Why didn't keto reverse my insulin resistance?

If someone does end up with diabetes, by the time they do, insulin resistance has been working in the background often 10-15 years. Why do we think it would go away so quickly? I mean, yes, type 2 can be reversed relatively quickly, even in those with it for decades, but insulin resistance took time to build up, while glucose is relatively easy to lower consistently.

I've been low/no carb since the beginning of Sept. My fasting blood glucose numbers have gone down from the low 200's to this morning despite no carbs I was 115. By 18-20 hours without eating I can get to high 90's. My energy has increased and I've only lost 25 lbs. But I'm diabetic, CHF, reduced kidney function, asthma etc. I'm sure I'm insulin resistant but I'm seeing little shifts. Sleeping better, energy up enough to work each body part at least once a week and walk everyday. My Endo says it will take 6-9 months or longer to reverse years of abuse. So here's to trying. Most days are either beef, salmon, sardines or mackeral. A 1/2 cup of kimchi or sauerkraut and lots of water and coffee.

I hear all the time it may take years. A guy I follow said it took him nearly two years of fasting 72 or 96 hrs every week. I think people think it goes away quickly.

Dr. Boz, you noted that your glucose rises during sleep and fluctuates throughout the day, even without eating. Cortisol is a factor; it naturally rises in the morning as part of the circadian rhythm, peaking between 6-8 am. This cortisol fluctuation can impact glucose and ketosis throughout the day.

Last week and this week's lessons are right where I am. I have had a CGM for just the past week. I was disappointed how high my glucose is most of the time. I've lost 55 pounds and I'm now under 200lbs. I'm currently following an alternate day fasting (36hrs). This is encouraging me to extend my fasts and add more physical activity.

So glad you clarified about the high glucose after exercising! I was freaking out after seeing your high ketones video and my glucose went up to 5.2mmol and ketones 3.2 after exercising and sauna (glucose was 4.2 mmol and ketones were 2.0 in the morning of the same day.) I thought my insulin was failing to work!! I understand now what is happening. So grateful for this new knowledge! I have lost 40llbs in the last six months and the gym instructors are now asking me what I am doing!! Needless to say they are all hearing about you! Thank you! 😊🙏🏻

I began my journey almost a year ago thinking it would be easy to fix my impaired metabolism with just diet. I was so wrong. I went from carnivore to intermittent fasting, to now just meat, legumes, and veggies. Even though my job is physically demanding and I walk my dogs daily, totally about 15000 steps a day, it hasn’t been enough; so I just started weight training. I’ll get a cgm again soon and see if there’s any difference. Doing 3 or 4 day fasts does help as well, it’s just mentally hard. I also finally found a brand of sardines that I can eat by itself. King Oscar skinless is really good, excellent quick protein source.

Okay I'm only 6 minutes into this and Holy cow Dr. Boz where have you been during my academic career?!?! I love your style!!!! I wish you had been one of my professors for clinical. Really.

How I got metabolically ill was that I was ignorant of the effects of what I was eating. I always thought that my body was a filter and what I put in it, my body would take what it needed and excrete the rest. Once I started to get educated and realized that there was a biochemical / hormonal repercussion from what I was eating. the good changes began. Post 60 years of the standard American diet, I now pay attention to how my body feels and know very well that the ills I have experienced was from what I consumed. The process that you elaborate in your video is always in my mind and I am now more cognizant of what is going on. In the past, ignorance was not bliss, but the pathway for destruction. Thank you Dr. Boz for your insight and what you do.

Fasting is especially hard for people with extremely low blood sugar…my body doesn’t go into the stage of ketones ( at all )… like I feel unable to function…my muscles scream and I can’t talk or walk..so I believe insulin instability isn’t too much about how to prevent the high it is more of how to tolerate the low which I didn’t see anyone talking about