You could say that there are two main camps when it comes to managing diabetes, the camp that focuses on treating hyperglycemia, or high blood sugar, exclusively, and the camp that is also focused on hyperinsulinemia, or high insulin levels.
So conventional medicine obviously is in the first camp, they don't care about high insulin levels at all, they don't measure insulin levels, they increase people's insulin levels as a manner of therapy with no regard to how high they may be already or how high they may be making them and don't care at all about the consequences and not only ignore them but pretend they don't exist.
So the other camp does focus on high insulin levels, but some people think that this means that they aren't focused on hyperglycemia, and that's not the case at all, in fact they are very concerned about it, but look at it on a long term perspective rather than a short term one.
So one of the goals here with managing both blood sugar and insulin levels is to pay attention to both, and one of the big things in managing diabetes is obviously managing blood sugar levels, but this is really just a symptom, it's not the disease, and if we just manage the symptoms without paying attention to the disease, which is hyperinsulinemia, well we may end up making the disease worse and worse where the symptoms, high blood sugar, get harder and harder to manage over time, and we end up seeing more and more failure.
So they make the disease worse and worse and then say well what do you expect, diabetes is a progressive disease, and it certainly is if you ignore it, and worse, if you intentionally worsen it by the way you manage it.
Now these people will even agree pretty much that our disease is really one of insulin resistance, and there's all sorts of stuff out there on how harmful insulin resistance is, and yeah insulin resistance gets worse over time, it sure does when you worsen it on purpose.
You can't say though that insulin resistance is the problem without saying hyperinsulinemia, which causes insulin resistance, isn't a problem. The two go hand in hand, we can break this down and say well things like too many free fatty acids in the blood cause this, and that's one of the primary mechanisms, we may also say well too much glucose in the blood causes it, and that's true, but it is excess insulin that drives both.
You also might hear that it's inflammation in the cells that cause this but that brings us back to insulin as well as excess insulin causes inflammation and the cells don't like being too inflamed by too much of this stuff so they will downregulate their receptors to look to reduce the amount of insulin that gets in, to protect themselves from this villain.
Now in normal amounts it's not a villain at all, but any hormone, no matter how helpful and necessary, in excessive amounts, will cause problems, and excess insulin is implicated in a great many other things besides diabetes, and plays a central role in both obesity and cardiovascular disease.
High insulin levels are the modern day plague in fact, not a lot of people even care enough to look at this but when we do a very ugly story is told, we're at the point now where 75% of people are now overweight, about half of all people have been shown to be insulin resistant, insulin resistance causes obesity, insulin resistance causes heart disease, insulin resistance of course causes type 2 diabetes, high insulin messes up adrenal hormones that control blood pressure, leading to sodium retention and hypertension, the list goes on.
So I have spoken a lot about this and will continue to do so because that's our disease when we have type 2, it's also your disease when you are overweight, it's also your disease when you have a number of other things. So it might be a good idea to actually focus on the disease here not just one symptom as we do with the symptom of blood sugar.
So some people think that this means that we ignore high blood sugar, these people need insulin to manage it, this approach would tell them no, that's a bad idea, so the blood sugar is going to go to hell, right?
Well no, if people do need insulin and you fail to replace it that's a horrible idea, so if insulin is needed it must be given, but the only way to know this is to measure insulin levels and if one is deficient in it, if one cannot make normal and healthy amounts on their own, then we must increase the levels to bring them up to what's normal and healthy.
By the way, this isn't something you can surmise just because people have problems with high blood sugar, and in fact it's generally the case with type 2's that they have high blood sugar not because they have an insulin deficiency, but because they have had an insulin excess over a period of years or even decades, often decades actually, and this has damaged our glucose regulatory system.
So yeah, you may be able to bring down blood sugar temporarily by increasing insulin levels to where the insulin resistance is overcome, but then that makes the disease itself worse, and you are left in a worse way over time by this, that can't be a good idea, in fact it's a very stupid one, even though this is the one that conventional medicine practices.
So what needs to be done instead is to lower insulin levels and therefore improve insulin resistance, which looks to improve your blood sugar over time, not worsen it. This is the main benefit of managing your diet properly in fact, and there are people who are in favor of reducing insulin that way but will also speak out about the need to increase insulin to lower blood sugar which will tend to undo the benefits obtained by the diet.
Now this doesn't mean that we shouldn't use insulin therapy though which some people get confused about, there are times when it's appropriate but it needs to be confined to using it when it actually is appropriate and not using it regardless of whether it is or not, and keeping our insulin at harmful levels on purpose isn't an appropriate use at all.