I think it works like this (but Iām not sure):
If we eat carbs, our pancreas will release extra insulin to deal with the carbs. Itās just the way it is, if I got it right.
Type 1 diabetics can even calculate how much insulin to take based on grams of carbs consumed.
Some of us will get the extra insulin, the insulin will do its job and weāll move over. If weāre among the lucky ones, a little insulin will go a long way. If not, thereāll be more insulin needed than the next person.
But still: if you increase the amount of carbs, the amount of insulin will increase. For everybody, if Iām not mistaken.
Many of us: weāll increase the carbs, weāll get the extra insulin⦠and the next step wonāt work so well. So, we get more extra insulin. Then, hopefully, the carbs are dealt with. But while this is going on, youāll have the higher glucose AND higher insulin doing possibly bad stuff inside you.
The effect seems to be somewhat cumulative. The more it happens in the cranky way, the more it seems to be likely to happen in the cranky way next time. And it gets crankier, once it became cranky once.
To complicate matters further: thereās no easy way to know if, for instance, your blood glucose didnāt raise much because a little insulin did its job just fine, or if it didnāt raise much but only at the cost of a lot of insulin.
So, even measuring BG isnāt enough to know what is really going on when you consume the extra carbs. Why is it low? Little insulin did it, or you were washed inside with a lot of the stuff?
Overworking may cause also damage to the very cells that produce insulin, if I understood it correctly. Pancreas beta cells, or something.
So, one day, you may eat the carbs and your beta cells wonāt be healthy enough, or in enough number to produce all that insulin you need to deal with those carbs.
Then, thereās something pretty scary to add to the problem: when we go very low carb, thereās the adaptive glucose sparing, or physiological insulin resistance. I think nobody knows what this really is, but blogs and youtube videos will tell you that itās perfectly fine, that itās just your cells letting the BG available for the cells that really need it, that canāt live from using fat as fuel, because they donāt have mitochondria, or something like that.
But the thing is totally terrifying: you wonāt eat carbs at all and yet your BG is high in the mornings and after exercising. Many of us have this problem. Others, donāt.
A few of the questions only bloggers/youtubers know the answers to (because they can say whatever without the burden of proof and followers will be followers no matter what they bloggers claim to know⦠without proof) is: why all that BG isnāt being used by the cells that need it and the BG levels arenāt just normally low as one would expect if eating no carbs for weeks? Why would the extra BG not be harmful, if itās higher than what is believed to be healthy? If the cells without mitochondria needed the sugar, why is it running free for hours in your body, like nuclear waste no one wants?
And the question I ask myself: if you start to eat more carbs on a few days, but keep very low on others, wonāt the āgoodā insulin resistance (I donāt believe for a nano second it is good!) compound with the extra carbs you only eat sometimes, to create a bigger problem?
Say your BG is already high from the āgoodā insulin resistance (adaptive glucose sparing, or a rose full of thorns by any other name), then your insulin may be extra, too. Then you eat more carbs than you do most days, than your body is used to, then, boom, more insulin⦠and you do it again next week, or two days later⦠how could it be good? Cranky may get crankier.
I hope all the bloggers are right and the problem is only in my head. But I donāt know. Nobody does. It is up to each one of us to decide if thatās one more of the risks weāll take, like driving on a busy road, diving with sharks (my favorite vacation activity)ā¦
I personally want to take the risk, because I feel better when I eat a little more carbs. But I canāt tell you if itās a good decision.
People tell you to see how you feel⦠I donāt agree much. You may feel perfectly fine and have a horrible tumor growing inside you. Why so many bad stuff is diagnosed (too) late? I think you really can only decide if you want to risk it being very bad. Knowing that perhaps it is just fine. So many people live long, happy lives eating lots of carbs!
Itās the Russian roulette kind of thing. One more in life. Some of us will be fine.
Good luck with whatever you decide!