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Chapter 15 · The Performance Hub Podcast

Managing Type 2 Diabetes and Blood Sugar

May 10, 2020

This goes back, if we circle around, of why it's so important to get a good level of aerobic fitness and get your VO2 max up. It's especially helpful for people who are getting into that metabolic syndrome, type 2 diabetes type of, if they're moving down the continuum towards that. If I can get someone to do the work and make more mitochondria, it's like they say, many hands make light work. If I have more mitochondria, then I can disperse that excessive amount of fuel to more workers, and I can create more energy out of that. So people, I mean, just looking at that little, because we will see that a fair bit, people coming in who are kind of flirting with type 2 diabetes, kind of on that kind of line of not quite there, but the blood sugar readings are coming in higher than they should be, pre and post-prandial, maybe waking. um you're saying potentially that like if we can like sorry generally the advice that we're getting from the nhs is go and lose weight you know go and lose weight as being the primary kind of um you know thing that's going to have a positive impact and bring the blood sugars down if you lose weight get into a calorie deficit that that's going to be enough um and certainly sometimes we're seeing that other times not necessarily seeing that being enough and And so you're saying potentially this idea of building like an aerobic base is going to be very impactful. That's going to impact massively. Like the NHS isn't wrong. Like one of the best things you can do for your health if you are overweight is to lose body fat. Like that's one of the best things you can do, right? But what are you going to tell the really skinny diabetic about that? When you have a guy who's skinny and he's type 2 diabetic, what the fuck is he going to lose? He doesn't have any weight to lose. he's got to build muscle and he's got to build mitochondria, right? So what you typically see is you see everything is going to bottleneck out at certain levels of the biochemistry. And everything happens in about the same way, but it can happen for different reasons. I can be eating a lot of exogenous food that can be gumming those things up, or I can be in a massive calorie deficit my body tanks down my metabolism so now that alters calories in calories out just the same as not doing anything in an overeating world um so it's two different scenarios but realistically a lot of the same thing happening at the cellular level and then and then if we couple um kind of extra stresses on top of that shifting people more into that sympathetic nervous system we might be getting that impact of adrenaline on the whole process as well. Absolutely. Absolutely. The lower your HRV is, the more prone you're going to be for having high amounts of adrenaline. The more prone you are to be reactive to things, the more prone you are to anxiety and stress, which is then going to become like a never ending cycle of self-induced stress. You know, you've got to, that's kind of one of the things, you've got to break out of that. And to break out of that, sometimes we have to do the things that we don't like to do especially for for men like to tell it to tell a guy he needs to do a little bit more aerobic conditioning and journal and meditate maybe see a counselor he's going to be like nah fuck off i'm just going to go lift more weights and run hill intervals and shit like that and that will work for for a period of time but it doesn't always work it's not always a long-lasting solution