EDMW got dietitian or nutritionist?

Checkyrmed

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i think you totally miss the point but is ok. :ROFLMAO:

since you never been in their shoes before, i wouldn't expect you to understand how is like to be in the stage as well as you only harp on to science the theory of it have no idea on how each individual life and environment is like as well. 😌

giving a newbie such information is totally pointless as well, at the end of the day is all about taking in what is essential for one body to operate at a decent level ( for a start). Choosing food that match your needs as well as suited is important as there are food one is not suited for. 😌
what is the point of following a diet that is not maintainable in the first place which would lead one to failure? not that failing isn't good if you use it as a lesson to improve on your next attempt 😌

at the end of the day if you cannot avoid or remove these so call "poisonous food" then learn to reduce them, enjoy life a every once a well will not harm you that much if you already have a "cleaner" diet 80% of the time 😌


exercise itself done right is more beneficial in one's quality of life as well as it addon to overall health, sleep is one of the most important factor as well. 😌
The discussion here is about diet and nutrition, not medical intervention. Understanding how modern diets cause insulin resistance is not about lacking empathy or focusing only on theory. It is about recognizing the biological reality that applies to everyone, regardless of circumstance. Insulin resistance develops not because people fail to enjoy life but because the modern food environment promotes constant exposure to refined carbohydrates, excessive omega-6 oils, and processed foods that keep insulin elevated throughout the day.

The claim that a diet must include unhealthy foods to be maintainable misses the point. A sustainable diet should support long-term metabolic health, not short-term comfort. A low-carb or LCHF diet is not a restriction but a corrective approach that helps restore insulin sensitivity disrupted by modern eating habits. Once metabolic balance is regained, flexibility in food choices naturally improves without triggering harmful blood sugar or insulin surges.

Exercise and sleep are important, but they cannot undo the metabolic strain of a high-carb, omega-6-heavy diet.
 

rogze79

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Too difficult to comprehend for you, turned ad hominem. You sounds like u got hypertension.
Learn the difference between associations and cause/effect.

If you still want to talk about the nurses study. Bring it on.

I will prove your stupidity again.
 

randyap

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Learn the difference between associations and cause/effect.

If you still want to talk about the nurses study. Bring it on.

I will prove your stupidity again.
If you cannot grasp simple statistical concepts on epidiomology, what do you want to talk about.
 

rogze79

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If you cannot grasp simple statistical concepts on epidiomology, what do you want to talk about.
Again. You did not read through the study.
What statistical concepts are you taking about?

This is the study you proudly brought up.

Red Meat Consumption and Mortality: Results from Two Prospective Cohort Studies​


Find out their classification of red meat.
 

randyap

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Again. You did not read through the study.
What statistical concepts are you taking about?

This is the study you proudly brought up.

Red Meat Consumption and Mortality: Results from Two Prospective Cohort Studies​


Find out their classification of red meat.
Point out what is it u don't agree with.
 

5adisticD3vil

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She-is-a-nutrition-coach.gif



bbfa be like... trust me man :ROFLMAO: :ROFLMAO:
 

Raitei-Q

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The discussion here is about diet and nutrition, not medical intervention. Understanding how modern diets cause insulin resistance is not about lacking empathy or focusing only on theory. It is about recognizing the biological reality that applies to everyone, regardless of circumstance. Insulin resistance develops not because people fail to enjoy life but because the modern food environment promotes constant exposure to refined carbohydrates, excessive omega-6 oils, and processed foods that keep insulin elevated throughout the day.

The claim that a diet must include unhealthy foods to be maintainable misses the point. A sustainable diet should support long-term metabolic health, not short-term comfort. A low-carb or LCHF diet is not a restriction but a corrective approach that helps restore insulin sensitivity disrupted by modern eating habits. Once metabolic balance is regained, flexibility in food choices naturally improves without triggering harmful blood sugar or insulin surges.

Exercise and sleep are important, but they cannot undo the metabolic strain of a high-carb, omega-6-heavy diet.
like i said you miss the point :ROFLMAO:

food suited for one might not suit for another person as well even if the general guideline is there, correct one lifestyle to make it cleaner but maintainable is the key to better health. 😌

From the view of nutrition/food wise, selecting food to consume to get the essential one individual needs will also depend on environmental as well. if one doesn't have luxury of time to self prepare food, then is a matter of choosing less sinful food outside, which come to the factor of $$$ as well 😌

So majority of the people will have to make choices of less sinful food + avoiding food that would cause them discomfort as well as getting their essential. 😌 which also leads to what kind of job they are in, if one is in a much if intensive hard labour type of job which is more physical, they would need a high level of calories which comes to the select of food which often having 2 serving of protein and 2 serving of leafy green would greatly be a good fix caipng would come to mind. of cause if one take rice and get bloated they can swop it out with complex carb like yam/sweet potato/ etc ( we are looking at cost here so cheaper is better)

BUT IS RICH IN OMEGA 6, seed oil and such, here the thing, not everyone have the financial support to choose food that are not in the non sinful area, but they do have a choice of choosing less sinful food 😌

comfort food once a while help with one's mental to continue to maintain their cleaner lifestyle as well, not to mention there are time one is at moment where their ideas have to be put at a stop due to occasion and continue after that is over 😌

there is no one concept/diet/style to rule them all, but one can choose and adjust the diet occurring to their health via blood test 😌 that is all the successful people i have known that have gotten their health back from the red zone have in common. 😌
 

rogze79

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The discussion here is about diet and nutrition, not medical intervention. Understanding how modern diets cause insulin resistance is not about lacking empathy or focusing only on theory. It is about recognizing the biological reality that applies to everyone, regardless of circumstance. Insulin resistance develops not because people fail to enjoy life but because the modern food environment promotes constant exposure to refined carbohydrates, excessive omega-6 oils, and processed foods that keep insulin elevated throughout the day.

The claim that a diet must include unhealthy foods to be maintainable misses the point. A sustainable diet should support long-term metabolic health, not short-term comfort. A low-carb or LCHF diet is not a restriction but a corrective approach that helps restore insulin sensitivity disrupted by modern eating habits. Once metabolic balance is regained, flexibility in food choices naturally improves without triggering harmful blood sugar or insulin surges.

Exercise and sleep are important, but they cannot undo the metabolic strain of a high-carb, omega-6-heavy diet.
In support of what you said, prepare for a wall of text. ( in a good way)

The Randle Cycle, also known as the glucose-fatty acid cycle, describes the reciprocal relationship between the metabolism of glucose and fatty acids. It's a crucial regulatory mechanism at the cellular level, primarily in the mitochondria of our muscles.

In essence, it states: The presence of one fuel inhibits the oxidation (burning) of the other.

1. High Carbohydrate Availability (High Insulin): When you eat a carbohydrate-rich meal, blood glucose rises, triggering insulin release. Insulin facilitates glucose entry into cells and promotes its oxidation for energy. Crucially, the process of glucose breakdown (glycolysis) increases the production of a molecule called malonyl-CoA. Malonyl-CoA acts as a powerful signal that inhibits Carnitine Palmitoyltransferase-1 (CPT-1), the enzyme responsible for shuttling fatty acids into the mitochondria to be burned. Result: Fat is locked away in storage (adipose tissue) and cannot be used for fuel.

2. High Fatty Acid Availability (Low Insulin): In a fasted state or on a low-carbohydrate diet, insulin is low, and fatty acids are released from fat stores. High levels of circulating fatty acids are taken up by cells and oxidized for energy. The byproducts of this fat oxidation (specifically Acetyl-CoA and NADH) actively inhibit the key enzymes of glycolysis (Pyruvate Dehydrogenase and Phosphofructokinase). Result: Glucose oxidation is blocked, and glucose is largely spared for the brain (which can use ketones) or for glycolytic pathways.

The Critical Takeaway: The body is designed to be metabolically "monogamous." It prefers to burn one primary fuel at a time. Trying to burn both simultaneously—as happens on a high-carb, high-fat diet—creates metabolic competition and inefficiency.

Connecting the Randle Cycle to the Optimal Animal-Based Diet

The proposed optimal diet—high in animal fats/protein and low in carbohydrates—is perfectly engineered to work in harmony with the Randle Cycle, promoting metabolic health and flexibility.

1. It Eliminates Fuel Competition and Promotes Metabolic Clarity.

· Standard Modern Diet (High-Carb/High-Fat): This diet, rich in sugars, grains, and vegetable oils, constantly floods the system with both glucose and fatty acids. The Randle Cycle explains the metabolic chaos this creates:

· After a meal, high insulin from carbs shuts down fat burning. The dietary fat you just ate has nowhere to go but into storage (de novo lipogenesis) or, worse, into ectopic fat deposits in the liver and muscles, contributing to insulin resistance.

· The body is constantly switching between fuels inefficiently, a state described as "metabolic confusion." This is a primary driver of hyperinsulinemia and Type 2 Diabetes.

· Optimal Animal-Based Diet (High-Fat/Low-Carb): This diet provides a single, dominant fuel source: fat.

· Low carbohydrate intake means low baseline insulin and low malonyl-CoA.

· With the CPT-1 "gate" wide open, the abundant dietary and body fats flow effortlessly into the mitochondria to be oxidized for energy.

· There is no glucose to compete. The Randle Cycle is operating in its clean, preferred "fat-burning mode." This state of metabolic clarity is the foundation for stable energy and hormonal balance.

2. It Fosters Metabolic Flexibility, Not Rigidity.

This is a crucial point. The goal is not to never burn glucose, but to have the flexibility to burn whatever fuel is available.

· On the optimal diet, your primary fuel is fat. When you do consume carbohydrates (e.g., from seasonal fruit), the body can handle them. The insulin response will be sharp and appropriate, the glucose will be used or stored as glycogen, and then, because the diet is fundamentally low-carb, the body will seamlessly transition back to fat oxidation once the glucose is cleared.

· In contrast, a chronic high-carb diet destroys metabolic flexibility. The system is so saturated with glucose and insulin that the fat-burning machinery is permanently suppressed. The individual becomes a "sugar-burner," reliant on constant carbohydrate intake and vulnerable to energy crashes and hunger when glucose dips.

3. It Aligns with Our Evolutionary Fuel Source.

From an evolutionary perspective, the Randle Cycle makes perfect sense. Our ancestors did not have access to constant carbohydrate intake. Their metabolic survival depended on being able to efficiently burn fat (from animal kills) for energy during periods of fasting or scarcity.

· The Randle Cycle ensured that when game was caught and fat was consumed, the body could immediately and efficiently use it as its primary fuel, without competition from a non-existent constant glucose stream.

· The ability to inhibit glucose oxidation when fat was abundant was an advantage, sparing glucose for the few tissues that absolutely required it.

Conclusion

The Randle Cycle is not merely a biochemical curiosity; it is a foundational principle of human metabolism. The standard high-carbohydrate modern diet directly violates this principle, forcing the body into a state of constant fuel competition that leads to metabolic dysfunction.

The optimal animal-based diet, rich in animal fats and low in carbohydrates, is biochemically congruent with the Randle Cycle. It:

· Minimizes insulin and malonyl-CoA, unlocking the body's ability to burn fat as its primary, clean-burning fuel.

· Eliminates metabolic competition, providing "fuel clarity" and preventing the fat-storage signaling caused by mixed macronutrient intake.

· Restores true metabolic flexibility, allowing the body to efficiently utilize both dietary fats and occasional carbohydrates as nature intended.

In short, the Randle Cycle provides the detailed biochemical "why" behind the metabolic superiority of a low-carb, high-fat, animal-based diet.
 

Checkyrmed

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like i said you miss the point :ROFLMAO:

food suited for one might not suit for another person as well even if the general guideline is there, correct one lifestyle to make it cleaner but maintainable is the key to better health. 😌

From the view of nutrition/food wise, selecting food to consume to get the essential one individual needs will also depend on environmental as well. if one doesn't have luxury of time to self prepare food, then is a matter of choosing less sinful food outside, which come to the factor of $$$ as well 😌

So majority of the people will have to make choices of less sinful food + avoiding food that would cause them discomfort as well as getting their essential. 😌 which also leads to what kind of job they are in, if one is in a much if intensive hard labour type of job which is more physical, they would need a high level of calories which comes to the select of food which often having 2 serving of protein and 2 serving of leafy green would greatly be a good fix caipng would come to mind. of cause if one take rice and get bloated they can swop it out with complex carb like yam/sweet potato/ etc ( we are looking at cost here so cheaper is better)

BUT IS RICH IN OMEGA 6, seed oil and such, here the thing, not everyone have the financial support to choose food that are not in the non sinful area, but they do have a choice of choosing less sinful food 😌

comfort food once a while help with one's mental to continue to maintain their cleaner lifestyle as well, not to mention there are time one is at moment where their ideas have to be put at a stop due to occasion and continue after that is over 😌

there is no one concept/diet/style to rule them all, but one can choose and adjust the diet occurring to their health via blood test 😌 that is all the successful people i have known that have gotten their health back from the red zone have in common. 😌
The purpose of this discussion is not to dismiss individual preferences or financial limitations but to focus on how modern dietary patterns drive metabolic dysfunction. While everyone has different routines and food access, the biological effects of excessive insulin and omega-6 intake apply to all. Chronic insulin elevation, inflammation, and oxidative stress are universal processes that do not depend on lifestyle convenience or income level.

Budget and practicality are real concerns, but better choices can still be made within those limits. Selecting “less sinful food” may sound reasonable, but if those foods are still full of seed oils and hidden sugars, the problem remains unchanged.

Complex carbohydrates may appear healthier, yet in a population already exposed to high omega-6 and hidden insulin resistance, they can still trigger blood sugar spikes. Continuous glucose monitoring clearly shows that even whole grains and sweet potatoes can raise glucose sharply, while a low-carb diet keeps levels steady.

Occasional comfort food is understandable, but it should not justify patterns that promote insulin resistance. The focus is not on strict restriction but on awareness and consistency. A low-carb or LCHF diet remains the most effective way to restore metabolic balance, improve HDL, and minimize omega-6 intake.

Blood tests can provide useful feedback, but many people never test their insulin levels and continue eating high-carb, high omega-6 diets without realizing the damage.
 

randyap

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In support of what you said, prepare for a wall of text. ( in a good way)

The Randle Cycle, also known as the glucose-fatty acid cycle, describes the reciprocal relationship between the metabolism of glucose and fatty acids. It's a crucial regulatory mechanism at the cellular level, primarily in the mitochondria of our muscles.

In essence, it states: The presence of one fuel inhibits the oxidation (burning) of the other.

1. High Carbohydrate Availability (High Insulin): When you eat a carbohydrate-rich meal, blood glucose rises, triggering insulin release. Insulin facilitates glucose entry into cells and promotes its oxidation for energy. Crucially, the process of glucose breakdown (glycolysis) increases the production of a molecule called malonyl-CoA. Malonyl-CoA acts as a powerful signal that inhibits Carnitine Palmitoyltransferase-1 (CPT-1), the enzyme responsible for shuttling fatty acids into the mitochondria to be burned. Result: Fat is locked away in storage (adipose tissue) and cannot be used for fuel.

2. High Fatty Acid Availability (Low Insulin): In a fasted state or on a low-carbohydrate diet, insulin is low, and fatty acids are released from fat stores. High levels of circulating fatty acids are taken up by cells and oxidized for energy. The byproducts of this fat oxidation (specifically Acetyl-CoA and NADH) actively inhibit the key enzymes of glycolysis (Pyruvate Dehydrogenase and Phosphofructokinase). Result: Glucose oxidation is blocked, and glucose is largely spared for the brain (which can use ketones) or for glycolytic pathways.

The Critical Takeaway: The body is designed to be metabolically "monogamous." It prefers to burn one primary fuel at a time. Trying to burn both simultaneously—as happens on a high-carb, high-fat diet—creates metabolic competition and inefficiency.

Connecting the Randle Cycle to the Optimal Animal-Based Diet

The proposed optimal diet—high in animal fats/protein and low in carbohydrates—is perfectly engineered to work in harmony with the Randle Cycle, promoting metabolic health and flexibility.

1. It Eliminates Fuel Competition and Promotes Metabolic Clarity.

· Standard Modern Diet (High-Carb/High-Fat): This diet, rich in sugars, grains, and vegetable oils, constantly floods the system with both glucose and fatty acids. The Randle Cycle explains the metabolic chaos this creates:

· After a meal, high insulin from carbs shuts down fat burning. The dietary fat you just ate has nowhere to go but into storage (de novo lipogenesis) or, worse, into ectopic fat deposits in the liver and muscles, contributing to insulin resistance.

· The body is constantly switching between fuels inefficiently, a state described as "metabolic confusion." This is a primary driver of hyperinsulinemia and Type 2 Diabetes.

· Optimal Animal-Based Diet (High-Fat/Low-Carb): This diet provides a single, dominant fuel source: fat.

· Low carbohydrate intake means low baseline insulin and low malonyl-CoA.

· With the CPT-1 "gate" wide open, the abundant dietary and body fats flow effortlessly into the mitochondria to be oxidized for energy.

· There is no glucose to compete. The Randle Cycle is operating in its clean, preferred "fat-burning mode." This state of metabolic clarity is the foundation for stable energy and hormonal balance.

2. It Fosters Metabolic Flexibility, Not Rigidity.

This is a crucial point. The goal is not to never burn glucose, but to have the flexibility to burn whatever fuel is available.

· On the optimal diet, your primary fuel is fat. When you do consume carbohydrates (e.g., from seasonal fruit), the body can handle them. The insulin response will be sharp and appropriate, the glucose will be used or stored as glycogen, and then, because the diet is fundamentally low-carb, the body will seamlessly transition back to fat oxidation once the glucose is cleared.

· In contrast, a chronic high-carb diet destroys metabolic flexibility. The system is so saturated with glucose and insulin that the fat-burning machinery is permanently suppressed. The individual becomes a "sugar-burner," reliant on constant carbohydrate intake and vulnerable to energy crashes and hunger when glucose dips.

3. It Aligns with Our Evolutionary Fuel Source.

From an evolutionary perspective, the Randle Cycle makes perfect sense. Our ancestors did not have access to constant carbohydrate intake. Their metabolic survival depended on being able to efficiently burn fat (from animal kills) for energy during periods of fasting or scarcity.

· The Randle Cycle ensured that when game was caught and fat was consumed, the body could immediately and efficiently use it as its primary fuel, without competition from a non-existent constant glucose stream.

· The ability to inhibit glucose oxidation when fat was abundant was an advantage, sparing glucose for the few tissues that absolutely required it.

Conclusion

The Randle Cycle is not merely a biochemical curiosity; it is a foundational principle of human metabolism. The standard high-carbohydrate modern diet directly violates this principle, forcing the body into a state of constant fuel competition that leads to metabolic dysfunction.

The optimal animal-based diet, rich in animal fats and low in carbohydrates, is biochemically congruent with the Randle Cycle. It:

· Minimizes insulin and malonyl-CoA, unlocking the body's ability to burn fat as its primary, clean-burning fuel.

· Eliminates metabolic competition, providing "fuel clarity" and preventing the fat-storage signaling caused by mixed macronutrient intake.

· Restores true metabolic flexibility, allowing the body to efficiently utilize both dietary fats and occasional carbohydrates as nature intended.

In short, the Randle Cycle provides the detailed biochemical "why" behind the metabolic superiority of a low-carb, high-fat, animal-based diet.
Which explains the hyper tension u have right? 😂
 

Mecisteus

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The argument that complex carbohydrates are harmless completely misses the reality of modern urban living. While complex carbs may have been suitable for tribal or ancestral diets, they are poorly suited for today’s city environment, where processed foods, high omega-6 intake, and environmental pollutants are the norm. Even “healthy” complex carbs contribute to repeated insulin spikes when combined with these factors, silently driving insulin resistance for decades before blood glucose levels rise.

Most people never get tested for insulin and continue consuming high-carb diets while already insulin resistant. Hidden hyperinsulinemia, coupled with excessive omega-6, chronic inflammation, and urban metabolic stress, accelerates obesity, dyslipidemia, and type 2 diabetes. Continuous glucose monitoring shows high-carb diets produce frequent blood sugar spikes, while low-carb, high-fat diets produce almost none. Exercise alone is not enough to offset these insulin spikes.

The most practical approach is to minimize complex carbohydrate intake in modern diets and choose foods that do not spike insulin, support higher HDL, and limit omega-6. LCHF is far more effective than a high-carb diet, whether complex or refined, at preventing chronic metabolic damage that can take decades to reverse.
A diet high in both carbohydrates and excess omega-6 fats can increase the risk of health issues like inflammation, weight gain, and cardiovascular problems, especially when omega-6s are from refined sources and the omega-6 to omega-3 ratio is unbalanced. Excess carbs, particularly refined ones, and a high omega-6 intake can lead to an elevated, unbalanced omega-6/omega-3 ratio, which promotes pro-inflammatory responses, insulin resistance, and contributes to weight gain and disease.

Let me quote again and I missed to highlight another keyword.

They are excess and refined carbs that are damaging. Not just carbs.

Plus there are many studies of the benefits of diets consisting complex carbs.
 

rogze79

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U are a troll or something? If you disagree, the ball is on you to identify what you don't disagree with and why.
If you do not even read it. You cannot discuss anything. ur logic is warped.

You mention and support the study whole heartedly. which I assumed you have gone through it.

I brought the methodology used which you cannot see the flaws.

I bring up the crux of be study, red meat. And tell you the classification of red meat is an issue. you still do not understand.

What else can you understand?
 

Checkyrmed

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A diet high in both carbohydrates and excess omega-6 fats can increase the risk of health issues like inflammation, weight gain, and cardiovascular problems, especially when omega-6s are from refined sources and the omega-6 to omega-3 ratio is unbalanced. Excess carbs, particularly refined ones, and a high omega-6 intake can lead to an elevated, unbalanced omega-6/omega-3 ratio, which promotes pro-inflammatory responses, insulin resistance, and contributes to weight gain and disease.

Let me quote again and I missed to highlight another keyword.

They are excess and refined carbs that are damaging. Not just carbs.

Plus there are many studies of the benefits of diets consisting complex carbs.
It is true that excess and refined carbohydrates are the most harmful, but the assumption that complex carbohydrates are universally beneficial ignores how they behave in the modern dietary environment. Complex carbs may work well for populations with naturally low omega-6 intake, high physical activity, and low insulin levels, such as traditional or tribal communities. However, in modern urban settings where the omega-6 to omega-3 ratio can exceed 20 to 1, even complex carbs can worsen insulin resistance. Continuous glucose monitoring shows that many people today experience significant glucose and insulin spikes even with so-called healthy whole grains or brown rice.

The problem is not just refinement but frequency and context. Most people consume carbs several times a day while already being insulin resistant, yet insulin testing is rarely prescribed. This means hidden hyperinsulinemia is widespread, silently driving metabolic disease even in those who avoid refined sugars.

High omega-6 intake compounds this by promoting inflammation and oxidative stress, directly interfering with insulin signaling. Together, these factors make complex carbs far less harmless than often assumed.

In the modern context, reducing carbohydrates whether refined or complex alongside lowering omega-6 intake offers far greater protection for metabolic health than merely switching to complex carbs while maintaining a high-carb diet.
 

Mecisteus

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or just use the currently latest drug - semaglutide, dulaglutide, tirzepatide, etc :unsure:

but i do like to add if one is at a stage where exercise is impossible and only diet is the only option, 1 can use the above mention drug as an addon to kick start the journey and momentum to start losing weight and stop once the first milestone is achieved ( i do recommend that a doctor is there to monitor the progress as well) 😌
Yeah as much possible I recommend avoiding meds and do the natural ways.

But some people just cannot exercise or due to bad genes or family history, they have to end up with meds eventually.

I look at my senior relatives. They are eating all the "good" foods and happy with life but relying on medicines though. They have some chronic diseases. You tell them to opt for LCHF, keto or carnivore, I think they rather die earlier.
 

entry-level

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That reasoning oversimplifies how metabolism and insulin work. Even in a “healthy” person, repeated glucose spikes from high-carb meals throughout the day do not simply return insulin to baseline harmlessly. Continuous glucose monitoring shows that high-carb diets produce frequent spikes, keeping insulin elevated for much longer than assumed. Over months and years, this repeated hyperinsulinemia leads to insulin resistance decades before blood glucose becomes abnormal.

The hidden population with elevated insulin is extremely high. Most people have chronically elevated insulin but are never tested, and they continue consuming carbs on top of excessive omega-6 intake, silently driving metabolic stress.

A person can choose to consume lower-carb meals to avoid these insulin spikes entirely, protecting their metabolic health. Prevention of type 2 diabetes requires actively minimizing insulin surges, limiting omega-6 overload, and prioritizing fats and proteins that support metabolic balance. Ignoring these realities is dangerously misleading.

You are confused with glucose spike, hyperinsulinemia while conflating them with omega 6 intake.

A lot of folks (especially keto folks) use CGM then saw glucose spike and became overly worried about it. But they fail to understand many nuances and context. Preferring to jump to conclusions that this food is bad that food is good instead.

First. CGM is not perfect. Whatever you see on the CGM usually has some lag. Also some CGM sensors are just plain bad.

Second. Most people don’t know how the pancreas works when it comes to insulin. Do you know that insulin is a protein hormone and need time to synthesis? Do you know that pancreas has a small storage of ready-made insulin? Do you know that pancreas release insulin in stages after we eat? Do you know that if a person is on keto diet, or has little to no carb the previous meal, there will be little ready-made insulin stored in the pancreas? Do you know that this will then affect blood glucose level if one is to consume carb later?

Third. Having glucose spike is part and parcel of daily life. It’s like having stress is part and parcel of daily life. As long as the spike is not above 200 (preferably 180 mg/dL) and not for more than 2 hours. It is the same as i have stress from reading email during my job, so i should quit my job. Vs, my job is 9-9, my colleagues are nasty, my boss shouts all the time, and i am having suicidal thoughts, so i should quit my job. There is a difference between the above 2 examples. One is normal, and should not be over hyped. The other is bad, and should be avoided.

Fourth. Where did you get the data that MOST people in the population have chronically elevated insulin? I have never read that before. Please provide proof of this claim.

Fifth. If you are over worried about glucose spike, then why not promote eating carb together with protein and fibre? Protein are known to slow down stomach emptying. Protein also slightly increase insulin secretion which will help reduce glucose spike. Fibre are well known to lower GI. Hence, eating a balanced diet as a whole is never a concern for glucose spike.

Sixth. If you are over worried about glucose spike, then why not promote exercise after a meal? Muscle is the LARGEST glucose sink in the body. Just having a walk after a meal will prevent high glucose spike. Not to mention all the other benefits to bone, connective tissue, heart and mental health.

Seventh. If you are over worried about Chronic insulin level resulting in insulin insensitivity and finally T2D, then why not promote reduction of fats. Excess Fats (subcutaneous and visceral) are well known to cause insulin insensitivity and associated much more strongly to T2D then eating carb.

Over focus on carb/glucose spike/ hyperinsulnemia is not empowering to the masses. It spreads false information and unfounded fear. This should not be the overarching message to educate the population on how to achieve better health.
 
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