In this episode of The Diary Of A CEO with Steven Bartlett, the discussion centers on how insulin resistance develops from frequent carbohydrate consumption and how it leads to metabolic dysfunction. The episode explains the connection between elevated insulin levels, visceral fat accumulation, and systemic inflammation, highlighting why standard blood sugar tests often miss early warning signs of metabolic disease.
The conversation also covers fasting as a strategy for improving metabolic health, distinguishing it from simple calorie restriction and explaining its effects on fat loss, cellular repair, and cognitive function. Additionally, the episode addresses optimal exercise approaches during fasting, discussing how different types of physical activity impact inflammation and metabolic recovery. Gender-specific considerations for fasting and exercise are also examined, particularly regarding hormonal sensitivity and timing strategies for maximizing health benefits.

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[restricted term] resistance stems from frequent carbohydrate consumption, which triggers repeated [restricted term] release and damages the body's ability to process glucose efficiently. This metabolic damage is worsened by processed foods lacking fiber.
When glucose is consumed, the body must quickly remove it from the bloodstream because elevated glucose causes glycation, wherein glucose attaches to blood vessels and blood components, impairing normal function and accelerating aging. The pancreas produces [restricted term] to transfer glucose into tissues, reducing blood glucose levels. With typical eating patterns where carbohydrates are consumed every few hours, [restricted term] remains elevated for up to four hours, perpetuating high [restricted term] levels.
Repeated exposure to high [restricted term] causes the body to become desensitized, requiring the pancreas to produce increasingly higher [restricted term] levels to maintain blood sugar control—a state known as [restricted term] resistance. This allows individuals to have normal blood sugar results while high background [restricted term] silently damages the body's systems. Early detection via [restricted term] testing is crucial, as individuals often have years of advancing coronary artery disease before diabetes is diagnosed.
Persistently high [restricted term] directs excess calories into visceral fat storage—deep within the abdominal cavity and around internal organs. Unlike subcutaneous fat, visceral fat is metabolically active and produces inflammatory substances like interleukin-6 and tumor necrosis factor, contributing to systemic inflammation. Ectopic fat deposited in the liver, pancreas, and coronary arteries is also inflammatory and stimulates plaque formation, leading to cardiovascular risk.
Processed foods stripped of fiber are absorbed rapidly, causing steep glucose spikes and forcing large [restricted term] surges. Regular consumption of such foods accelerates [restricted term] resistance and inflammatory fat accumulation while masking early warning signs until significant disease has developed.
Pradip Jamnadas distinguishes fasting from calorie restriction. When calories are simply reduced, the body slows metabolism and breaks down both fat and muscle. In contrast, fasting triggers a different response: after depleting glycogen stores around 12 hours, the body switches to burning visceral fat while sparing muscle tissue. This also improves skin retraction compared to calorie restriction.
Protocols vary according to health goals. For basic metabolic improvement, a 12-12 pattern is recommended initially—twelve hours fasting, twelve hours eating. More intensive regimens include 18-6 protocols for accelerated visceral fat loss. For obese patients with diabetes, weekly 48-hour fasts or three-day fasts every nine days are used, sometimes with one meal a day (OMAD). Jamnadas cites supervised fasts extending up to 72 days, resulting in diabetes reversal, normalized blood pressure, and substantial fat loss with remarkable skin retraction.
During fasting, the liver converts fatty acids into ketones—a cleaner fuel than glucose that produces less oxidative stress. Ketones also act as signaling molecules, inducing brain-derived neurotrophic factor (BDNF) production, which enhances cognition, stimulates new brain cell growth, and sharpens reflexes.
Fasting stimulates stem cell release from bone marrow, including endothelial progenitor cells that repair blood vessel linings. Peak fasting hours are optimal for resistance training, as higher [restricted term] levels promote muscle growth. Fasting also enhances immunity by converting stem cells into immunocytes.
Additionally, fasting activates autophagy—the process of breaking down damaged organelles and mitochondria. This leads to new, highly efficient mitochondria with increased energy production and reduced oxidative stress. Jamnadas emphasizes that fasting should be cycled with feeding states, recommending an 18-6 protocol for maintenance and a monthly 36-hour fast for ongoing health benefits.
Jamnadas observes that excessive aerobic activity—such as marathon training or hours on treadmills—actually causes more inflammation and coronary artery disease than short sprints, resistance exercises, or HIIT. He explains that the rate-limiting factor is the body's ability to produce antioxidants like glutathione and superoxide dismutase. When exercise surpasses this capacity, oxidative stress accumulates, contributing to cardiovascular disease.
Jamnadas recommends limiting aerobic activity to 15-20 minutes per session for cardiovascular endurance without excessive inflammation. He advocates for resistance exercises using body weight—such as planks and leg lifts—and HIIT involving 30-45 seconds of intense effort followed by rest. This structure allows the body to address reactive oxygen species and promotes metabolic recovery.
Steven Bartlett references Dr. Stacey Sims' research noting that women are more hormonally sensitive to fasting. Prolonged fasted aerobic exercise can drop women's blood glucose, prompting the hypothalamus to conserve resources and potentially disrupting menstrual cycles. However, Jamnadas notes that most women can safely perform resistance and HIIT while fasting without issues, unless pregnant or seeking pregnancy. He stresses that exercise type—rather than gender—is the primary determinant. Bartlett relays Sims' advice that women should consume carbs before longer aerobic workouts to prevent muscle breakdown and support reproductive health.
Jamnadas explains that [restricted term] peaks during fasting. The ideal timing is performing resistance or HIIT near the end of the fast—such as at 4 pm when breaking fast at 6 pm—for maximized muscle-building benefits. Both fasting and resistance training surge [restricted term] production, and rest periods are vital for producing sufficient antioxidants to counteract reactive oxygen species.
1-Page Summary
[restricted term] resistance and the resulting metabolic dysfunction stem from the cycle of frequent carbohydrate consumption, which triggers repeated [restricted term] release and ultimately damages the body’s ability to process glucose efficiently. This metabolic damage is exacerbated by dietary habits and the prevalence of processed foods lacking fiber.
When sugar or glucose is consumed, the body must quickly remove it from the bloodstream because glucose is toxic at elevated levels. Excessive glucose in the blood leads to glycation, wherein glucose attaches to blood vessel walls, blood components, and hemoglobin, impairing the normal function of chemicals, enzymes, and hormones and accelerating the aging process. Glycated molecules lose their efficacy, and high blood glucose directly contributes to cellular dysfunction and premature aging.
Upon glucose consumption, the pancreas produces [restricted term] to transfer glucose into the liver, muscles, and other tissues, effectively reducing blood glucose levels. In typical eating patterns where food—particularly carbohydrates and glucose—are consumed every few hours, the pancreas is continually stimulated to release [restricted term]. Since [restricted term] stays in the bloodstream for up to four hours, more prolonged than glucose itself, frequent intake perpetuates elevated [restricted term] levels.
Repeated, prolonged exposure to high [restricted term] causes the body to become desensitized—a common hormonal adaptation. The pancreas must then produce increasingly higher levels of [restricted term] to maintain blood sugar control, a phenomenon known as [restricted term] resistance.
This state allows individuals to have normal blood sugar and A1c results, masking underlying metabolic dysfunction while high background [restricted term] silently damages the body’s systems. Early detection of hyperinsulinemia via [restricted term] testing is crucial, as individuals often have many years of high [restricted term] and advancing coronary artery disease even before diabetes is diagnosed. By the time blood sugar control finally fails and diabetes is officially recognized, the opportunity for early intervention and prevention is lost.
Persistently high [restricted term] acts as a storage hormone, directing excess calories into fat storage, especially in visceral areas—the belly and around internal organs. This process results in the typical protruding stomach seen in those with high [restricted term] levels. Visceral fat, located deep within the abdominal cavity and surrounding organs, cannot be pinched like subcutaneous fat.
Metabolically, visceral fat is highly active. Unlike subcutaneous fat, it produces large amounts of inflammatory substances such as interleukin-6 and tumor necrosis factor, contributing to systemic inflammation. Laboratory markers like elevated CRP, interleukin-6, and tumor necrosis factor reveal the inflammatory state associated with excess vi ...
Insulin Resistance: Frequent Glucose Intake, Eating Patterns, and Their Role in Visceral Fat and Metabolic Dysfunction
Pradip Jamnadas distinguishes the physiological effects of calorie restriction from those of fasting. When calories are simply reduced, the body perceives a sustained deficit and slows down metabolism, promoting the breakdown of both fat and muscle to conserve energy. This means muscle loss is significant alongside fat loss, as the body tries to utilize every available energy source.
In contrast, fasting triggers a different metabolic response. Once food intake stops, the body first utilizes glucose stored in muscles and liver in the form of glycogen. After about 12 hours of fasting, glycogen stores are depleted, prompting the body to switch to burning stored fat for fuel. The first fat to be mobilized is visceral fat, which is particularly inflammatory and harmful. This process not only targets the body’s most detrimental fat stores but also spares muscle tissue, preserving lean body mass. Skin retraction is improved, so after significant fat loss, there is less loose skin compared to calorie restriction, where muscle and subcutaneous loss can lead to flabbiness and skin laxity.
Jamnadas describes that after the glycogen is exhausted around the 12-hour mark, fat breakdown begins in earnest. The body produces ketones as a result, moving fat out of storage and utilizing it as the primary energy source.
Fasting protocols vary according to the individual’s health status and objectives. For those aiming to reduce visceral fat and improve metabolic health, a basic intermittent fasting protocol is recommended. This starts with a 12-12 pattern: twelve hours of fasting, consuming only non-caloric liquids such as water, black tea, green tea, or black coffee, and twelve hours of eating. This initial phase typically lasts two to three weeks.
More intensive regimens include the 18-6 protocol, where the fasting window expands to 18 hours and the eating window is six hours, still permitting only calorie-free beverages during fasting. This method accelerates visceral fat loss due to prolonged fasting periods and is maintained to achieve targeted fat reduction.
For obese patients with diabetes requiring dramatic metabolic improvements, weekly 48-hour fasts or three-day fasts every nine days are used, sometimes in conjunction with one meal a day (OMAD). Jamnadas cites cases of supervised fasts extending up to 72 days, during which water, black coffee, black tea, electrolytes, and occasionally MCT oil for hunger are consumed. Such approaches can result in diabetes reversal, normalized blood pressure, and substantial fat loss—up to 55-60 pounds—with remarkable skin retraction and improvements in joint and skin health. Even longer supervised fasts have led to the loss of massive body weight without the adverse skin and muscle effects seen with calorie restriction.
During fasting, once fat metabolism begins, the liver converts fatty acids into ketones—a superior alternative fuel to glucose. This shift depends on low [restricted term] levels, which enable fats to be liberated from stores. Ketone metabolism is cleaner than glucose, producing less oxidative stress and fewer reactive oxygen species (ROS), thereby reducing cellular damage.
Ketones act not only as fuel but as signaling molecules, inducing brain-derived neurotrophic factor (BDNF) production. This growth factor enhances cognition, stimulates the growth of new brain cells, sharpens reflexes, and improves vision. This evolutionary adaptation ensures heightened performance during periods without food, improving the likelihood of survival and resource acquisition.
Fasting stimulates the bone marrow to release pluripotent stem cells, which can become various cell types, including muscle and skin cells. This aids in tissue repair and regeneration after the fast. Of particular note are endothelial progenitor cells, which repair the lining of blood vessels—a process enhanced by intermittent fasting and time-restricted f ...
Fasting: Protocols, Physiological Effects vs. Calorie Restriction, and Induction of Ketogenesis, Autophagy, and Cellular Repair
Pradip Jamnadas observes that people who perform excessive aerobic activity—such as cycling 100 miles a day, running on treadmills for two hours, or regularly engaging in marathon training—actually experience more inflammation in their bodies and develop greater coronary artery disease than those who engage in short sprints, resistance exercises, or HIIT (High-Intensity Interval Training). This challenges the belief that more cardio is always beneficial for heart health.
Jamnadas explains that excessive exercise generates a surge of reactive oxygen species. The rate-limiting step in repairing the resulting metabolic damage is the body’s ability to produce antioxidants, specifically glutathione and superoxide dismutase. When the exercise load surpasses the body’s capacity to produce these chemicals, oxidative stress accumulates, contributing to inflammation and cardiovascular disease.
Jamnadas recommends including aerobic training for cardiovascular endurance by running or cycling—but for a limited duration, just 15 to 20 minutes per session. This provides the necessary endurance benefits without causing excessive inflammation or oxidative damage.
He finds that simple resistance exercises, often using one's own body weight—such as floor exercises, planks, leg lifts, and similar movements—work best and are sufficient for most people.
Jamnadas advocates for HIIT, where the approach involves exercising intensely for 30 to 45 seconds, then resting completely for a similar amount of time. This structure allows the body to address the reactive oxygen species produced during the intense bursts of activity, promoting metabolic recovery and minimizing damage.
Steven Bartlett references Dr. Stacey Sims’ research, noting that women are more hormonally sensitive to fasting and glucose depletion. Prolonged fasted aerobic exercise can drop women’s blood glucose, prompting the hypothalamus to conserve resources for potential pregnancy and sometimes causing menstrual cycle disruption.
Jamnadas agrees that having women run for extended periods (e.g., 40 minutes) while fasting risks excessive glucose depletion and potential muscle breakdown due to the body's protective response.
According to Jamnadas, most women—including those on fasting programs—can handle resistance and HIIT while fasted without muscle breakdown or glucose-related issues, unless they are pregnant or seeking pregnancy. He observes that women perform just as well as men in fasted HIIT routines and resistance training, both of which emphasize intense muscle work and rest.
Jamnadas stresses that exercise type—rather than gender—is the primary determinant of safe and effec ...
Optimal Exercise: Hiit & Resistance Training Outperform Excessive Aerobics For Heart Health, Considering Gender & Fasting Timing
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