Replies

• Thank you very much to Chris fir introducing the notions advanced by Adele Hite about the proper nomenclature of therapeutic carbohydrate reduction. It is a very powerful point to coin a terminology that is not only correct but offering a semantic bridge to many health professionals that do not make out the sense of what the word keto intends to convey. I would add, though, that given the fact that carbohydrate intolerance is so idiosyncratic and dependent on the quality and degree of insulin resistance, perhaps we should think about the terminology therapeutic carbohydrate calibration to incorporate the notion of individualized approach and the need to put in context nutrition, movement, sleep hygiene and de-prescribing of anti diabetic medication. Health practitioners diagnose and prescribe therapeutic carbohydrate reduction/restriction while other metabolic health practitioners support people in how to achieve results smoothly. I would also add that other than therapeutic interventions, there are individuals that seek carbohydrate restriction/reduction for general wellness aiming at healthy weight management, increased stamina, increased self-stem, and other wellness objectives which are not sharply focused on treating a health condition but rather oriented to better health and wellness. That audience may not identify readily with the notion of a therapeutic intervention. Metabolic calibration?
  May 22, 2021

• Hello Peter, Thank you very much for sharing your thoughts about the topic of insulin resistance and glucagon. I have try combining resistance training with low intensity exercise (walking 3.5 miles in about 70 minutes daily). Honestly, i am not a big fan of resistance exercise but when trying this option, i had muscle damage enzyme increased appreciably. Maybe I was mot doing the proper resistance training or simply that there was a clinical lab error. At the end, i was discouraged to continue resistance and I am just walking now. Do you have any suggestions for me, Peter? I have not been able to access your case study report. Can you resend the link. Thank you so much!
  May 9, 2021

• Thinking about homeostasis and steady state dynamics, i think of the term metabolic recalibration as appropriate due to carbohydrate restriction healing.
  March 24, 2021

• I am not a physician but as an "educated" patient I can tell you the doctors I have consulted with are not operationally familiar with IR and much less with HOMA calculations. Most of the focus is on blood glucose which is elevated only in a fraction of patients and/or becomes sensibly elevated asa late sign. It has been hypothesized that it takes about a decade of chronic hyperinsulinemia/hyperglucagonemia before weight and blood glucose alterations become significant. It is still widely assumed that diabetes is a disease of hyperglycemia and not of hyperinsulinemia. Hence, most doctors do not measure fasting insulin because it is not a biomarker informing sugar status. I has taken redouble efforts for me to convince my endocrinologists to include fasting insulin among the markers to evaluate the status of my DT2. I wish we could have a continuous insulin tracking technology to better manage insulinemia.
  March 22, 2021