

My thinking would be - if I follow a real foods diet, LCHF, get into ketosis, eat meals infrequently, avoid industrial seed oil,s try to do some exercise ( walking and preferably a bit of HIT ) a few times a week, and try to get good sleep, then that is about the best I can do to try to minimise innumerable problems including diabetes without recourse to drugs. it seems to work for me. I can certainly tell via my monitor and my weight if i start to et more carbs - in my case around 40g per day seems to be the switch point/ -e under 20g = weight loss 20-40g equals weight maintenance , above 40g weight gain. I assume my resulting insulin follows as similar pattern !
Hope that helps .

Try this post to help you understand what's happening in your body and how to improve it: https://www.virtahealth.com/reversediabetes

 

[Happyhomelands]

IMO:
Abnormally high levels of insulin may be a better indicator of diabetes than the standard glucose/A1c/OGTT. The standard blood sugar out of range diagnostic tests detect (acknowledge) a problem AFTER the damage is done.

Normal FBG and high insulin likely means your pancreas is keeping BG in check by increasing with extra insulin. When the pancreas reaches it's max capacity (no longer able to keep blood sugar low) your BG will start to rise, and, FINALLY you get to have an official diagnosis of "diabetes".

As long as you continue to consume typical levels of carbs (per your other posts) your insulin levels will continue to struggle with too much blood sugar. You can "eat to your meter" but that isn't applicable here because you have adequate insulin reserves to make your BG look normal.

Bottom line you have to dramatically cut carbs to get your insulin down.

Are you overweight? If yes, your high insulin levels are constantly trying to convert carbs into fat. Your body is unable to self regulate the ebb & flow of fatty acids in and out of adipose tissue. (This is an extremely short explanation).

The Good News? Reducing carbs -> reduces insulin -> enables fat cells to release fat -> weight drops -> body starts to regulate properly. Or, maybe you're not overweight?

Another scenario is you're TOFI, Thin on the Outside and Fat on the Inside. Another twist, but getting carbs down is the starting point.

Sorry for the blunt opinionated post; must be my BG is low / or high / or just having a bad day.

Blunt is also simple and easy to digest

 

[Flair]

Blunt is also simple and easy to digest

Thanks but I already did know that.

Decrease carbs----no weight loss----problem?? I do not know what you did read I other post but I already Mentioned I do intermitting g fasting 20 hours every day!
And did lower the carbs and 2 meal only.

 

[Brunneria]

(edited to add the following: this post was written in response to comments which have now been deleted by their author.)

Hi

I have just read through this thread from start to finish, and I have become increasingly uncomfortable with the amount of advice that has been dished out. Lots of pet theories, and thought experiments, and advice based on what appear to be brief internet searches and even Wikipedia.

Please remember that @Flair is living in another country, experiencing another healthcare system, is communicating in a second language, and is under the care of a healthcare team including an endocrinologist. She also does not have diabetes (as stated on her profile) so addressing her as if she does, is inappropriate. We shouldn’t be speculating with insufficient data. We certainly shouldn’t be speculating about additional illnesses in these circumstances.

I would like to remind everyone that diagnoses and medical advice are specifically against the forum rules, and some of the posts have come perilously close to that.

In particular, I have seen the idea that
‘This is not insulin resistance because IR would be a combination of high BG and high insulin’
mentioned a couple of times.
This is factually incorrect, and any advice based on it is likely to be both misleading and very unhelpful.

Conditions such as PCOS are strongly associated with insulin resistance whether raised blood glucose, T2 and excess weight are present or not.
And Kraft spent decades running insulin clamp tests and glucose tolerance tests on thousands of people, with the clear findings that insulin resistance predates raised blood glucose and T2 diagnosis, often by years.

I realise that everyone is trying to help Flair, but giving out information based on too little information and misunderstandings is not helpful.

Edited to add the first sentence.