They wouldn’t print my response:
Well-written article, easy to read. I do have some disagreements:
𝑡ℎ𝑒 𝑛𝑜𝑤-𝑑𝑒𝑏𝑢𝑛𝑘𝑒𝑑 𝑐𝑎𝑟𝑏𝑜ℎ𝑦𝑑𝑟𝑎𝑡𝑒-𝑖𝑛𝑠𝑢𝑙𝑖𝑛 ℎ𝑦𝑝𝑜𝑡ℎ𝑒𝑠𝑖𝑠 𝑜𝑓 𝑜𝑏𝑒𝑠𝑖𝑡𝑦
— At the very least, this is far from settled. While some doctors/scientists/researchers do hold this opinion, I’ve never seen a good study that argues against that hypothesis. What I’ve seen are studies that are too short in length for the study subjects to become well adapted to burning their own fat, and to make substantial progress in overcoming insulin resistance, and/or with confounding factors such as the test diet not being low enough in carbohydrates.
𝑤ℎ𝑖𝑙𝑒 𝑖𝑛𝑠𝑢𝑙𝑖𝑛 𝑟𝑒𝑠𝑖𝑠𝑡𝑎𝑛𝑐𝑒 𝑖𝑠 𝑐𝑙𝑒𝑎𝑟𝑙𝑦 𝑑𝑎𝑚𝑎𝑔𝑖𝑛𝑔, 𝑛𝑜𝑡 𝑒𝑎𝑡𝑖𝑛𝑔 𝑒𝑛𝑜𝑢𝑔ℎ 𝑐𝑎𝑟𝑏𝑠 𝑡𝑜 𝑠𝑢𝑝𝑝𝑜𝑟𝑡 ℎ𝑒𝑎𝑙𝑡ℎ𝑦 𝑎𝑚𝑜𝑢𝑛𝑡𝑠 𝑜𝑓 𝑖𝑛𝑠𝑢𝑙𝑖𝑛 𝑠𝑒𝑐𝑟𝑒𝑡𝑖𝑜𝑛 𝑐𝑎𝑛 𝑎𝑙𝑠𝑜 𝑙𝑒𝑎𝑑 𝑡𝑜 𝑠𝑖𝑚𝑖𝑙𝑎𝑟 ℎ𝑒𝑎𝑙𝑡ℎ 𝑝𝑟𝑜𝑏𝑙𝑒𝑚𝑠 𝑎𝑛𝑑 𝑚𝑎𝑘𝑒 𝑙𝑜𝑛𝑔-𝑡𝑒𝑟𝑚 𝑤𝑒𝑖𝑔ℎ𝑡 𝑙𝑜𝑠𝑠 𝑚𝑎𝑖𝑛𝑡𝑒𝑛𝑎𝑛𝑐𝑒 𝑡𝑜𝑢𝑔ℎ𝑒𝑟.
Outside of Type 1 Diabetes, that insulin secretion could be “too low” seems very foreign to me. For those of us in the insulin-resistant camp, many with obesity/metabolic syndrome/pre-diabetes/diabetes, our insulin levels usually remain higher than is desirable when eating extremely low carbohydrate diets, and even when fasting.
That hormonal effects are often complex, and that hormonal balance is vastly important is a given. For a huge portion of the population – those of us with insulin resistance – I’d say let’s work on the too-high insulin levels first, and later worry about not secreting enough, if that ever actually manifests.