borofergie
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Grazer said:xyzzy said:Right so here's what I don't quite get. If you eat a higher than 160g diet why does why does Metformin which suppresses gluconeogenesis work as a diabetic drug? Or is it that Metformin is only effective against the non carb bits of what you eat? Probably a stupid question with an obvious answer
No, think it's a great question! The article does suggest that metformin works by suppressing neogenesis. SO, first, does gluconeogenesis only occur when a person low carbs and the body needs an alternative source of energy? If so, as you suggest I think, Metformin wouldn't work (other than in it's second role of improving insulin sensitivity) UNLESS the person was low carbing. If, however, gluconeogenesis works with people on a normal high carb diet, then Metformin would still work on that part of the glucose producing process and would explain it's limited effect on BGs. Would also explain the insulin level issue we discussed on another thread where cheese etc was producing a large'ish insulin response as this would come from neogenesis despite igh carb eating.
As I said above, GNG happens constantly in everyone - 30 to 70% of your energy supplies come from it when you wake up in the morning. If you eat more protein than your body needs for rebuilding and maintaining tissue, then any excess is converted into glucose (about 58%) or ketones (about 46%). Also a small amount of glucose is reconstructed from the breakdown of triglycerides into free-fatty-acids (about 10% of the total energy).
GNG happens whether you eat enough protein or not. If your body needs glucose and there is not enough protein available in your diet, it will start to canabalize muscle. This means all of us walk a tightrope between producing extra glucose or losing extra muscle mass. That window is between 15 to 18% of calories as protein.
Paul Jaminet says that you should eat at least 600kcals a day of carbs and protein combined (150g) to make sure that you are producing enough glucose to fuel your system.
If your BG is high, and you are eating an excess of protein, I can see how metformin could help by inhibiting GNG, and reducing an extra source of glucose in your blood.