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Insulin resistance as a cause of weight gain and how to reverse it
Insulin resistance as a cause of weight gain and how to reverse it
Insulin resistance as a cause of weight gain and how to reverse it
Insulin resistance as a cause of weight gain and how to reverse it
Insulin resistance as a cause of weight gain and how to reverse it
Insulin resistance as a cause of weight gain and how to reverse it
Insulin resistance as a cause of weight gain and how to reverse it
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Insulin resistance as a cause of weight gain and how to reverse it

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What is insulin resistance? …

What is insulin resistance?
Insulin resistance is a condition in which the body produces insulin but does not use it properly. Insulin, a hormone made by the pancreas, helps the body use glucose for energy. Glucose is a form of sugar that is the body’s main source of energy.
The body’s digestive system breaks food down into glucose, which then travels in the bloodstream to cells throughout the body. Glucose in the blood is called blood glucose, also known as blood sugar. As the blood glucose level rises after a meal, the pancreas releases insulin to help cells take in and use the glucose.
When people are insulin resistant, their muscle, fat, and liver cells do not respond properly to insulin. As a result, their bodies
need more insulin to help glucose enter cells. The pancreas tries to keep up with this increased demand for insulin by producing more. Eventually, the pancreas fails to keep up with the body’s need for insulin. Excess glucose builds up in the bloodstream, setting the stage for diabetes. Many people with insulin resistance have high levels of both glucose and insulin circulating in their blood at the same time.
Insulin resistance increases the chance of developing type 2 diabetes and heart disease. Learning about insulin resistance is the first step toward making lifestyle changes that can help prevent diabetes and other health problems.
What causes insulin resistance?
Scientists have identified specific genes that make people more likely to develop insulin resistance and diabetes. Excess weight and lack of physical activity also contribute to insulin resistance.
Many people with insulin resistance and high blood glucose have other conditions that increase the risk of developing type 2 diabetes and damage to the heart and blood vessels, also called cardiovascular disease. These conditions include having excess weight around the waist, high blood pressure,
and abnormal levels of cholesterol and triglycerides in the blood. Having several of these problems is called metabolic syndrome or insulin resistance syndrome, formerly called syndrome X.

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  • 1. ONE IN THREE AMERICANS AREPRE-DIABETIC OR INSULIN RESISTANT!According to the CDC, about 35% of all Americans are prediabetic! Let us look at thefactors that contribute to the phenomenal rise of diabetes. While most GovernmentAgencies will have you believe that it is the raise in obesity that is causing it, I will showyou it is the raise in InsulinResistance that is causing theobesity epidemic!Also called metabolicsyndrome, insulin resistance iscommon and accounts formany of the metabolicproblems seen with weightgain. If you have some extraweight especially around yourwaist, you might be insulinresistant! An obesity medicinephysician specializing in themedical management ofobesity and insulin resistancemight be able to help.According to Dr. Prab R. Tumpati, MD, a practicing obesity medicine physician, andfounder of W8MD Medical Weight Loss Centers of America, the current diet which isvery high in refined carbohydrates contributes significantly to this phenomenon of insulinresistance. In order to understand this further, let us take a look at the actions of insulin.What is Insulin?Insulin is a hormone produced in the pancreas that helps control the blood sugars. It alsocontrols many aspects of fat cell metabolism and is the principal anabolic hormone inadults, more important than even growth hormone for adults.How do I know which foods are worse in requiring insulin?Glycemic Index of foods is important because it determines how much insulin your bodyis going to need after the meal. The higher the Glycemic Load, the higher the InsulinRequirements. It is believed that eating high glycemic foods such as Bagels, Doughnuts,white breads, white rice, sweetened beverages etc., the body starts to go into Insulin
  • 2. Resistance. The Insulin Resistance, in turn will lead to higher levels of Insulin circulatingin the blood stream at baseline setting the stage for insulin resistance.Anabolic Actions of InsulinSince insulin is an anabolic(body building hormone), this can not only lead to weightgain, but also lead to central distribution of weight. Research has shown that centraldistribution of weight leads to increased risk of cardiovascular disease, diabetes and otherhealth problems.So, the current epidemic of metabolic syndrome, or insulin resistance is what contributesto weight gain, not the other way around, unlike what most Government agencies want tohave your believe. This is because, more insulin resistant you are – more body buildinghappens.What is Insulin Resistance?Insulin resistance is a condition in which the body produces insulin but does not use itproperly. Insulin, a hormone made by the pancreas, helps the body use glucose forenergy. Glucose is a form of sugar that is the body’s main source of energy.The body’s digestive system breaks food down into glucose, which then travels in thebloodstream to cells throughout the body. Glucose in the blood is called blood glucose,also known as blood sugar. As the blood glucose level rises after a meal, the pancreasreleases insulin to help cells take in and use the glucose.When people are insulin resistant, their muscle, fat, and liver cells do not respondproperly to insulin. As a result, their bodies need more insulin to help glucose enter cells.The pancreas tries to keep up with this increased demand for insulin by producing more.Eventually, the pancreas fails to keep up with the body’s need for insulin. Excess glucosebuilds up in the bloodstream, setting the stage for diabetes. Many people with insulinresistance have high levels of both glucose and insulin circulating in their blood at thesame time.Insulin resistance increases the chance of developing type 2 diabetes and heart disease.Learning about insulin resistance is the first step toward making lifestyle changes that canhelp prevent diabetes and other health problems.What causes insulin resistance?It is believed that the sudden spikes and the crash of blood sugars that happens withhigh glycemic diets combined with lack of physical activity leads to insulin resistanceas the body does not respond as well to insulin.Compensation of the body to insulin resistance leads to weight gain!
  • 3. In order to keep the blood sugar under control, the body compensates to insulinresistance by increasingthe production of thisanabolic hormone calledInsulin. Thiscompensation in turnleads to weight gainaround the tummy, andupper part of the body,two areas of fatdistribution know toincrease cardiovasculardisease.This leads to excessweight around the waist,high blood pressure, andabnormal levels ofcholesterol andtriglycerides in the blood.Having several of theseproblems is calledmetabolic syndrome orinsulin resistancesyndrome, formerly called syndrome X.How Do I Know If I have Insulin Resistance or Metabolic Syndrome?Metablic SyndromeMetabolic syndrome, Syndrome X, or Dysmetabolic Syndrome is a combination ofmedical disorders that, when occurring together, increase the risk of developingcardiovascular disease and diabetes. The cluster of conditions that are part of metabolicsyndrome include: — increased blood pressure, a high blood sugar level, excess body fataround the waist or abnormal cholesterol levels. Some studies have shown the prevalencein the USA to be an estimated 1/3 of the population and prevalence increases with age.Find out if you might have metabolic syndrome using this W8MD tool!W8MD Metabolic Syndrome Meter(Based on the American Heart Association/Updated NCEP Criteria)Is your waist circumference at the biggest point over 36 inches inwomen or 40 in men? * Yes NoLipids: Do you have elevated triglycerides: Equal to or greater than150 mg/dL (1.7 mmol/L) or on treatment for elevated triglycerides? Yes No
  • 4. Lipids: Reduced HDL(good) cholesterol - <40 in men or <50 inwomen? Yes NoFasting Blood Sugar: Equal to or greater than 100 mg/dL (5.6mmol/L) or use of medication for hyperglycemia? Yes NoBlood Pressure: Equal to or greater than 130/85 mm Hg or use ofmedication for hypertension? Yes No* Certain ethnicities such as Asians, or South East Asians meet lowercriteriaA score of 3 or More meets the criteria for Metabolic Syndrome!If you answered yes to three or more of these questions, you have metabolic syndrome.It is a cluster of conditions caused by underlying insulin resistance and can be improvedor reversed with proper treatment of the insulin resistance under careful monitoring andtreatment of a bariatric physician trained in the metabolic aspects of Obesity. At W8MDMedical Weightloss Centers of America, we treat patients with metabolic syndrome andattempt to reverse the negative consequences of obesity.What can I do to reduce my risk of diabetes?Get enough protein. If the body gets carbohydrates without enough protein, itgoes into insulin resistance. Most people need about 30 grams of protein at eachmeal. One egg is about 7 grams. As we evolved as hunters and gatherers, we aredesigned to eat a non-grain based diet rich in protein, fruits, nuts and vegetables.Try to work more physical activity into your day. Both exercise and resistancetraining can help reduce your risk of diabetes, and also helps to control it once youhave it.Eat more fiber. Fiber helps reduce your risk of diabetes by improving your bloodsugar control. Try more fruits, vegetables, beans, whole grains, nuts, and seeds.Choose whole grains. When you do eat grains, look for the word "whole" in theingredient list. Whole wheat, stone-ground whole wheat, brown rice, and oats areall whole-grain ingredients.Eat fewer simple carbohydrates. These foods, with high glycemic index, breakdown quickly in the body, and can lead to rapid fluctuations in blood sugar levels.Go easy on foods like white rice, white bread, white pasta, refined flours, candy,
  • 5. fruit juice, soda pop, and baked goods made with white flour. The key is tounderstand glycemic Index of foods and focus on low glycemic foods.Get enough sleep. When youre sleep deprived, your body drives you to eat moresimple carbohydrates. Get at least 7-8 hours a night.Get help from Obesity Medicine physicians. You probably tried them all and stillcannot lose weight! You might want to get help from physicians trained in ObesityMedicine that can help deal with the complex issues leading to weight gain.W8MD Glycemic Index GuideIn general, you want to limit the high glycemic foods, have limited mediumglycemic foods and have mostly low glycemic foods with adequate protein,fat, and other nutrients. Protein is generally low glycemic.High GI foods = 70-100Intermediate GI foods = 56-69Low GI foods = 0-55Glycemic Index of some common FoodsFood Carbohydrates (gm) Glycemic IndexGlucose has a GI value of 100 HIGHBaked potato, Russet, baked without fat ( 1 smallpotato, 5 oz.) 85Waffles, Aunt Jemima (1 piece) 76Gatorade (1 cup) 78Grapenuts (approx. 1 cup, Kraft) 75French Baguette95Bread, white (1 slice)73Bagel, (white, frozen)72Stuffing ( approx. 1 cup)74Graham wafers (approx. 1 cup) 74Grape nuts (approx. 1 cup, Kraft) 75Shredded wheat (1 oz. serving) 75Total (1 oz. serving, General Mills) 76Cream of Wheat (1 oz. serving, instant, Nabisco) 74INTERMEDIATESpaghetti, (plain, cooked, 3/4 cup)61Rice (brown, cooked, 3/4 cup)60Raisin bran (1 oz. serving, Kelloggs) 61
  • 6. Oatmeal (1 cup) 66Bran muffin (large) 60Green pea soup (1 cup) 66Ice cream, regular(1/2 cup) 61Blueberry muffin (1) 59Raisins (1/4 cup)56Power bar, chocolate 56LOWApple34Orange42Banana52Grapes (1 cup)46Carrot (raw, 1 medium) 47Sweet corn (1/2 cup 54Dried apricots (1/4 cup)31Peas (1/2 cup) 48Bread 100% whole grain (1 slice) 51Orange juice (3/4 cup, 6 oz.) 52Fruit yogurt (reduced fat, 3/4 cup)27Tomato soup (1 cup) 38*Skim milk (1 cup) 32While Milk (1 cup) 27Baked beans (1/2 cup)48Lentils (1/2 cup)29Kidney beans (1/2 cup)28Lima beans (1/2 cup, baby, frozen)32Garbanzo beans (1/2 cup)28*NB: Please note that whole milk has lower GI compared to skimmed or 2% milk(Chart adapted from *The New Glucose Revolution)Other Resources on Glycemic Index1. The GI Diet Guide - A very useful and practical list of foods. Amust visit link - www.The-GI-diet.org/lowgifoods/ - Very useful andpractical!
  • 7. 2. University of Sidneys Glycemic Index Website -http://www.glycemicindex.com/3. Comprehensive Glycemic index list spread sheet: for Acomprehensive list of Glycemic Index, get the excel spread sheethere and look up the glycemic Index. Please note reduced fat milkhas higher glycemic index compared to whole milk!About W8MD Medical Weight Loss CentersW8MD physicians have specialized obesity medicine training and are well versed withmanaging insulin resistance and other metabolic effects of weight. W8MD physicians canhelp you deal with insulin resistance, metabolic syndrome, prediabetes, diabetes, sleepapnea, fatty liver, polycystic ovaries, and other weight related problems.Using evidence based, non-surgical weight loss measures such as 800 plus calorie VeryLow Calorie (VLCD) diets, and 1000 plus calorie LCD diets, in combination withappropriate FDA approved weight loss medications such as Adipex/Phentermine,Topiramate, new weight loss medication, Qsymia, etc, exercise coaching, and intensivebehaviour therapy for proper nutrition, and eating disorders, our W8MD ObesityMedicine Physicians can help you lose weight safely, and effectively using proven nonsurgical methods.Call (800)W8MD-007 for more information or visit http://www.w8md.com for moreinformation. We have offices in many states including Pennsylvania, New York, andConnecticut and most W8MD weight loss centers accept health insurance for the weightloss physician visits so you can lose weight with insurance.

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