A masterclass on insulin resistance—mechanisms and implications | Gerald Shulman, M.D., Ph.D. (#140 rebroadcast)

2:06:36
 
공유
 

Manage episode 347618531 series 2432666
Player FM과 저희 커뮤니티의 Peter Attia, MD, Peter Attia, and MD 콘텐츠는 모두 원 저작자에게 속하며 Player FM이 아닌 작가가 저작권을 갖습니다. 오디오는 해당 서버에서 직접 스트리밍 됩니다. 구독 버튼을 눌러 Player FM에서 업데이트 현황을 확인하세요. 혹은 다른 팟캐스트 앱에서 URL을 불러오세요.

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

Gerald Shulman is a Professor of Medicine, Cellular & Molecular Physiology, and the Director of the Diabetes Research Center at Yale. His pioneering work on the use of advanced technologies to analyze metabolic flux within cells has greatly contributed to the understanding of insulin resistance and type 2 diabetes. In this episode, Gerald clarifies what insulin resistance means as it relates to the muscle and the liver, and the evolutionary reason for its existence. He goes into depth on mechanisms that lead to and resolve insulin resistance, like the role of diet, exercise, and pharmacological agents. As a bonus, Gerald concludes with insights into Metformin’s mechanism of action and its suitability as a longevity agent.

We discuss:

  • Gerald’s background and interest in metabolism and insulin resistance (2:30);
  • Insulin resistance as a root cause of chronic disease (6:30);
  • How Gerald uses NMR to see inside cells (10:00);
  • Defining and diagnosing insulin resistance and type 2 diabetes (17:15);
  • The role of lipids in insulin resistance (29:15);
  • Confirmation of glucose transport as the root problem in lipid-induced insulin resistance (38:15);
  • The role of exercise in protecting against insulin resistance and fatty liver (48:00);
  • Insulin resistance in the liver (1:05:00);
  • The evolutionary explanation for insulin resistance—an important tool for surviving starvation (1:15:15);
  • The critical role of gluconeogenesis, and how it’s regulated by insulin (1:20:30);
  • Inflammation and body fat as contributing factors to insulin resistance (1:30:15);
  • Treatment approaches for fatty liver and insulin resistance, and an exciting new pharmacological approach (1:39:15);
  • Metformin’s mechanism of action and its suitability as a longevity agent (1:56:15); and
  • More.

Connect With Peter on Twitter, Instagram, Facebook and YouTube

290 에피소드