Insulin Resistance: A Common Root Cause of Chronic Disease
Dr. Ben Bikman, a professor of cell biology, advocates the view that insulin resistance is a common root cause for most chronic diseases. It is implicated in type 2 diabetes, obesity, Alzheimer's, fatty liver disease, infertility, and even breast and prostate cancers. Insulin is a powerful hormone that affects virtually every cell in the body. Rather than treating individual diseases as separate issues, Dr. Bikman suggests addressing insulin resistance as a "common soil hypothesis" to simplify the clinical approach. This perspective highlights that insulin resistance is not the sole contributor to these conditions but is an undeniable factor.
Limitations of the Glucose-Centric Medical Paradigm
Modern clinical care often operates under a "glucose-centric paradigm," focusing primarily on blood glucose levels to monitor metabolic health. However, this approach can miss the early stages of insulin resistance. Insulin resistance is characterised by elevated insulin levels, where the body works harder to keep glucose in check, often maintaining normal glucose levels initially. Because glucose remains normal, this early phase of insulin resistance often "flies under the clinical radar". Dr. Bikman argues that if insulin levels were routinely measured, the earliest signs of metabolic problems could be detected sooner, allowing for earlier intervention. Ignoring high insulin levels can also lead to treatments, such as giving insulin therapy to type 2 diabetics, which may control glucose but can paradoxically "kill them faster" due to hyperinsulinemia and worsening insulin resistance.