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Why tough times call for INSULIN RESISTANCE

Posted by Dr Sandy on in Obesity | 284 Views | Leave a response

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Tough times cause insulin resistance

liver not opening the door

Insulin resistance is a clever strategy, to survive TOUGH TIMES. The low grade inflammation associated with insulin resistance is a sign of TOUGH TIMES.

If you’re insulin resistant THIS IS TROUBLE.  You and your doctor, consider the insulin resistance to be PATHOLOGICAL i.e. a disease.

But, is it ?

What if  insulin resistance is really a clever strategy,  to survive TOUGH TIMES.

And it is the TOUGH TIMES, that make you insulin resistant.

A  body at war

Well, intuitively know, that surviving TOUGH TIMES,  depends on  having the necessary RESOURCES. Our  immune system, produces sophisticated weapons,  but these weapons are useless, without boots on the ground.

And a very famous General once noted, the troops MUST BE FED….

Starting with the CHIEF OF THE ARMED FORCES !  The brain.

Then the soldiers on the ground.

The lymphocytes and macrophages, who are the cells,  doing the actual work.

Next, you  need someone organizing  the distribution of scarce resources, during TOUGH TIMES, so it pays to  keep the quartermaster happy.

In war, everyone else is expendable…..

Feeding the masses or not

The quickest way to descent, is hunger.  You do need to feed THE EVERYONE ELSE, failure to do so, could cause a riot.

fat cells matter

But when resources are tight,  it’s  a balancing act…. is this what insulin resistance is ?

The adjustable threshold hypothesis

This is what a Chinese computational biologist, proposes.  Using mathematical modelling of clinical data,  Guanyu Wang  formulated  the adjustable threshold hypothesis.

Now the central tenet of the hypothesis is that cells, don’t all respond the same way to insulin.

adjustable threshold hypothesis

The adjustable threshold hypothesis. First row: the whole-body dose–response V(I ), which exhibits hysteretic reversal. Second row: the Gaussian distribution of cells over their Ion values. Third row: the bistable response u(I ) of the cells.  When insulin is low (a), higher (b) lower (c).  © 2014 G. Wang Published by the Royal Society

It’s an intriguing idea, based on the viewpoint, that insulin is running the  body’s stores – and when supplies are low,  INSULIN MAKES A PLAN.

Introducing FOOD STAMPS

insulin rationing resourcesWhen supplies are low,  it is a good idea, to ration the scarce resources, this way ……

  • The general and his army, KNOW, they will not be expected to march on an empty stomach.
  • Everyone else KNOWS, they will not go hungry, some food will be allocated to service their needs.

Of course, the level of need, has to be carefully calculated, so on paper at least, each individual gets what they need.  Well sort of –  let’s be REAL, you’re getting less than you would prefer,  on a rationing system, but you are getting !

Insulin resistance is a rationing system

In insulin resistance there is plenty of insulin floating about, but for some largely unknown reason, the cells choose to ignore the cries of insulin.

Instead of responding, by assembling glucose gates, the cells DO NOTHING !

This lack of response is seen as RESISTING insulin.

But, what if cells are not “defying” insulin per se,  what if, they’re just simply waiting their turn ?

Insulin the store man

Insulin’s principal job, is to distribute the nutrients that come in, since sugar is the MOST desirable nutrient, much of his attention is focused on sugar’s distribution.

Privileged cells don’t ASK insulin for their sugar ration – they simply take what they need.

If your brain cells don’t eat – you’re HISTORY.

Likewise the troops, don’t queue for their ration, they’re too busy in the trenches, ensuring YOUR SURVIVAL.  This means insulin, only controls the sugar supplies, for the less privileged, the  “expendable”. Which in body terms, is the liver, muscle and fat cells, in that order.

So how does it work ?

The door is open or closed

Insulin interacts with these cells  through the insulin receptor.  Think of it, like a door.  Insulin knocks…..

Either the cell opens the door, or it doesn’t.the response to insulin

Biologically speaking, this is  an ALL or NOTHING response.

If the cells, open the door,  insulin is able to step through the door and make things happen.

NOTE : He is rather bossy – The thing, that he makes happen, is he gets the glucose gates assembled………….allowing for a sugar delivery.

Knocking on the door

To open that door, you need to HEAR the “knocking”….

So step one, is for insulin to knock on the door, but there is a catch.  When supplies of sugar are tight, he creeps around, quietly knocking on doors, where he wants to make a delivery.

Delivering to the quartermaster (the liver) is helpful, delivering to a muscle cell is a liability.

NOTE : Muscle cells are  capable of blowing through large quantities of sugar  in minutes.  And, unlike the liver, they never GIVE IT BACK ! 

This “quiet” knocking is strategic.  Insulin knows….

fat cells are hard of hearing

Some cells are hard of hearing

  • Liver cells can hear a pin drop.
  • Fat cells are as deaf as a post.
  • And muscle cells are somewhere in between.

So when insulin is creeping about, in stealth mode, knocking on  doors, liver cells are quick to respond. Muscle and fat cells don’t hear A THING !

When the sugar flows

It’s time to distribute the sugar more widely.

More insulin is dispatched.  There is now knocking in stereo.

This knocking can be heard by the muscle cell, who happily takes a sugar delivery…..

To get fat cells to hear insulin,  is a little more challenging.

the insulin pipe band

It takes a couple of insulin molecules, knocking and shouting,  to  finally get  the fat cells , to open their door and take the delivery.

A job well done

Insulin can sit back and relax.

He has done his job,  the sugar delivery has been made.  Everyone has been supplied.

But war is a noisy business

As the store man, insulin goes about the body, making his deliveries, with a knock-knock here and a knock-knock there.   His knocks, have not really changed…..

But what is happening INSIDE the cell impacts it’s hearing.

And WAR is inherently NOISY.

To make routine sugar deliveries, insulin must knock LOUDER, which requires more insulin to be circulating.  Tough times  impede sugar delivery.

Blame TOUGH TIMES for insulin resistance ?

The adjustable threshold hypothesis,  suggests insulin resistance is completely normal…

And how much insulin resistance occurs, depends on just how tough things are.

So the solution to insulin resistance……………..

Begins with a quiet life

NOTE : Scientists know in the insulin resistant, there is low grade inflammation…….. they’re just not sure, who the body is fighting ! Stressed out fat cells have been implicated, so have the  gut flora  and AGEs.  

Raison d’eˆtre of insulin resistance: the adjustable threshold hypothesis. J. R. Soc. Interface  (2014) 11: 20140892. G Wang.

Further reading

epithelial cell trying to deliver insulin

Is insulin resistance a delivery problem, not a hearing problem ?

In the insulin resistant, its thought that insulin arrives at the cell’s glucose gate, but the gate doesn’t open. What if insulin never makes it to the gate ?

insulin distracting t regs while fat cells burn

Insulin has your body’s fire chief on speed dial

Low grade inflammation, is responsible for the metabolic upheavals of insulin resistance. Putting the fire out, should be our body’s priority, but it’s not….

fat guy getting fatb still healthy

Being overweight is the consequence not the cause of your problems

Jo Soap was skinny, ate “right”, exercised, yet he dropped down dead from a heart attack. How could this be ? His BMI betrayed him.

 

Want to discover more ways to create BETTER BODY CHEMISTRY ?

Posted in Obesity | Tagged brain, fat cells, glucose, inflammation, insulin, insulin receptor, insulin resistance, liver, low grade inflammation, rationing, resources

Sugar gremlins are REAL

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