How Long Does It Take To Reverse Insulin Resistance?
-
0:00 - 0:05how long does it take to reverse insulin
resistance in order to answer that -
0:05 - 0:09question there are several things that
we need to understand like what are some -
0:09 - 0:14of the mechanisms of insulin resistance
and how can we measure and keep track of -
0:14 - 0:19them so we know if we're making progress
what if we'd like to make it happen -
0:19 - 0:23faster then what are some things that we
can do to speed it up is there even such -
0:23 - 0:30a thing as a complete reversal what do
we have to look forward to and after we -
0:30 - 0:36have reversed it what can a lifestyle do
we have to adopt to stay insulin -
0:36 - 0:39sensitive today we're going to talk
about all those things that you have a -
0:39 - 0:44really clear picture coming right up
-
0:45 - 0:51I'm doctor Ekberg I'm a holistic doctor
and a former Olympic decathlete and if -
0:51 - 0:56you want to truly master health by
understanding how the body really works -
0:56 - 1:00make sure that you subscribe and hit
that notification bell so that you don't -
1:00 - 1:05miss anything this is one of the most
common questions I've received so I -
1:05 - 1:10decided to make a video to try to answer
as many aspects as possible and when -
1:10 - 1:15people ask they want to know why is my
glucose still high how long is it going -
1:15 - 1:20to take for my glucose my fasting
glucose readings to change how long is -
1:20 - 1:26it going to take for my a 1 C to come
down my doctor says my glucose my a1c is -
1:26 - 1:33is too high they want to keep giving me
meds how long do I have to take those -
1:33 - 1:38meds and then they ask once they've
understand a little bit more maybe they -
1:38 - 1:43start asking about well what about
insulin and and home iír how long is -
1:43 - 1:48going to take for that to change and
then they want to know about setpoint -
1:48 - 1:53that's the body have a tendency to go
back to a certain weight does it change -
1:53 - 1:59its metabolism to get back to its set
point it's like there's a cell memory -
1:59 - 2:04and then finally there is the issue of
genetics so all of these things are -
2:04 - 2:11criteria that influence the mechanism or
the measurement of insulin resistance so -
2:11 - 2:16we'll deal with those in some more
detail but just a real quick review to -
2:16 - 2:23understand the mechanism that this is a
long term process that there's a lot of -
2:23 - 2:29people whether it's diabetes or whether
it's neck pain or some other ailment and -
2:29 - 2:35people say oh well it just happened I
was died just diagnosed last week this -
2:35 - 2:41is a new thing and when it comes to
health unless there was a trauma unless -
2:41 - 2:46you fell down the stairs or you were in
a car accident there is no such thing as -
2:46 - 2:54a new thing it has developed over time
it is an adaptation blood sugar insulin -
2:54 - 2:59insulin resistance it's an adaptation we
exposed -
2:59 - 3:05into something it does it it's best to
balance things out despite the things -
3:05 - 3:12for doing to it but in the end it can't
keep up with the with the adaptations we -
3:12 - 3:20want to think of the body and insulin as
having a carbohydrate tolerance machine -
3:20 - 3:25you have a machine that can process
carbohydrate it has a certain threshold -
3:25 - 3:31a certain endurance of how long and how
much it can do that and if you just push -
3:31 - 3:37it too far too long then you basically
broke it and if you broke it then you -
3:37 - 3:43have to take some more forceful steps
some more dramatic steps in order to -
3:43 - 3:49reverse it then you would have to do
just to maintain it you eat something -
3:49 - 3:55and your glucose goes up your blood
glucose increases then the body produces -
3:55 - 4:02insulin in an appropriate amount in a
sufficient amount to get the glucose out -
4:02 - 4:08of the bloodstream and into the cell and
maintain a normal glucose level -
4:08 - 4:14ultimately the goal of even having blood
glucose is to deliver it to the cells so -
4:14 - 4:19the goal itself is not a certain level
of glucose it's to maintain a certain -
4:19 - 4:26level to maintain a steady fuel delivery
to the cells of the body but insulin is -
4:26 - 4:31necessary to get the glucose from the
bloodstream and into the cells initially -
4:31 - 4:37there is a balance there's only a little
bit of insulin required for a little bit -
4:37 - 4:43of glucose and we are what we call
insulin sensitive but as the years go by -
4:43 - 4:49the more sugar we eat the more carbs we
eat the more frequently we eat the more -
4:49 - 4:55blood sugar there is the harder it is
for the insulin to get the sugar into -
4:55 - 5:01the cells because there's more sugar and
eventually the cells don't want it so -
5:01 - 5:07the insulin goes up and up and up so
after five or ten years then the glucose -
5:07 - 5:12might still be normal because the body
is producing enough -
5:12 - 5:19it's succeeding at keeping the glucose
at a certain level and the diabetes it -
5:19 - 5:27doesn't happen until we've come so far
that the insulin isn't sufficient there -
5:27 - 5:33is no amount of insulin almost that will
get the sugar into the cell because the -
5:33 - 5:38cells are become so resistant and that's
where we get severe insulin resistance -
5:38 - 5:42with pre-diabetes and diabetes but the
thing to understand is that this did not -
5:42 - 5:49happen overnight we're talking decades
for the most part some people that are a -
5:49 - 5:55little bit genetically predisposed they
have less tolerance they might break the -
5:55 - 6:00Machine in five years but other people
it probably takes 20 years for the most -
6:00 - 6:04part to break the Machine if you will so
now let's come back and talk about some -
6:04 - 6:11of these criteria so we know that the
problem is too much sugar too much carb -
6:11 - 6:17driving insulin the cells resisted so
the glucose stays in the bloodstream and -
6:17 - 6:21we get high blood glucose so people want
to ask when is that coming down it's -
6:21 - 6:27gonna vary a lot for some people as soon
as they stop eating sugar if they just -
6:27 - 6:31don't put sugar in their mouth for a
week or a couple of weeks then their -
6:31 - 6:38blood sugar goes down other people have
to be more dramatic they might cut out -
6:38 - 6:43all sugar they might go into ketosis
they might do fasting and that will -
6:43 - 6:49bring it down but some people do that
and it still stays high for weeks or -
6:49 - 6:56even months even if the glucose stays
relatively high even if it's reading a -
6:56 - 7:01hundred and fifty hundred and sixty even
170 but you have stopped eating -
7:01 - 7:07carbohydrate your body is reversing the
process even if it takes months to get -
7:07 - 7:12there because once you stop putting
carbohydrates and sugar into your system -
7:12 - 7:17then the body doesn't have to fight so
hard to get it out so it's not gonna -
7:17 - 7:23make more insulin until you eat
something else so we've talked about -
7:23 - 7:27this in some other videos on dawn
Naumann on but the point is that is -
7:27 - 7:32still the thing that comes down the
fastest whether it happens in days or -
7:32 - 7:36weeks or months it's still the thing
that changes the fastest the second -
7:36 - 7:43fastest thing is your a1c which is a
three to four month average of blood -
7:43 - 7:50glucose glucose changes by the hour a 1c
changes by the month so even if your -
7:50 - 7:57blood glucose goes from a hundred and
sixty to ninety almost in a few days -
7:57 - 8:02almost overnight it's still gonna take
there's no point in measuring a1c a week -
8:02 - 8:09later because it'll have changed maybe
zero point something but in four to six -
8:09 - 8:14weeks you'll see a significant change
and in several months is when you start -
8:14 - 8:20seeing dramatic differences where you
can get into a normal range that people -
8:20 - 8:27ask well how long do I have to take
medication and I'm not a medical doctor -
8:27 - 8:33so I can't give you advice on medication
but just understand that they gave you -
8:33 - 8:39the medication because your blood sugar
was too high but once your blood sugar -
8:39 - 8:44comes down or once you stop putting
sugar into your system you basically -
8:44 - 8:48don't need the meds or don't need as
much but that's a discussion that you -
8:48 - 8:54have to take up with your medical doctor
but the need for meds essentially -
8:54 - 9:00follows the glucose and the a1c
because that's what the meds are there -
9:00 - 9:04for to lower glucose and that's why they
were prescribed because you had a high -
9:04 - 9:10glucose or in high a 1c but now we're
getting to insulin and the Homa I are -
9:10 - 9:17the measurement the blood test to
measure how much insulin how hard does -
9:17 - 9:21the body have to work how much insulin
does it have to produce to keep the -
9:21 - 9:28blood level blood glucose level where it
is right now and this is something that -
9:28 - 9:34takes years decades
remember the glucose only came up at the -
9:34 - 9:39end once pre-diabetes turned into
diabetes -
9:39 - 9:44lucasz really shot up that's at the end
of a 20 year process but now you've had -
9:44 - 9:5020 years of becoming insulin resistant
so therefore this is going to change -
9:50 - 9:56very very slowly we're talking months
for some people who are not so insulin -
9:56 - 10:01resistant but four people are very
insulin resistant even if you do all the -
10:01 - 10:08things right you can probably expect it
to take years to truly get that insulin -
10:08 - 10:14resistance down some people might have
to do fasting for extended fasts three -
10:14 - 10:19four five days a week maybe two weeks
and every time they do that the insulin -
10:19 - 10:24levels will drop a little bit but you
might have to do that many many times to -
10:24 - 10:31get it down into a normal range there
number five cell memory and setpoint so -
10:31 - 10:38this is more of a conceptual thing that
it's not something we can measure -
10:38 - 10:42specifically like where is your set
point but we know that there is such a -
10:42 - 10:50thing because people's metabolism change
that if you are burning a certain amount -
10:50 - 10:56of calories and then you eat fewer
calories but you maintain insulin levels -
10:56 - 11:02then your body will lower its metabolic
rate it will adjust to try to get back -
11:02 - 11:07to that setpoint and you will have a
ravenous hunger the body will do -
11:07 - 11:12everything it can to get back to the
point where it thinks you need to be and -
11:12 - 11:19we want to think of this as a habit your
cells have habits they develop there's a -
11:19 - 11:24certain momentum after you've done
something for 20 years there's a lot of -
11:24 - 11:29momentum there's a lot of memory there's
a lot of habit in the body and these -
11:29 - 11:33things are good and they're bad for
someone who has been in really good -
11:33 - 11:38shape physically for someone who has had
a lot of muscle and then they get out of -
11:38 - 11:44shape it's gonna be pretty easy for them
to get back in shape because the body -
11:44 - 11:50remembers it knows that hey I used to do
that I used to be that but unfortunately -
11:50 - 11:54the same thing holds true for
being overweight and insulin resistance -
11:54 - 12:00the body remembers and here we have to
understand that this is going to be -
12:00 - 12:07years to change this and the longer it's
been there and the more severe it's been -
12:07 - 12:12there the more dramatic and the longer
the more patient we have to be to -
12:12 - 12:18reverse it there is a very strong
genetic component to insulin resistance -
12:18 - 12:26that some people are just born into
having an easy time to gain weight for -
12:26 - 12:31one example the Pima Indians lived in
North America and they had no diabetes -
12:31 - 12:36but as soon as they were exposed to
processed foods they developed over 50 -
12:36 - 12:42percent type-2 diabetes so they had a
very strong component so that's -
12:42 - 12:49unfortunate if you have the genetics for
it but the good news is that you can -
12:49 - 12:53still reverse the insulin resistance you
can still develop a lifestyle where you -
12:53 - 12:59don't have to have diabetes
the unfortunate thing though is that -
12:59 - 13:05whatever genes you have they're yours
you were given them at conception you've -
13:05 - 13:09had them all your life there's really
nothing that you can do about that you -
13:09 - 13:14can't change genetics but you can change
epigenetics you can change how you -
13:14 - 13:19express those and if you don't give you
about a sugar then it's not going to -
13:19 - 13:25become diabetes so the main theme to
understand there is that there is a huge -
13:25 - 13:31variation between people but that
there's still sort of an order between -
13:31 - 13:36these different criteria so if we look
at insulin resistance on the vertical -
13:36 - 13:41scale here so if we start off with a lot
of insulin resistance and then we start -
13:41 - 13:46creating a lifestyle to reverse it then
the first thing that's going to go is -
13:46 - 13:50glucose and that's going to happen
relatively fast that can happen like we -
13:50 - 13:55said in days or weeks sometimes it'll
take a little bit longer insulin is -
13:55 - 14:00going to take longer it'll be months and
years but then finally if you want to -
14:00 - 14:06sort of totally reverse insulin
resistance I don't know -
14:06 - 14:13that it is 100% reversible I think based
on the setpoint and the cell memory we -
14:13 - 14:21probably always retain a little bit of
what has been but the longer that we go -
14:21 - 14:27the more the body sort of forgets that
longer we go without doing something and -
14:27 - 14:33we have another lifestyle the more the
body replaces the old memory with with -
14:33 - 14:38the new so there's no definite time here
but we're definitely certainly talking -
14:38 - 14:43gears what if we want to speed it up if
we want this to happen as fast as -
14:43 - 14:49possible then wherever we are whatever
our personal circumstances are we can -
14:49 - 14:56still make it happen faster for us by
understanding the order of the powerful -
14:56 - 15:02tools that we have so the first tool we
have is exercise just putting your body -
15:02 - 15:09into motion increasing circulation
increasing energy expenditure changing -
15:09 - 15:15hormones we've done lots of videos on
that so understand how to exercise the -
15:15 - 15:21right way to maximize the good hormones
and to minimize the bad hormones we also -
15:21 - 15:27talked a lot about cortisol and stress
and we've got videos on that but you -
15:27 - 15:32want to reduce stress if you have a
lifestyle that has a lot of stress you -
15:32 - 15:38could make cortisol that drive insulin
and blood sugar so if that's a big -
15:38 - 15:44factor for you then work on reducing
stress and again learn how to exercise -
15:44 - 15:52so you minimize stress and maximize the
benefits and these are in order of the -
15:52 - 15:58power so the further down the list here
we go the the more powerful they become -
15:58 - 16:04so in this order exercise is the least
powerful your stress reduction is next -
16:04 - 16:09now we're getting into the really
powerful ones and that's a low-carb -
16:09 - 16:14high-fat diet to teach your body to go
from carbohydrate metabolism to -
16:14 - 16:20fat-burning metabolism and that's done
by reducing the carbs in -
16:20 - 16:25that the primary fuel available is fat
and eventually the body starts using the -
16:25 - 16:33fat Kido is just a very strict version
of low carb high fat Kido is low carb -
16:33 - 16:39high fat but low carb high fat isn't
necessarily Kido Kido is when you put -
16:39 - 16:46your carbs so low that your body burns
fat and a byproduct of that is something -
16:46 - 16:51called ketones ketones become brain fuel
they become an alternate fuel for the -
16:51 - 16:57body and if we can measure ketones then
that's proof that the body has switched -
16:57 - 17:05from carbs to fat very significantly
that the vast majority of energy that -
17:05 - 17:10we're burning is ketones is fat and
ketones as a by-product and the most -
17:10 - 17:15powerful tool we have is fasting so we
can start with intermittent fasting or -
17:15 - 17:21we can do longer fasts I recommend
people do it gradually and look up some -
17:21 - 17:27of the other videos on fasting in order
of importance you want to exercise you -
17:27 - 17:32want to reduce stress and cortisol you
want to reduce your carbs get into -
17:32 - 17:39ketosis and do some fasting that's how
you make it happen faster but is it even -
17:39 - 17:44possible to reverse it completely we
have to understand what does it mean to -
17:44 - 17:50reverse it and that comes back to the
criteria so your medical doctor he's -
17:50 - 17:55going to be happy he's going to consider
it reversed as soon as your glucose and -
17:55 - 18:02your a1c is normal but does that mean
that you can go back to eating normal -
18:02 - 18:08that's a very common question so I'm
doing this now when can I go back to -
18:08 - 18:14eating normally again so this depends on
what we think normal food is what does -
18:14 - 18:21that mean the majority of people in the
Western world think that normal is the -
18:21 - 18:26way that we've eaten for the last two
three generations but that is very very -
18:26 - 18:32different from how we ate the previous
several thousand generations so the way -
18:32 - 18:37we've been eating
normal the standard American diet is not -
18:37 - 18:43something that you're ever going to go
back to because that's the diet that's -
18:43 - 18:50the diet full of chemicals and sugar and
processed foods that forced your body -
18:50 - 18:55into this adaptation in the first place
so if you do something to reverse it to -
18:55 - 19:01undo the adaptation you can't go back
and doing the thing that caused the -
19:01 - 19:07problem in the first place so in that
sense if you think that's what the goal -
19:07 - 19:13is then it is not reversible you will
not be able to go back to eat normal -
19:13 - 19:19what you will be able to do is to eat
real food and maintain a healthy -
19:19 - 19:25lifestyle so standard American diet is
terrible it has tons of sugar tons of -
19:25 - 19:32chemical tons of processed foods the
USDA recommendation suggests that you -
19:32 - 19:39eat whole food that you eat at least 50%
of grains from whole grains and so forth -
19:39 - 19:46but they still tell you to eat about 300
grams of carbohydrate and based on their -
19:46 - 19:54recommendations of added sugar no more
than 10% of calories 3 cups of dairy 6 -
19:54 - 20:00ounces of grain and so on so much fruit
more than half of this 300 grams is -
20:00 - 20:06actually sugar so even though the USDA
is an improvement on the standard -
20:06 - 20:13American diet it is not enough it's not
enough of a change to keep you insulin -
20:13 - 20:20sensitive after you have reversed this
the USDA diet may work for a very small -
20:20 - 20:26percentage who are physically active and
who have never developed insulin -
20:26 - 20:30resistance and for people who lead an
active lifestyle and don't eat too many -
20:30 - 20:37meals but it is not recommended I don't
recommend that and if you have insulin -
20:37 - 20:43resistance then this will push you
toward more insulin resistance so while -
20:43 - 20:47it is slightly better than the sad
because it tells people to -
20:47 - 20:53some of the the soda and the processed
foods it is only slightly better there's -
20:53 - 20:58only a nuance difference really between
the standard American diet and the USDA -
20:58 - 21:04so we have to understand that the food
we have been eating is not going to work -
21:04 - 21:10you will not go back to that normal
lifestyle because it isn't normal that's -
21:10 - 21:16not food it is fake food it is chemicals
it's processed foods it's imposter food -
21:16 - 21:21it's frankenfoods
we need to start understanding what what -
21:21 - 21:27real food is so meat and vegetables some
for some people some beans and tubers -
21:27 - 21:32roots thinks that that grow on the
planet I think a lot of people will be -
21:32 - 21:38able to go back to what's called a low
carb diet that might be about a hundred -
21:38 - 21:43grams of carbohydrate but you still want
to eat mostly whole food I put a -
21:43 - 21:49question mark there because that's not
going to be everybody if you have a -
21:49 - 21:54stubborn set point and if you have a
genetic predisposition then that's -
21:54 - 22:00probably not going to be strict enough I
think most people are going to be able -
22:00 - 22:09to maintain their insulin sensitivity if
you do these things for a few years and -
22:09 - 22:14you get your blood values too and your
insulin to where you want it to be I -
22:14 - 22:19believe you'll be able to maintain it on
a low carb diet which I think starts -
22:19 - 22:28around 75 grams of net carbs per day and
for some people again they might start -
22:28 - 22:33gaining weight they might start
increasing their insulin resistance -
22:33 - 22:40their home I are even on 75 grams and
then you want to learn how to find the -
22:40 - 22:49balance in your situation with low carb
high fat keto and how much intermittent -
22:49 - 22:57fasting do you have to do some people
might be able to do an 18-6 that they -
22:57 - 23:01eat for six hours a day two or three
meals maybe -
23:01 - 23:07or to meals and and then it would be Oh
mad one meal a day but whatever it is -
23:07 - 23:14you have to find out what the balance is
for you and on my previous video -
23:14 - 23:20somebody commented and said that oh you
throw so many options up there it's like -
23:20 - 23:24you're just throwing enough up there to
see if if something is gonna stick you -
23:24 - 23:31don't seem very sure of yourself well
I'm not I'm sure of the principles but -
23:31 - 23:36no one can say what's going to work for
you what we're we fall into the trap -
23:36 - 23:41where we want someone to do a study and
we want someone to determine the one -
23:41 - 23:46thing that's going to work and biology
doesn't work like that if they do a -
23:46 - 23:52study and they put people through a
low-carb program and they said that the -
23:52 - 23:59average weight loss the average
reduction in insulin was 20% that -
23:59 - 24:04doesn't mean that everyone had a 20%
reduction that means some people got a -
24:04 - 24:1050% reduction and some people got a 20%
increase and you don't know which one -
24:10 - 24:16you're going to be that's why there is
no one recommendation that's why they -
24:16 - 24:22can never do research and find one thing
that's going to work for everybody -
24:22 - 24:27because there's always a range that's
why we have to understand several -
24:27 - 24:31different factors and we have to be
patient and we have to understand it's -
24:31 - 24:38important that it's worth it to learn
and develop this lifestyle with trial -
24:38 - 24:43and errors that we find the balance that
works for us and if you enjoyed this -
24:43 - 24:45video I think they're going to
love that one too thank you
- Title:
- How Long Does It Take To Reverse Insulin Resistance?
- Description:
-
How Long Does It Take To Reverse Insulin Resistance? A lot of people want to lower their insulin resistance fast especially if they were just diagnosed with prediabetes or diabetes. High insulin levels are not hard to reverse once you understand why they are high.
How Long Does It Take To Reverse Insulin Resistance? That depends on how we define Insulin resistance. Do we look only at blood glucose and A1c, or do we also consider fasting insulin and HOMA-IR?
Based on the official definition of type 2 diabetes - high blood sugar or A1c - diabetes could be reversed in weeks or months, but there would be a strong tendency for the body to go back. If we base it on actual cellular insulin resistance and how long it takes to regenerate tissues and re-establish homeostasis in the body, we could be talking years to really reverse insulin resistance.
In this video we will help you understand the different stages of insulin resistance and the underlying mechanisms that you are actually trying to reverse for lasting improvement. Learn how to reverse insulin resistance and diabetes naturally and to keep learning and continuing the journey to not only be free of symptoms and disease, but to achieve optimal health and have wellness for life..
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#WellnessForLife #MasterHealth #DrEkberg #DrStenEkberg #HealthAndWellness - Video Language:
- English
- Duration:
- 24:52
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Arvind Patil edited English subtitles for How Long Does It Take To Reverse Insulin Resistance? | |
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Arvind Patil edited English subtitles for How Long Does It Take To Reverse Insulin Resistance? |