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Message: <blockquote data-quote="MarkMunday" data-source="post: 2300510" data-attributes="member: 525839">Insulin resistance is not well understood, but diet and exercise are major factors. They are also controllable variables. Eating ketogenically has been the the strongest driver of insulin sensitivity for me. It means getting almost all calories from fat and protein. The body is retrained to to use fat instead of glucose for energy. Insulin is no longer required for metabolising carbohydrate. In my case insulin requirements, both bolus and basal, were reduced substantially. I use half as much insulin as I needed before. Managing weight has also become much easier. Regular exercise (30 minutes a day) is an important part of the therapy. The hard part is sticking to the discipline. Eating even small amounts of carbohydrate throws the body out of dietary ketosis and benefits of it are lost.</blockquote>

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