
Does Insulin cause Atherosclerosis?
Physionic
Apr 21, 2025
Mindsip insights from this episode:
Understand insulin resistance to prevent plaque progression
In insulin-resistant cells, insulin may preferentially bind to the IGF-1 receptor instead of the insulin receptor, activating pathways that promote plaque progression.
Evaluate insulin treatment risks for hyperglycemia management
Treating hyperglycemia with excessive insulin may be an awful trade-off, as you might die quickly from high blood sugar or slowly from the side effects of high insulin.
Recognize therapeutic insulin doses exceed normal production levels
A healthy body produces about 35 units of insulin per day, so therapeutic doses of 75 or 150 units are massively supraphysiological.
Reject insulin cover fallacy to manage diabetes effectively
A common and dangerous misconception among some diabetics is that they can eat anything as long as they cover it with enough insulin.
Understand context of insulin resistance to assess atherogenic risk
A clever study on mice suggests that high insulin levels alone do not increase arterial plaque, indicating the context of insulin resistance is the critical factor.
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