Insulin…an Undeserved Bad Reputation


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Harry Mavros
Harry Mavros
15 years ago

Further to Ian’s question; Do we have any studies showing that we can induce insulin resistance by overfeeding protein? I’m not aware of any. Presumably, insulin resistance could be induced by protein portions just as readily as with an equivalent portion/s of insulinogenic carbohydrate (i.e. by a portion of carb that provokes the same insulin response as the portion of protein)? I’m wondering about this, and hypothesising that perhaps insulin resistance isn’t merely a response to hyperinsulinemia (brought about by excessive carbs or proteins), but is actually a response to hyperglycemia? This would explain why excessive protein doesn’t seem to… Read more »

Ian
Ian
15 years ago

So… we can store fat very easily even w/o the presence of insulin. But I’ve read that we can’t access those fat stores when insulin is high, and in healthy people, like you said, insulin and blood sugar go down after a meal (so they don’t stay high)- but what about in overweight/obese people? My impression from what I’ve read about nutrition is that the problem is insulin resistance. So what do you think causes/contributes to that aside from excess calories?

Jean Paulo
Jean Paulo
15 years ago

Once again, thank you for posting this article. I hope that some folks will have some enlightenment regards to insulin especially the people from low carb talibans. I will link this article to several sites.

dutchbb
dutchbb
15 years ago

Hi James, I recently stumbled on your site via Alan’s weblog. I had a very informative time reading your articles. Little confused though by this sentence: ”Insulin doesn’t just regulate blood sugar. It has other effects as well. For example, it stimulates your muscles to build new protein (a process called protein synthesis)” I was always under the impression insulin only has a permissive role in MPS. It does prevent MPB, but only with a marginal raise (15 mU/l Rennie et al. 2006). Supraphysiological do however stimulate MPS (1000 fold increase). I haven’t read the fulltext of the study you… Read more »

Lucas Tafur
15 years ago
Reply to  dutchbb
dutchbb
dutchbb
15 years ago
Reply to  Lucas Tafur

Thanks James and Lucas.

I dug up the full-text of the first study and read Lucas’s reference but honestly most is way above my head. I have no background in physiology or exercise science whatsoever, just a genuine interest in the science behind bodybuilding.

But what does this mean for practical applications? Where the good old bro’s right and is ‘spiking up ur insulin’ a good thing afterall?

Lucas Tafur
15 years ago
Reply to  dutchbb

The take home message is that insulin is released every time you eat. Insulin has a permissive role in MPS and MPB, as shown in the paper I linked. For switching the net protein balance after a workout you need aminoacids and insulin, period. Now the problem is you dont need that much insulin to get its maximal effects. The threshold seems to be around 30-60uU/mL. Consider that a whey protein shake (most widely used PWO) is very insulinogenic.

Lucas Tafur
15 years ago

From the study you cite in the HSL discussion: “Arteriovenous NEFA concentration differences across the forearm did not change with either oral or intravenous lipid load. This suggests that there is no release into the circulation of LPL-derived fatty acids from skeletal muscle. This efficient entrapment of fatty acids in skeletal muscle occurred despite a high-fat load and lack of an insulin response. This is in contrast to what is seen in adipose tissue, where there is no significant trapping of fatty acids in the tissue with either oral or intravenous fat load.” “With both oral and intravenous fat load,… Read more »

LynMarie Daye
15 years ago
Reply to  James Krieger

This mixed meal only contained 10 grams of carbohydrate. Remember that a low-carb diet is not carbohydrate-free.

More importantly, a low-carb diet is not protein-free (like the oral fat load in the study was IIRC). Glucogenic amino acids can provide substrate for glycerol phosphate synthesis.

Lucas Tafur
15 years ago
Reply to  LynMarie Daye

Regarding the “mixed meal”, this is the study cited: http://ajpendo.physiology.org/cgi/reprint/266/3/E308?ijkey=13f80d732949a64d5baf093d4613ae2a0ec360fb

They used 80g of fat and 80g of CHO.

LynMarie Daye
15 years ago
Reply to  Lucas Tafur

I (and I think James also) were referring to this study: Effects of an oral and intravenous fat load on adipose tissue and forearm lipid metabolism.

The test meal in the study was 9.6 g carbs, 40.3 g fat, 2.8 g protein.

Our point was that it’s not suprising that little reesterification was occurring because there’s not a lot of substrate available for glycerol phosphate synthesis when the diet contained only about 10 grams of carbohydrate and 3 grams of protein. This is not a typical low-carb meal (especially the protein content).

Lucas Tafur
15 years ago
Reply to  James Krieger

I dont know why I can post my original reply. Is there a limit of links or something permited per post?

Lucas Tafur
15 years ago
Reply to  James Krieger

Sorry for the untidiness (dont know how to post “clean links” here). The effect of incorporating fat into different components of a meal on gastric emptying and postprandial blood glucose and insulin responses: http://journals.cambridge.org/action/displayFulltext?type=1&fid=863376&jid=&volumeId=&issueId=02&aid=863372&bodyId=&membershipNumber=&societyETOCSession= Effects of Fat on Gastric Emptying of and the Glycemic, Insulin, and Incretin Responses to a Carbohydrate Meal in Type 2 Diabetes: http://jcem.endojournals.org/cgi/reprint/91/6/2062 Effects of gastric emptying on the postprandial ghrelin response: http://ajpendo.physiology.org/cgi/reprint/290/2/E389 The Lipid Messenger OEA Links Dietary Fat Intake to Satiety: http://www.cell.com/cell-metabolism/retrieve/pii/S1550413108002465 A high-fat diet raises fasting plasma CCK but does not affect upper gut motility, PYY, and ghrelin, or energy intake during CCK-8… Read more »

CarbSane
CarbSane
15 years ago
Reply to  Lucas Tafur

Fat attenuates the insulin response.

Fat seems to, if anything, increase insulin response. Not sure about fat+protein, but in studies with potato meals, added fat decreases the glucose response with similar or enhanced insulin response.

Lucas Tafur
15 years ago
Reply to  CarbSane

There are studies where fat added to carbohydrate meals increase the insulin response, others show that fat reduces it. I have found one study where fat increased the insulin response to protein. (http://www.ajcn.org/cgi/content/abstract/37/6/941) The problem interpreting these results is that the response is measured only for a couple of meals (no long term effect) and individual variation is important regarding insulin secretion. As I have said before, what is relevant is the effect that a diet has on postprandial and basal insulin levels, not a single meal. You can see that after a LCKD the postprandial insulin response is reduced… Read more »

CarbSane
CarbSane
15 years ago
Reply to  Lucas Tafur

One study (sorry I don’t have the links handy) see a glucose amelioration adding fat to the first potato meal but not a second 4 hrs later.

this paper demonstrates that the human body can handle significant doses of carbs w/o fat accumulation.

While insulin responses can be varied, calorie balance always finds a way 😉

Lucas Tafur
15 years ago
Reply to  CarbSane

While insulin responses can be varied, calorie balance always finds a way

Dont get me wrong, calories do count.

CarbSane
CarbSane
15 years ago

I would add that near as I can tell, the Atkins Fat Fast was specifically designed to treat those with extreme insulin resistance to lower insulin levels. That is why the meager protein rations are split between 5-6 “meals”. But it is telling that Atkins also severely limited calories. If fat calories had nothing to do with fat accumulation there would have been no need for this. I think Atkins knew just about anyone will lose weight eating like this and catabolizing some LBM in the process, but if left to their own devices to “eat when hungry, stop when… Read more »

Katy
Katy
15 years ago
Reply to  CarbSane

I think it’s noteworthy that Dr. Atkin’s didn’t recommend this approach unless a person was truly in a weightloss stall, and only for a few days. It wasn’t intended to be a daily WOE.

CarbSane
CarbSane
15 years ago

Excellent! A bit of irony in there. Biggest insulin response was for whey and leucine. Guess what’s the mainstay of the first two weeks of the Eades misguided 6 Week Cure for the Middle Aged Middle diet? LOL Most of the folks who tried that diet lost most of their weight those first two weeks. Although they never gave a reason, the Eades were adamant about you getting in your shakes. Insulin was coarsing through my veins! In fact, if you truly wanted to keep insulin as low as possible, then you wouldn’t eat a high protein diet…you would eat… Read more »

Tan Yew-wei
15 years ago

This was a ridiculously informative yet simple read. Definitely sharing this one.

Aziz
Aziz
15 years ago

Thanks man. This was a very informative essay and I learned a lot. I am following a “primal” way of eating which is high fat (55), regular protein (30), low carb (15). Of course these are just approximate numbers and I think that stressing about percentages is not healthy. Low carb is easily achieved, not because I’m carbophobic, but because I took off processed foods and grains (again if I want some bread some day, no stress), which I think are not optimal for reasons other than insulin. You’re then left with fruits and veggies, from which it is difficult… Read more »

Hana Rous
Hana Rous
15 years ago
Reply to  Aziz

You state this “The fact is that insulin is not this terrible, fat-producing hormone that must be kept as low as possible. It is an important hormone for appetite and blood sugar regulation. In fact, if you truly wanted to keep insulin as low as possible, then you wouldn’t eat a high protein diet…you would eat a low protein, low carbohydrate, high fat diet. However, I don’t see anybody recommending that.” I ask Why NOT? No-one has shown that a low carb /high fat diet is harmful. In fact it was shown as long ago as 1926, by Stefansson, to… Read more »

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