Why didn't keto reverse my insulin resistance?

If someone does end up with diabetes, by the time they do, insulin resistance has been working in the background often 10-15 years. Why do we think it would go away so quickly? I mean, yes, type 2 can be reversed relatively quickly, even in those with it for decades, but insulin resistance took time to build up, while glucose is relatively easy to lower consistently.

Last week and this week's lessons are right where I am. I have had a CGM for just the past week. I was disappointed how high my glucose is most of the time. I've lost 55 pounds and I'm now under 200lbs. I'm currently following an alternate day fasting (36hrs). This is encouraging me to extend my fasts and add more physical activity.

Dr. Boz, you noted that your glucose rises during sleep and fluctuates throughout the day, even without eating. Cortisol is a factor; it naturally rises in the morning as part of the circadian rhythm, peaking between 6-8 am. This cortisol fluctuation can impact glucose and ketosis throughout the day.

So glad you clarified about the high glucose after exercising! I was freaking out after seeing your high ketones video and my glucose went up to 5.2mmol and ketones 3.2 after exercising and sauna (glucose was 4.2 mmol and ketones were 2.0 in the morning of the same day.) I thought my insulin was failing to work!! I understand now what is happening. So grateful for this new knowledge! I have lost 40llbs in the last six months and the gym instructors are now asking me what I am doing!! Needless to say they are all hearing about you! Thank you! 😊🙏🏻

Okay I'm only 6 minutes into this and Holy cow Dr. Boz where have you been during my academic career?!?! I love your style!!!! I wish you had been one of my professors for clinical. Really.

I've been low/no carb since the beginning of Sept. My fasting blood glucose numbers have gone down from the low 200's to this morning despite no carbs I was 115. By 18-20 hours without eating I can get to high 90's. My energy has increased and I've only lost 25 lbs. But I'm diabetic, CHF, reduced kidney function, asthma etc. I'm sure I'm insulin resistant but I'm seeing little shifts. Sleeping better, energy up enough to work each body part at least once a week and walk everyday. My Endo says it will take 6-9 months or longer to reverse years of abuse. So here's to trying. Most days are either beef, salmon, sardines or mackeral. A 1/2 cup of kimchi or sauerkraut and lots of water and coffee.

How I got metabolically ill was that I was ignorant of the effects of what I was eating. I always thought that my body was a filter and what I put in it, my body would take what it needed and excrete the rest. Once I started to get educated and realized that there was a biochemical / hormonal repercussion from what I was eating. the good changes began. Post 60 years of the standard American diet, I now pay attention to how my body feels and know very well that the ills I have experienced was from what I consumed. The process that you elaborate in your video is always in my mind and I am now more cognizant of what is going on. In the past, ignorance was not bliss, but the pathway for destruction. Thank you Dr. Boz for your insight and what you do.

Excellent Presentation Dr. Boz!! THXS and my best to your family for the holidays.

Rejuvenating the mitochondria is the key to reversing insulin resistance. That way the Randal Cycle is turned off and glucose can enter the cell. Low carb intake and mitochondrial demand with resistance exercise I see as the backbone to recovery. Thanks for sharing your journey with us!

I stopped doing keto this year, it was too restrictive. I am on my 48 hour fast, about 36 hours in, feeling great. I did my first 36 hour fast a week ago (with some chicken broth and avocado.. ) It was really difficult for me to get into fasting, and I was really afraid of the feeling of hunger. I kept trying for over a year, and I think I finally reached the stage where I look forward to the fasted state of high energy and brain clarity. Now I am inspired to do fasting regularly.

Any time with you is a true blessing!❤ Thank you for your channel and practice

I hear all the time it may take years. A guy I follow said it took him nearly two years of fasting 72 or 96 hrs every week. I think people think it goes away quickly.

So glad I saw this; such great information. Great time personally for me to see this. I've also put on 14 lbs after losing 50 lbs several years ago on keto. I was still doing low-carb however, and eating only twice a day. But my activity level had changed due to arthritis. I truly get what Dr. Boz said about how a changing schedule can throw you off. But I started a light resistance and isometric program a week ago, and got back to keto. It's gentle but it still wore me out. Today not so bad. Definitely a sign that my mitochondria are in bad shape, but now I have a sense of where this new exercise program will take me.

Thanks for addressing the insulin resistance factor. I’m way into it, and now I see how much a difference exercise makes.

One of the best lessons of the show and that is saying a lot. Your honesty and real talk from the heart is so inspiring. Thank you DrBoz!! 44:00

I tried without any monitoring over a decade ago and was following a total keto diet and exercising every morning. I lost fat, gained muscle, and then plateaued after about two to three years. I guess that is not unusual. Being frustrated I gained back a lot, not all, of the weight I lost (lost about 50 lbs) That has been over about 12 years. I have recently been looking for info on insulin resistance and this video was helpful. I am stable at my current weight and healthy and active relative to others my age. Now in this video and finding other info (stole some time from other responsibilities) I can hopefully do better. I've been better at good sleep patterns and intermittent fasting and avoiding over processed foods and drinks.

this is an amazing video to explain how food is only one part of how this amazing body works. Coming through physical health Healing, financial, betrayal, emotional stress, brain injuries and spiritual evolution, I am gaining a more robust understanding of m y body and how it works these things and now seeing support from others is very very uplifting and encouraging. This is the amazing race of my body. Thank you Dr. Baz for showing your numbers and being so honest, and revealing that it’s not only the food, but it’s our body is a hole and it’s unity that we must understand. Always in love, light and truth thank you Dr. Boz. i’m 5 foot seven, I have a BMI of 23.2 with a weight of 144. Good ketone production always above 1.0 and trying to keep the glucose down with a fasting blood sugar between 90 and 100. total weight loss 108 lbs. and nice skin.

I began my journey almost a year ago thinking it would be easy to fix my impaired metabolism with just diet. I was so wrong. I went from carnivore to intermittent fasting, to now just meat, legumes, and veggies. Even though my job is physically demanding and I walk my dogs daily, totally about 15000 steps a day, it hasn’t been enough; so I just started weight training. I’ll get a cgm again soon and see if there’s any difference. Doing 3 or 4 day fasts does help as well, it’s just mentally hard. I also finally found a brand of sardines that I can eat by itself. King Oscar skinless is really good, excellent quick protein source.

Supremely informative!!! Thank you for this, Dr. Boz!

Smartest Dr. On earth, thank you for what you do. Thank you for your videos and the amount of work/information you put into them.. Helps me understand what's been going on with my liver...❤