This post was going to be about tools I used to deal with my metabolic syndrome but then I realized that it might be helpful to discuss metabolic syndrome itself. It’s also called, or was called, Syndrome X. That’s kind of a scary name, if you ask me. It sounds like a disease black hole! And, honestly, that’s not a bad way to describe metabolic syndrome. We hear alot about chronic disease today, especially cardiovascular disease, heart disease, high blood pressure, dyslipidemia (fancy way of saying high cholesterol), obesity and diabetes. These are all related and metabolic syndrome encompasses all of them. It most likely plays a role in cancer, too.
A HIGHLY simplfied version of what happens in Metabolic Syndrome
Metabolic syndrome is basically a dysregulation of metabolism causing too much insulin to be released into the blood stream. It starts with certain body cells becoming insulin resistant, meaning that the cells stop responding to insulin. The cells that become insulin resistant first are muscle cells (heart muscle, too). Muscle is a metabolically active tissue and needs lots of energy. Cells that are the last to become insulin resistant are fat cells and some cells, like epithealial cells that line the arteries and the GI tract, don’t become insulin resistant at all. They keep growing in response to high insulin levels as insulin is an anabolic, or growth-promoting, hormone. Hence, metabolic syndrome plays a part in cancers.
Eating lots of carbs raises blood glucose which in turn promotes insulin secretion from the pancreas. If one high carb thing hits the GI tract after another, all day long, for years and years, eventually some of the cells in the body just ignore the insulin (they become resistant) when it comes by to tell them to store nutrients. Cells down grade their insulin receptors because there is so much insulin in the system. More and more insulin is needed to get cells to take the nutrients. When this happens, blood glucose stays high, nutrients aren’t put into insulin resistant cells and the person feels like they’re starving. And some of the cells are starving. Muscle cells can’t get nutrients, for example. This causes the person to want to eat again as nutrients aren’t available to cells that need them - they’re all being packed away in fat cells. Let this go on long enough and the person may develop Type 2 diabetes or even worse, T2 diabetes with insulin dependence from the pancreas wearing out.
As you can see what eating three high-carb meals a day plus high carb snacks can do, especially to a carbohydrate sensitive person. It ends up as a horrid feedback loop that is difficult to break. As the person gains weight, he or she may be told to go on a low fat diet and that generally means a high carb diet. That doesn’t help matters much. Or the person is told to exercise more. That is difficult as people with metabolic syndrome, because their muscles are starving, don’t have much energy.
Insulin signals the kidneys to hang on to water and sodium, causing edema. Edema drives up blood pressure and the person gets hypertensive. All those carbs get turned into fat in the liver, too, especially triglycerides and VLDL, causing cholesterol to go up. These processes are pretty complicated and I’ll refer you to Good Calories, Bad Calories by Gary Taubes or The Protein Power LifePlan by the Eades for more information.
Insulin also supresses a hormone called glucagon. Glucagon is the hormone that tells the body to release fat from fat cells and use it for energy. Now we can’t live without insulin but we certainly don’t want insulin to run amock. We definitely want glucagon to be secreted so our bodies burn fat. The problem with our current dietary “wisdom” is that glucagon never gets a chance and our bodies don’t burn fat. These pathways aren’t used and then it takes a while to get them established.
So, that is a very, very short and simplified version of metabolic syndrome. It certainly ain’t pretty.
What to do to tackle Metabolic Syndrome? As I’ve already discussed my dietary guidelines in the last post I’m going to give some “helpful hints” here.
I’ll tackle tools first:
- Tape measure
- Scale that measures body fat percentage - not just weight.
- Food tracking program. The free ones available on the internet like Fitday or The Daily Plate are just fine.
- A diet buddy or support person
- Exercise
- Supplements
- Herbs
How to use your “tools”
The tape measure is to measure your body: thighs, waist, hips, chest - even your arms if you wish. These numbers are really helpful, as I’ll explain in a minute. And don’t feel like you have to show them to anyone, ever! Periodically check your measurements and by periodically I mean no more than once a month. Quarterly is fine, every eight weeks, etc. I keep mine on an index card because it’s purple and that makes me happy plus it fits in the bathroom drawer where only I can see it.
A scale that meaures body composition is vastly superior to a scale that just measures weight. Why? The scale that meaures only weight cannot tell you if you’ve lost fat and gained muscle. This is extremely important because muscle is metabolically active tissue (see above). It uses energy just to sit there. If you loose weight and loose a lot of muscle that is bad - you’ve just lost the tissue that uses up energy. This is why many people who do diet and go off the diet end up heavier than before, especially people who use a lot of cardio exercise (talk about that in a minute). They’ve lost too much metabolically active tissue rather than fat. Ultimately, we want to use fat for energy to get rid of it and build muscle. My advice if you only have a regular scale is to put it in the basement and don’t use it. Use measurements or how your clothes fit. Here’s my anecdotal story about this. I weighed 160 on 1 Oct and wore a size 14 pants just barely. They were a bit tight in the wasit. Fast forward to 1 Dec. I still weighed 160 but now wore a size 12 pants loosely. What happened? I lost fat and built muscle. Muscle is denser than fat so it takes up less space. Oddest thing? Didn’t exercise much. Taubes talks about this in GCBC. There were some weight loss studies done in the early 1960’s using the type of diet I use - with women, so we’re talking apples to apples here. The additional protein seemed to lead to muscle mass building without additional exercise. Or perhaps it was just that elevated glucose causes muscle waisting? No further studies were done on this line of thinking. Bummer.
A food tracking program or keeping a food diary is really useful. If you can use a free internet-based one that’s great. Fitday breaks up intake by macronutrient. Either way it’s a super useful tool to see what you’re really eating.
A diet buddy is great to keep you on track whether you need someone to talk to or someone to compete against. Internet buddies count, too. It helps if your household is “carb clean”, too, but for some of us that is very difficult due to family members that don’t want or aren’t willing to come along for the ride.
Exercise is important and if you are able you should do it. By that I don’t mean making time for it. I mean physically able. If you’re physically able you should exercise. Metabolically active tissue uses energy and you want lots of that. The best way to get it is to weight train or do body weight exercises. No “chronic cardio” as Mark Sisson calls it. That tends to raise levels of the stress hormone cortisol (which works with insulin, by the way) and may signal to your body that storing fat is a good idea. After all, if you’re going to be running miles everyday your body needs lots of energy. Without adequate protein or with a restricted calorie diet the body may eat up muscle tissue for its protein needs. If you’re heavily overweight, walking is fine. You can also sit and do weighted arm exercises if its comfortable to do so. When you’ve lost enough weight and are able to exercise, by all means do so. If you’re thinking “oh, I hate to exercise” you may be surprised. Once my I started to burn fat rather than sugar I felt so great I went running - I had only lost about 5 pounds by then, too. My energy level was the first thing to change. It was great.
Supplements are important because metabolic syndrome is an imbalance caused by both excess and deficiency. The excess is high insulin and high blood sugar. The deficiency is micronutrients, mainly chromium, magnesium and omega-3 fatty acids. Refined carbohydrates use up bodily chromium and there’s not a good way to replace it. Even foods high in chromium, like beef liver, don’t have very much. The whole compliment of antioxidants are important as well - selenium, Vitamin E, coenzyme Q-10, just to name a few. Contact me for specific types (there are several types of chromium and they’re not the same) and amounts.
Now onto herbs. Being an herbalist, you’d think I’d have listed these first. However, they are the least important part of the picture here. I’m healing my metabolic syndrome with very little herbal help, if you don’t count all the plants I eat. Herbs can be helpful but they are not a substitute for dietary changes and exercise. I can’t stress this enough. Herbs that can be helpful include:
- Cinnamon - makes cells more insulin sensitive
- Dandelion - helps tonify the liver, which takes a beating on a high-carb diet
- Gymnema sylvestre - makes you unable to taste sugar as well as lowers blood sugar
- Ginsengs - may help by stimulating insulin secretion, but the mechanisms aren’t clear
- Blueberry and bilberry - eat the berries (no sugar & with cream) to help with vascular complications from diabetes or make a tea with a pinch of the leaves for blood sugar lowering effect. Some studies show that the leaves may be toxic over the long term so don’t self-herb with this.
- Devil’s club
- Brickelia
- Syzygium
- Fenugreek
- Cinnamon
- Maitake mushroom
- Bitter melon (Momordica charantia)
- Basil - certain species
Again, don’t self-herb with any of these! Check with a trained herbalist near you.
READING - These are all good books to read about diet. The Protein Power Lifeplan talks a lot about insulin resistance and its biochemistry. If you have T2 or T1 diabetes, Dr. Bernstein’s book is a must-read to understand your disease.
- Dr. Bernstein’s Diabetes Solution by Richard K. Bernstein, M.D.
- The Protein Power Lifeplan by Drs. Michael and Mary Dan Eades
- Protein Power by Drs. Michael and Mary Dan Eades










