Episode Details

Today I am grateful to have Kara Collier, a Registered Dietitian Nutritionist (RDN), Licensed Dietitian/Nutritionist (LDN), and Certified Nutrition Support Clinician (CNSC) with me for an informative podcast session. 

Collier specialises in glucose control and metabolism and has graduated from Purdue University. She is an incredibly talented health professional who has joined us on some of our first few podcasts. Currently, she is conducting research alongside some partners to investigate why so many Americans today are living unhealthy lives, suffering from poor metabolic health and the role lifestyle choices play in aggravating health problems. 

Approximately 90% of Americans today are not metabolically healthy based on the results of standardized metabolic testing systems such as the assessment of glucose levels and fasting blood sugar values. So, in this episode today we will be exploring the ‘why’ element behind these troubling statistics. Dr. Kara Collier will also be sharing some important and impactful practices that can be adopted in our everyday lives that can lay down the foundation for good metabolic functioning and a healthy life. 

Tune in as we touch up on some topics that require urgent addressing and get better insights into how your body works and the role you can play in improving its functioning. 

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[2:50] The problem with insulin resistance

• The physiology that can be used to explain insulin resistance is hyperinsulinemia which means having higher than normal insulin levels. But this factor does not contribute to the problem on its own. We also have an issue of decreased insulin sensitivity. A problem in which cells do not respond well to insulin signalling. Hyperinsulinemia and less sensitive cells both interact and contribute to insulin resistance. 
• The old tale of the boy who cried wolf explains a lot about hyperinsulinemia because hyperinsulinemia is just like crying out loud more than you need to, to such an extent that people just start ignoring the message! Likewise, the constant overstimulation of insulin makes the cells less sensitive to insulin. These two changes are the key drivers behind this insulin resistance problem and can result in extreme forms of metabolic dysfunction such as diabetes.
• The human body is extremely complex which means that it is difficult to establish cause-and-effect relationships where one factor is directly responsible for bringing about a given set of changes. Likewise, with problems related to metabolic health, there are often multiple factors working collectively to bring about a certain change. 
• Diseases stemming from metabolic issues are also an output of a build-up of decade-long problems for eg a patient only receives a diagnosis for type 2 diabetes, it is estimated that 60 to 70% of our beta cells which produce insulin are damaged beyond repair!
• Poorly regulated insulin levels could be a consequence of a poorly balanced diet featuring high