February 1, 2023

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Nighttime is when weird things happen and you notice weird things at night like you might be laying down be like why do i have this numbness in my leg or something like that things you don’t notice necessarily during the day because you have all the distractions of the day come against you at night you’re laying down with nothing to soften the blow of these weird

Things that are happening i’ve been laying in bed before and i’ve felt weird ailments and i’ve gotten kind of freaked out about them and then the next day i’m like i guess i was overreacting because there’s nothing really going on or am i just under reacting right now you can save 25 or more off your entire grocery order through thrive market here’s what’s crazy if

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Attention to things that happen at night because they give us a different view into what could be going on even metabolically so when we look at the world of insulin resistance when we look at the world of pre-diabetes we have to pay attention to these things that happen at night so these are a few things to just look for overall some of them are a little bit

More vague some of them are pretty solid now i’m not a doctor i’m some dude on the internet full disclaimer but this stuff is pretty well documented when it comes down to research and there’s some epidemiological data that backs a lot of this up so when you look at high levels of glucose and even low levels of glucose at night as associated with insulin resistance

There’s some pretty concrete things that happen number one if you’re someone that deals with kind of this disturbed breathing like you can’t get a full diaphragmatic breath maybe you’re aware of it maybe you’re not that is an early indicator of sleep apnea right you don’t realize it but you don’t necessarily have to be super overweight to develop sleep apnea i’ll

Give you an example like i have pretty large lats right from the kind of training that i do my back is kind of big and my muscles are tight and that can actually restrict my breathing and if i’m not consciously working on opening up my thoracic spine i end up having kind of shallow breathing at night that wakes me up it’s a perfect indicator that you know you can

Develop some of these like sleep apnea type things and sometimes that is related directly to the high levels of glucose but more often than not it’s related to just being overweight so pay attention to that because there’s a strong correlation between sleep apnea and people that have pre-diabetes or insulin resistance so if you start seeing symptoms of one first

You should look at the other definitely because even if you know you have insulin resistance but you don’t know if you have sleep apnea maybe you can pay attention to putting some things in place to improve the sleep apnea and it can improve your insulin resistance but that’s not the exciting ones to talk about the next one is restless leg syndrome now why is this

A thing i always thought that restless leg syndrome was just a really random ailment that never made sense but when you start looking at what’s called diabetic neuropathy it does make sense so when we pay attention to diabetic neuropathy we realize it at this very extreme sense when we have extreme numbness or weird pain things like that what happens is when our

Nerves are exposed to high levels of glucose for a long period of time there’s almost like this glycolation effect where it damages the nerves i don’t need to go into the biochemistry there the point is is in the early stages it might rear its ugly head as just feeling the need to move your toes or feeling the need to move your feet because you get this almost

Subconscious like numbness i don’t want to say subconscious because it really exists but you’re picking up on it just very very delicately that definitely keeps you awake and can impact your sleep but it’s also one of those nighttime indicators if you’re walking around and you have constant peripheral signaling on your nerves from different touch points on your

Feet you’re less likely to notice potential numbness or weird feelings but when you’re laying down you might notice them more so be aware of those without a doubt we have to pay attention to high levels of blood sugar and low levels of blood glucose okay because people think insulin resistance diabetes anything like that they think oh my glucose is high so my

Insulin levels are just going to be high and this and that well there’s other pieces of the equation too you see there is a hyper sort of overreaction to glucose that can occur and what happens is you have these glucose spikes that go up and then the pancreas doesn’t really know how to manage because the signaling is all skewed and insulin receptor substrate

One is all out of whack and all kinds of things so what happens is the pancreatic beta cells can release a lot of insulin sending you down so a lot of times you don’t just see glucose remaining high all the time and someone that is dealing with insulin resistance you might see something like like this up down up down up down up down and that is exhausting for the

Body it can trigger a lot of fatigue and make you tired but unfortunately you’re not getting the restful sleep that you really want so when your glucose is high you find yourself hot you find yourself kind of irritable and i’ve noticed when my glucose is high if i’m laying down i find myself frustrated it’s like i want to like just get mad about something for no

Reason that’s a very real thing and it’s not just something that’s associated with insomnia it’s associated with trying to sleep when your glucose is high telling you to be awake now when your glucose is low you can have instances of nightmares you can feel really clammy and get those cold sweats and that’s because your body is trying to increase adrenaline trying

To increase norepinephrine to increase the levels of glucose because you’re dropping low so this whole relationship between insulin and glucagon can make you feel really weird so if you find hey one night i’m really hot so it’s almost like you’re feeling like you’re you’re going through menopause or something like you’re just having hot flashes it’s all over the

Place right so one day it’s one thing another day it’s another thing pay very close attention to that another thing that some people really put under the rug and don’t think about often and it was eye opening for me personally is nocturia that is how often you pee at night okay once you are no longer active okay you lay down your glucose is circulating and it has

Nowhere to really go because normally when you’re walking around you have what is called an insulin independent glucose uptake meaning outside of insulin simply walking around and moving can allow you to take glucose up okay suck it up into the muscles and out of the bloodstream but then all of a sudden you lay down your glucose levels go high well the kidneys in

An effort to do their job they say okay there’s a lot of glucose in the bloodstream we need to try to filter some of this out so what happens is it pulls that glucose in through the kidneys and in an effort to actually filter it properly it pulls a lot of fluids out too and in addition to the fluids it pulls out minerals and guess what you pee a lot and then you

End up thirsty and then you pee some more but it’s a two-headed beast because yeah you end up having to pee at night which is a bummer but it’s a sign but at the same time it’s waking you up and then you’re not getting into these good sleep patterns again because you’re waking up to pee all the time so you’re never getting into that parasympathetic tone that you

Need to really get adequate sleep that plays a role in your overall insulin resistance the last one is you’re waking up really really hungry and sometimes you wake up feeling hungry and not consciously realizing you’re hungry but you are waking up because you’re hungry remember what is happening is your cells in a lot of ways are becoming deprived of glucose because

Insulin isn’t able to open the cell door right so the cells are like feed me feed me feed me even though you already fed them they’re not getting the adequate nutrition they need because the glucose is just staying high in the bloodstream not actually nourishing the cell so what happens is you go to bed and then your blood sugar rises a little bit and then it tends

To fall and when it falls you wake up around 1 or 2 a.m ready to raid the fridge or you just wake up because you had some emergency queue wake you up and you’re like whoa whoa what’s going on i got to deal with this issue but you don’t know what the issue is but when you really think about it you’re waking up hungry and then a lot of times what will happen is in

The morning time when you get up you actually won’t be as hungry why is that well because you have what’s called the dawn phenomena which around 3 or 4 a.m before you get up maybe even 5am your glucose cortisol and glucose go up and that starts bringing of course your satiety levels down a little bit because glucose gets up to sort of be prepared for you waking

Up so it’s almost like it hides the fact that your glucose ever went low but like i wear a continuous glucose monitor so i see it happen and i can correlate my own anecdotally links between when i wake up and i say oh crud like what’s going on my glucose either dipped really low or dipped really high so these are all things to be paying attention to that you may

Not notice during the day when you’re distracted by daily life as always keep it locked and here my channel and i’ll see you tomorrow

Transcribed from video
Nighttime Symptoms of INSULIN RESISTANCE (what to watch for) By Thomas DeLauer