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Old 06-17-2007, 11:54 AM
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Default Glycemic/Insulin Index and Diet

Hormones - Insulin - Insulin Index :: Nutrition :: Basic

Introduction to the Insulin Index
The Insulin Index is not entirely new to the world, yet it does apparently only seem to be gaining respect and attention in recent times due to great leaps and bounds made in the field of human nutrition of late. This information may just be the most groundbreaking you will read about in a long time in terms of seeing dramatic changes and improvements to your physique.

What is the difference then between the insulin index and the glycaemic index?
You have most likely heard of the glycaemic index, and now you have the insulin index, and the two tie in very nicely together indeed for you to make informed choices about the foods you eat, but they are entirely different - find out how.


Insulin Sensitivity and Insulin Resistance
Insulin sensitivity and resistance are two of the most important factors for you to grasp when learning about your highly anabolic storage hormone insulin. This information could change your physique and your life span more than you ever dreamed possible if you understand and apply the information.

Three Important Factors Of Insulin and Your Physique
Insulin being a primary anabolic and storage hormone on your body - its affects can be dramatic and profound.

Techniques To Control Your Anabolic Hormone - Insulin
How do you take control of this positively impacting hormone correctly with your diet.

Individual Differences - Are You Sensitive?
As you know, we are all different, and here you can learn the methods and procedures to test yourself to see just how sensitive you may be to the effects of the hormone insulin, in response to the foods that you are regularly eating.

The Other Factors Involved in Progress
There are numerous factors involved in the process of putting together a sound nutritional strategy. One of those is the II, and the foods you eat, their quantities, combinations and timings. These are not the only factors. Discover more here.

A Carbohydrate Is Not Just A Carbohydrate
As you should know by now, a carbohydrate is not just a carbohydrate - there are many, many forms. And likewise a fat is not just a fat. You can learn here how to eat correctly of the major food groups to manage and control your insulin.

Test Driving The Insulin Index Theory by John M Beradi
It is thanks to the works and writings of John Beradi that the Insulin Index is finally getting its due attention and exposure in the world of athletic nutrition and so you can read here some of his major work and studies.
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Old 06-17-2007, 04:21 PM
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Glycaemic Index and Insulin Index

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Glycaemic Index & Insulin Index

New research is suggesting that just as all fats aren't necessarily bad, all carbohydrates are not necessarily good. And it seems the way we have thought about carbohydrates in the past, as simple and complex carbohydrates, is not very useful.
View a Table of Low Glycaemic Index Foods.

Glycaemic Index

The glycaemic index or GI is a useful concept because it measures how rapidly the carbohydrates are absorbed and result in blood glucose and insulin elevations . The GI is not related to whether the carbohydrate is simple or complex. The GI measures the rise in blood sugar levels caused by a measured quantity of a particular food. High GI foods are rapidly absorbed and cause a large rise in blood sugar levels.People with diabetes are used to thinking about glycaemic index, they use it to help control their blood sugar levels, but until now we have not really been aware of its significance for people without diabetes.

Some of the so-called complex carbohydrates advocated, like potatoes and white bread and low amylose rice, are absorbed very quickly and give an undesirable metabolic response. The body tries to bring those blood glucose levels back down by secreting insulin. The high GI foods generate a demand for insulin. Since hyperinsulinaemia is linked with all facets of the ‘metabolic syndrome’ (insulin resistance, hyperlipidemia, hypertension and visceral obesity) the GI of foods may eventually be linked with all so-called diseases of affluence e.g. heart disease, obesity, diabetes. Even small physiological increases in insulinaemia for as little as 3-5 days can induce severe insulin resistance in healthy young subjects with normal glucose tolerance and no family history of NIDDM (Del Prato et al., Diabetologia 1994; 37: 1025-35). Higher day-long insulin levels are believed to promote carbohydrate oxidation at the expense of fatty acid oxidation, thereby promoting fat storage in adipose tissue and triglyceride synthesis in the liver (Friedman, Ma J Clin Nutr 1998; 67:513S-8S). Thus low GI diets may promote weight control by both enhancing satiety and promoting fat oxidation. A lower insulin level means the body stores less fat and can access existing fat stores more easily than when insulin levels are higher.

The Glycaemic Index and Health

Diabetes & Glycaemic Index
High GI foods are rapidly absorbed and cause a large rise in blood sugar levels and insulin. Thus, one may well expect that high GI foods could be linked long term to the risk of developing type 2 diabetes and of insulin resistance. Although not all studies have found this to be so, the weight of evidence suggests clearly that this is indeed the case (Am J Clin Nutr. 2004 Aug;80(2):243-4.), and two new studies (below) add to that weight.

Study 1: A US study published in the American Journal of Clinical Nutrition in 2004 (Vol 80, no.2, pp 348-56) on
91,249 adult women showed that a higher GI and lower amounts of cereal fibre in the diet (especially when combined with inactivity) are associated with greater risk of developing type 2 diabetes.


Study 2: Another US study published in Diabetes Care in 2004 (Feb;27(2):538-46) on 2,834 adults showed that the likelihood of developing insulin resistance (pre-diabetes) was reduced in those who consumed more
cereal fibre and whole grain and had a lower GI diet, but the association with glycaemic load was not significant.
The results are consistent with a recent Australian prospective study, involving 36,787 adults and 365 cases of diabetes (Diabetes Care. 2004 Nov;27(11):2701-6).

A study on 6500 nurses in the US showed that those who consumed diets high in carbohydrate from white bread, potatoes and low amylose varieties of rice had 2-5 times the risk of developing diabetes than those who ate a diet rich in high fibre less processed cereals - even after controlling for known risk factors such as age and BMI (Salmeron et al., JAMA 1997; 277: 472-77). For the risk of diabetes, the type of carbohydrate (low versus high GI) was more important than the total amount of fat and carbohydrate in the diet. Furthermore, the total amount of refined sugar in the diet was not a risk factor for diabetes.

Diabetes & Glycaemic load
Even though sugar per se has not been linked with any diseases of affluence, diets with a high glycaemic load have been associated with an increased risk of diabetes, obesity (especially abdominal/visceral obesity) and heart disease (Brand-Miller “The Glycaemic Index: Implications for Food-Based Dietary Guidelines” In: NH&MRC Dietary Guidelines for Older Australians, 1999). The male health professional study has also demonstrated a link between GI load of the diet and risk of developing diabetes in men (Salmeron et al. Diabetes Care 1997; 20: 545-550).

Heart Disease & Glycaemic Index
A similar picture has emerged with acute coronary heart disease in the nurse's study (Liu et al., Fed Am Soc for Exp Bio J 1999; 12: 260). In another study on 1400 British adults (Frost, The Lancet 1999; 353: 1045-48) blood lipids were more favourable with diets which consisted of foods with a low GI i.e. "good carbohydrates and good cholesterol".

Glycaemic Index and Food

Low GI foods include pasta, legumes, oats, whole grain bread/cereals, whole fruit, minimally processed/cooked foods. Since potatoes have a high GI and can constitute 15-20% of the total starch intake in a typical Western diet they could be a significant factor in the total glycaemic load. Current advice to increase the intake of starchy foods such as potatoes may lead to a greater risk of diabetes (Eu J Clin Nutr 1999; 53: 249-54), abdominal obesity, elevated blood lipids, hypertension and heart disease.

An important finding of GI research is that foods containing refined sugars often have less glycaemic impact than starchy staples like bread. Moderate intake of refined sugars (10-12% energy) found in foods (e.g. cakes) or added to foods (e.g. coffee) is not associated with obesity, micronutrient deficiency or undesirable effects on blood lipids or insulin sensitivity (Anderson Nutr Res 1997; 17: 1485-8). This finding has helped to liberate the diabetic diet. However, many foods containing refined sugars also contain undesirable saturated fats and some undesirable high fat foods (e.g. potato crisps) can also have a low GI . Therefore, when selecting a low GI food one should also consider the total amount of carbohydrate, fat, fibre and salt and whether it is a nutrient or phytochemically dense food.

What factors can alter the Glycaemic Index of a food?

1. The degree of processing/cooking/chewing: the more processed/refined a food is, the higher the GI. Foods which are more textured, chewy, crunchy, fibrous tend to take longer to be digested and release their glucose into the blood stream more slowly than soft, refined or pre-cooked foods. Long grain white rice has a lower GI than quick cooking brown rice and multigrain bread has a lower GI than wholemeal bread. Food that has not been properly chewed also has a lower GI – it may also give you indigestion. The method of baking bread appears to influence its GI; traditional slow rising bread dough (e.g. sour dough fermentation) can have a lower GI than breads made with rapid-rise dough.

2. Fibre type: soluble fibre slows down the digestion of starches and the absorption of glucose into the bloodstream e.g. oat fibre (oats, oat bran, oat fibre flour), fruit pectin (especially cold climate fruits), legume fibre (baked beans, lentils etc) and psyllium (Metamucil, Fybogel). Porridge has a lower GI than Weetbix (has only when bran) and plums have lower GI than watermelon.

3. Starch type: Resistant starch is a type of starch which is slowly digested. Amylose (long chains of sugars joined together) takes longer to be broken down than starches made up of branches of sugars (amylopectins). Cold cooked potato has a lower GI than freshly cooked white potatoes, new potatoes have lower GI than desiree potatoes and long grain rice lower GI than short grain rice.

4. Degree of ripeness: the riper the food the higher the GI e.g. yellow/black bananas vs. greenish bananas.

5. Acidic VS Salty: acidic foods in a meal help slow digestion of starches generally, which reduces the GI of the meal e.g. lemon juice on vegetables, vinaigrette dressings on salad, pickled foods such as gherkins. Increasing the acidity of bread by using sour dough fermentation. Salt and salty foods/condiments tend to speed the rate of digestion of starches and increase the rate of absorption of glucose and increases the GI of the meal.

6. Types of sugars: pure glucose has a maximum effect on blood glucose e.g. Glucodin, glucose syrup (used in cake/confectionery manufacture), some sports drinks, Lucozade and as ‘dextrose’ in many foods. These foods will have a high GI.
Fructose occurs naturally in many fruits, some vegetables (corn, sweet potato), corn syrup, honey. Fructose is absorbed as fructose and contributes very little to blood glucose levels. High fructose foods have a lower GI. Lactose and sucrose have an intermediate effect on blood glucose levels. Honey has an intermediate GI (58).
The concept of GI has meant that people with diabetes do not need to be as strict about every teaspoon of sugar as they once were. A little sugar added to otherwise healthy and lower GI foods, such as sugar on porridge, marmalade on grainy toast is generally acceptable. For someone with diabetes, a moderate amount of table sugar, say the equivalent of 2 tablespoons over a day, is now generally acceptable.

7. Combination of foods in mixed meals: eating protein rich food in the same meal lowers the overall GI of the meal. Protein foods delay stomach emptying which delays digestion of the starches. Spaghetti with meat sauce has a lower GI than spaghetti with tomato sauce. Foods or meals with a higher fat content will show a lower GI than those with a lower fat content. Like protein, fats delay stomach emptying. However, in the interests of overall good health, restrict the fat to monounsaturated oils used in cooking and avoid butter and other hidden fats (meat fat, fats in fast food/commercial cakes/biscuits, vegetable ‘fats’, hydrogenated fats).

GI and Athletic performance

Research with sports people has shown that foods with a low GI eaten 2-4 hours before a sports event provides a slower release of energy and an improved ability to last longer in endurance activities. Pre-event low GI foods are now added to high carbohydrate loading practices which are used up to 4-5 days before an endurance event. The GI index in foods is unlikely to influence performance during an event, as most athletes these days take quick acting glucose through glucose polymer drinks to replenish energy supplies while they are competing. ‘Re-loading’ however, after an athletic event to ensure maintenance of high energy levels for ongoing training, is still seen as important in sports and high GI foods are recommended for post event replenishment. Bread, potatoes and other high GI foods then, may have more value after the event than before, when fruit sugars and legumes are more likely to be useful.

Insulin Index

The Insulin Index (ID) is a relatively new concept which measures the amount of insulin the body produces in response to a set carbohydrate load in a particular food. This index is not necessarily proportional to the GI and consumption of large volumes of food with a high insulin index may play a role in the development of insulin resistance, although the link has yet to be conclusively established. High protein and high fat foods stimulate greater insulin responses than predicted by the level of glycaemia and in a study of insulin responses to 1000kJ portions of common foods, ordinary bread showed amongst the highest scores of any of the foods tested. More exaggerated insulin responses are seen when people with underlying insulin resistance consume high GI foods. Hyperinsulinaemia has recently been shown to be an independent risk factor for coronary heart disease (Depres et al. NEJM 1996; 334:952-7). Thus an insulin index of foods may eventually be needed to supplement tables of GI (Holt et al. AJCN 1997; 66: 1264-76). Both indices compare the body’s response to a food on a scale where the response to the glucose control is set at 100. Choosing foods with a low GI and low ID can improve diabetic management and may possibly reduce the incidence of diabetes complications e.g. heart disease, renal disease.

Summary

What does this mean for the average person? If you have a family history of diabetes or if you are overweight/obese and/or inactive then consuming low GI foods may help prevent insulin resistance or diabetes developing. If you already have diabetes, low GI foods can help manage blood sugar levels.

Foods with a low GI are generally more filling, more sustaining, help control hunger and appetite as well as blood glucose levels and may help with weight loss. The lower the GI of a food, the better the carbohydrate food is for everyone, especially if it also low in fat and added sugar. The exception is if blood glucose falls below normal in people with diabetes. This is more likely if you are an insulin-dependent diabetic. A high GI food or drink will restore blood glucose levels more quickly. Follow up with a low GI food to maintain blood glucose levels.

It is not always possible to choose all lower GI foods. If you mix a low GI food with a high GI food, you will get an intermediate GI for that meal. Try to include a good proportion of ONE low GI food at each meal (MacDonald, Nutr Issues & Abstracts, 1995). It is better to have 4-5 small meals a day containing at least one GI food than to heave fewer larger meals. These strategies will allow a slow diffusion of energy through the body, thus eliminating peaks and troughs of blood sugars, tiredness and alertness.

Remember:
a) The GI list is a guide to relative effects of different carbohydrate foods on blood glucose levels, under research conditions. Individuals may react to individual foods and combinations differently.
b) The GI is not based on the typical serving size of a particular food, but rather on 50g of carbohydrate. For example, 50g of carbohydrate is found in about 2 slices of bread OR 500ml of soft drink OR about 1kg of carrots - all these foods have a similar GI when eaten in these amounts. So, if a food has a medium to high GI, but is not ordinarily consumed in large quantities then the value of the GI is not an issue. In contrast, if it is consumed in large quantities then the GI and total carbohydrate consumed is of concern.

The American Diabetes Association issued new nutrition guidelines for the treatment and prevention of diabetes and its complications in January 2002. The new guidelines outline strategies for controlling blood sugar levels, for example they state that "the total amount of carbohydrate is more important than the source or type; the glycemic index may reduce post-meal blood glucose, but studies do not show sufficient evidence of long-term benefit for it to be recommended". For example, even though pasta has a low glycaemic index it is not advisable for people with diabetes or impaired glucose tolerance to have a large serve because the total amount of carbohydrate will be too high.
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Old 06-17-2007, 04:40 PM
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Default The Anabolic Power of Insulin

John Berardi - Insulin

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The Anabolic Power of Insulin
An Interview with John Berardi
By Rob Wilkins
First published at Testosterone Nation, Mar 23 2001.

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Recently, Biotest and Testosterone magazine held their very first "No Holds Barred" bodybuilding workshop in Orlando, Florida. During the workshop, members of the Testosterone science team provided the audience with the latest and greatest information related to training, supplements, and nutrition to help them take their training to the next level.

One of the speakers was John Berardi, who presented a fascinating presentation on insulin and the insulin index. Insulin is a hormone that regulates the metabolism of carbohydrates, fats, and starches in the body, and it promotes muscle uptake of amino acids for making proteins.

Berardi is a scientist and PhD candidate in the area of Exercise and Nutritional Biochemistry at the University of Western Ontario, Canada. As an athlete, he's been a successful powerlifter, former NABBA Jr. Mr. USA bodybuilding champion, and a member of nationally ranked rugby and track and field teams.
John is highly regarded for his expertise in hormonal regulation of muscle mass and body composition; the interactions between exercise, diet, and nutritional supplementation; methods of strength training and conditioning; and the testing and design of nutritional supplements.

He's currently conducting exercise and nutritional supplement research with renowned exercise and nutrition researcher Dr. Peter Lemon, one of the world's leading experts on protein. John's also famous for conducting experiments on himself and his friends to put his theories to use. Sometimes they work, and sometimes they go terribly awry, as former friend, Larry "Two Headed Freak" Dumbrowski can attest.

RW - Thanks for your time John. First off, can you give us a brief background on yourself and what stimulated your interest in exercise and supplementation?

JB - Well Rob, I think the introduction you gave was pretty comprehensive. As you said, I'm currently a researcher but have an extensive background in competitive athletics. And that's what holds my passion. I love training and consulting with elite athletes in order to apply my university and real-world training in order to take their games to superior levels. And with each new athlete that becomes part of my clientele, I get supercharged about the new challenges that await us! And that's where the research ties in. Every research project I've conducted and every nutritional supplement I've designed has been done with one goal in mind - to figure out how to make better, stronger, leaner and meaner athletes.

Lately I've been branded by some of my athletes as "the recovery specialist." This is due to my research that's been focusing on the recovery of ATP, glycogen, and protein balance, and the prevention of overtraining. In addition, I've been working on some nutritional programs and supplements that manage the hormone insulin.

RW - So let's talk about insulin. What is insulin and why should athletes and those involved in health and fitness care about it?

JB - The current rage in health and fitness is to manage the hormone insulin. But few people really understand this temperamental hormone. You see, insulin is an anabolic giant. It's the most anabolic hormone because it stuffs nutrients like amino acids and carbs into muscle cells to promote growth. But, while it sounds great, getting aggressive with it can lead to serious fat gain. For instance, here are some basics:

Insulin is a hormone released into the blood by an internal organ called the pancreas. Insulin functions in many ways as an anabolic or a storage hormone; in fact it's been called the most anabolic hormone. When insulin is released into the bloodstream, it acts to shuttle glucose [carbohydrates], amino acids, and blood fats into the cells of the body. "Which cells?" you ask. Well, fat and muscle cells are the important ones in terms of quantity. Now, if these nutrients go predominantly into muscles, then the muscles grow and body fat is managed. If these nutrients go predominantly into fat, then muscle mass is unaffected and body fat is increased.

So obviously if there were a way to send nutrients preferentially into muscle rather than fat, trainees would have more muscle mass and less fat mass. That's the goal of my recommended training and eating programs - to increase the muscle uptake of nutrients preferentially. Isn't that the goal of every trainee whether they know it or not?

RW - So how can one manage this hormone to promote muscle gains and fat losses?

JB - Well, this is where things get tricky. Because insulin is a storage hormone, most people think that since insulin stores nutrients, it should be avoided because it has the potential to store fat. This is a mistake for several reasons. First, there's no way to avoid insulin in the blood. Whenever you eat food, insulin is released.

Secondly, if you theoretically could eliminate insulin, you would abolish all of its anabolic effects and its ability to store energy in the muscle. In fact, type 1 diabetics don't produce insulin and as a result, if left untreated, they die.

But don't go the opposite route, either. If blood levels of insulin are always highly elevated, trouble results. Chronic elevation of insulin leads to large amounts of fat gain, risk for cardiovascular disease, and ultimately to type 2 diabetes. This second type of diabetes is characterized by obesity, cardiovascular disease, and the poor ability of the muscle to store nutrients, which leads to muscle wasting and tons of fat storage. This is called insulin resistance.

So my point is that you need insulin, but you must learn how to balance the anabolic effects against the fat storage effects; to trick it into making you muscular while making you lean at the same time. And this is done two major ways; first by increasing insulin sensitivity in the muscle while decreasing insulin sensitivity in the fat cells and, second, by controlling the insulin released during specific times of the day.

RW - Please explain the difference between insulin resistance and insulin sensitivity?

JB - Simply put, insulin resistance is bad. If you're insulin resistant, your cells - especially the muscle cells - don't respond to the anabolic effects of normal levels of insulin, i.e. they resist insulin's effects. If this is the case, the body then releases massive amounts of insulin to promote nutrient storage in the resistant cells. Remember, though, that chronic high levels of insulin in the blood are very bad and can cause type 2 diabetes.

Insulin sensitivity is therefore very good. In this case, your cells - especially the muscle cells - respond very well to small levels of insulin. Therefore, they need very little insulin stimulation to get into an anabolic state. So high insulin sensitivity at the muscle level is very desirable.

One way to remember the difference is as follows. If you're dating someone who responds or reacts to any affection you show them, then he or she is sensitive. So they're a good model for insulin sensitivity. It only takes a little affection to get a big response. On the other hand, if the person you're dating is resistant to your affection, then it takes a lot to get them going. Therefore, they're a good model for insulin resistance. It takes a lot of affection to get even the smallest response.

RW - Does insulin sensitivity vary or change?

JB - Insulin sensitivity is unique to each individual but the cool thing is that it can be manipulated by exercise, diet, and supplementation. And that's what I do with my clients to dramatically change their body composition.

Both aerobic and resistance training greatly increase insulin sensitivity through some different and some similar mechanisms. In addition, supplements like omega 3 fatty acids, fish oils, alpha-lipoic acid, and chromium can increase insulin sensitivity. Finally, moderate carbohydrate diets that are rich in fiber can increase insulin sensitivity.

On the flip side, the low-carb, high-fat diets that have become popular can decrease insulin sensitivity. That's why none of my trainees go on no-carb diets, unless they're dieting down for a show and then they'll do occasional no carb diets every few months for a maximum of 3 weeks at a time.

RW - So what are some practical ways to manipulate insulin sensitivity?

JB - Well, typically I've seen tremendous increases in insulin sensitivity with 3-4 intense weight training sessions per week, lasting 1 hour per session. These sessions should be coupled with at least 3-4 aerobic sessions lasting 30 minutes per week. To really target insulin sensitivity, you would perform these sessions separately.

After exercise, the next step would be to supplement with 600 mg of alpha-lipoic acid and concentrated fish oils containing a total of 6-10 grams of DHA and EPA, which are the most active omega 3 fats in fish oils.

Finally, your diet can make a big difference. I recommend moderate quantities - 40-50% of the diet - of fibrous carbohydrates like oatmeal, fruits, vegetables, and whole grains. I also recommend eating moderate quantities (30-40% of the diet) of high-quality proteins like casein, whey, chicken, beef, fish, dairy and eggs. And finally, I recommend eating low quantities (20% of the diet) of fats from olive oil, flax oil, fish oil, and nut oils.

All of these strategies can be combined to make the muscles more responsive to insulin while simultaneously decreasing the fat's responsiveness to insulin. This means more muscle mass with less fat gain... the eternal quest of the bodybuilder!

RW - How important is the insulin sensitivity to my progress as a "natural" bodybuilder?

JB - I think that insulin sensitivity dictates your muscle-to-fat ratio, especially when trying to gain or lose weight. If you're more insulin sensitive during a weight-gain program, you'll gain more muscle relative to the fat that you gain. For example, with normal insulin sensitivity, you might gain 1 lb of muscle for every 2 lbs of fat for a 1:2 ratio. With increased insulin sensitivity, you might gain 1 lb of muscle for every 1lb of fat or even better, 2 lbs of muscle for every 1 lb of fat.

And if you're dieting, you will lose more fat relative to your muscle loss if your insulin sensitivity is high.

Are these things important to bodybuilders? You bet they are! And especially to natural ones. Drug-assisted bodybuilders have super insulin sensitivity. In addition, the drugs enhance their muscle-to-fat-gain ratios. If you're clean, you need to use every natural means at your disposal to alter these ratios as well.

RW - So what about the other step in balancing insulin? Controlling insulin release during specific times during the day, right?

JB - That's right. Remember, insulin is anabolic so we want bursts of it every day without chronic elevation. An effective way to do this would be to plan insulin bursts after training. In addition, I recommend jacking up insulin at least twice per day, but no more than 3 times. So planning at least 2 high-insulin meals per day is the way to grow and stay lean.

To do this we need to first pay attention to something called theinsulin index of foods. If you think I've made a mistake and that what I really mean is the glycemic index, you're wrong. I mean the insulin index. Never heard of it? You're not alone. Although insulin indices are not new, they've been ignored in health and fitness for far too long.

RW - What's the difference between the well known glycemic index (GI) and this insulin index (II) you're referring to?

JB - The popular glycemic index is a measure of the speed at which carbohydrates enter the blood after a meal. A high-glycemic index means that blood sugar rises rapidly in response to a meal while a low-glycemic index means that blood sugar rises very slowly. Traditionally, nutritionists thought that the faster the carbs got into the blood, the bigger the insulin response. So in an attempt to manage insulin, they recommended always eating low-glycemic foods.

However, several studies since have shown that some low glycemic index foods have huge insulin responses! So the correlation between glycemic index and insulin response breaks down with some foods. For example, milk products have a very low glycemic index. But they promote insulin responses parallel to the highest glycemic foods. What's the deal? Well, it appears that there are several other factors that determine insulin release besides carb content and the rate of carb absorption.

This is why the insulin index was generated. This index actually measures insulin response to a food. So rather than assuming insulin response is correlated with carb absorption, these researchers decided to go ahead and measure it. And their results were eye opening!

RW - If a natural bodybuilder is planning their nutrient intake around the insulin index, what foods would they eat and what foods would they avoid?

JB - One thing to keep in mind is that there is no such thing as a bad food. Well, almost no such thing. I don't think anyone can make a case for powdered, cream-filled doughnuts, besides the fact that they taste damn good! But I hope you see my point. Since I said earlier that sometimes you want an insulin surge - especially after workouts - and sometimes you don't - especially at night before bedtime - we have to realize that we use the insulin index not to condemn foods but to decide when to eat them.

The point I want to stress is that the insulin index helps us add information to the glycemic index to make better food choices. So using both indices is the way to go. Since milk products have a low GI but a high II, these foods aren't optimal when you want to keep insulin low. Other example foods or meal combinations for this situation are baked beans in sauce, meals with refined sugars and fats, and meals that are protein and carbohydrate rich. Each of these foods/combos have low GI scores but high II scores, none of which are optimal for low insulin times. But remember, some times you want high insulin so don't relegate these foods/combos to a dark corner of your nutritional closet.

Conversely, unprocessed fibrous grains and cereals as well as fruits and veggies are great on both scales. In addition, most low-fat protein sources are also great on both scales.

RW - So what times of the day should you increase insulin levels and what times should you concentrate on decreasing them?

JB - Again, I like to spike insulin 2-3 times per day. Remember, though, that my clients are super insulin sensitive due to the training, diet, and supplementation programs I have them following. So they can handle the insulin surges and can actually grow and get lean at the same time. With this said, natural insulin sensitivity declines at night time so perhaps at night, low insulin choices are best. After training however, the goal should be to send insulin through the roof. A sensible plan is to eat 3 high-insulin meals as your first 3 of the day, and 3 low insulin meals to finish the day. This can be accomplished as follows:

1st 3 meals: Protein plus carbs with no fat
2nd 3 meals: Protein plus fat with no carbs
[Editor's note: for more information on John Berardi's eating recommendations, check out "Massive Eating, Part 1", and "Massive Eating, Part 2".]
Post-workout meals: Hydrolyzed protein, simple carbs, BCAA, free form amino acids

RW - Are there any supplements that affect the release of insulin and if so, how are they beneficial?

JB - There certainly are! In fact I'm currently designing a post-workout formula with this goal (as well as a few others) in mind. You see, as I said earlier, I'm sort of a "recovery specialist." I'm hired to consult with many athletes from serious endurance marathoners and triathletes to strength and power athletes like bodybuilders and sprinters. Although I design training and nutritional programs for them, one of my special strengths of focus is how to help those who are "midgets of recovery" (the athletes who are especially prone to over training).

One of the main factors in recovery from training is to increase glycogen in the muscle, increase protein synthesis, and decrease protein breakdown. And the way to do this is to get insulin high right after training. I recently did a series on this in Testosterone [Solving The Post-Workout Puzzle - Part 1: What Happens After The Workout? and Solving the Post-Workout Puzzle - Part 2: The Recovery Plan].

The current recovery drink I'm working on is a special blend of glucose and glucose polymers, whey protein hydrolysates, BCAA, glutamine, and some other free form amino acids. This combo of ingredients (in specific ratios) is highly insulin releasing as well as very specific to the recovery of glycogen balance and protein balance.

The best thing about this formula is that every person who works out, no matter the sport, can use it. It has only nutritive ingredients and no mysterious herbs or other compound. And it and targets physiological processes common to all activities.

RW - Thanks so much for this informative interview John. Is there anything you would like to leave the readers with?

JB - Remember, insulin sensitivity is a huge factor in maximizing recovery and making dramatic changes in body composition. Use the insulin index, glycemic index, and smart nutritional advice to take your physique and training to a higher level.

In the end, however, although we really focused in on the insulin index and insulin sensitivity with this interview, I want readers to understand that in athletics and training, there are so many other factors that contribute to gains in performance on improved body comp. As my colleague Tom Incledon says, "The cells of the body are like a space ship being bombarded by meteors (hormones and nutrients)."

The point is that no hormone or cellular system is independent. When we try to focus on any one thing, it's easy to lose sight of other important factors. So remember, after defining your goals, you need to come up with a plan of attack based only on your personal path. Don't follow someone else's plan to the letter or a generic plan that you read in a magazine. Individualize!

RW - Thanks for your time, John.
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Old 06-20-2007, 07:37 PM
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Here's a .pdf document with a wealth of information including a decent number of foods where II and GI were measured

http://www.ajcn.org/cgi/reprint/66/5/1264.pdf

Here's another good link that shows milk's II (link has been fixed)
http://journals.cambridge.org/produc...ltextid=917928

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Old 06-21-2007, 07:22 PM
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So exactly how high is the II on milk and other dairy products? Im having a hard time finding II values for those. Also, i read that the reason the II is so high for milk is cause of the whey. So whats that mean for whey supplementation?
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Old 06-21-2007, 07:35 PM
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Quote:
Originally Posted by Traps View Post
Here's a .pdf document with a wealth of information including a decent number of foods where II and GI were measured

http://www.ajcn.org/cgi/reprint/66/5/1264.pdf
god, this is like chemistry all over again.

nice read though
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Old 06-21-2007, 07:35 PM
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Also, what about artificial sweeteners like splenda. Ive heard they might spike your insulin but cant find any solid evidnce either way.
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Old 06-21-2007, 09:03 PM
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So exactly how high is the II on milk and other dairy products? Im having a hard time finding II values for those. Also, i read that the reason the II is so high for milk is cause of the whey. So whats that mean for whey supplementation?
I updated my post with a journal on milk II vs GI.

Glycemic/Insulin Index and Diet


As far as your second question. All food will increase insulin, but when you throw in a combination of carbs and protein the spike is much greater. Combine carbs, protein, and fats, and I believe its even higher still. Protein by itself wont be so bad. I'm pretty sure it depends on the amino acid profile as well.

Quote:
Originally Posted by mitchcumstein View Post
Also, what about artificial sweeteners like splenda. Ive heard they might spike your insulin but cant find any solid evidnce either way.
A post by a doctor showing a possible insulin response to diet coke
Quote:
Just to satisfy my own curiosity about insulin and diet Coke, I have measured blood sugars in a few individuals after consuming diet soft drinks. This, by no means, is a scietific study but, in most people, I've seen a sharp decrease in blood sugar after consuming a diet drink by itself. What this tells me is that insulin is secreted in response to the sweet stimulus of an artificial sweetener. The blood sugar is then lowered because of the action of insulin and soon after the person gets hungry (and starts eating) because their blood sugar is too low. These blood sugar results probably wouldn't be seen in type II diabetics because of the resistance issue.
A response from google answers showing no insulin response from artificial sweeteners
Quote:
An excellent source of material can be found at:
[ Everything You Need to Know About Sucralose ]
Published by the American Academy of Family Physicians Foundation.

From that page:
"Can people with diabetes use sucralose?
Yes. Clinical studies have shown that sucralose can be safely consumed
by people with diabetes. Sucralose is not recognized by the body as
sugar or as a carbohydrate. It is not metabolized by the body for
energy and does not affect blood glucose levels. Sucralose has no
effect on blood glucose utilization, carbohydrate metabolism or
insulin production. Products sweetened with sucralose provide
good-tasting, lower-calorie alternatives for people with diabetes who
are interested in reducing their caloric or sugar intake. As with any
nutritional concerns, people with diabetes should consult their doctor
or diabetes healthcare professional for advice on an individualized
dietary plan."

Additionally:
"What is sucralose made of?
Sucralose is derived from sugar through a patented, multi-step process
that selectively substitutes three chlorine atoms for three
hydrogen-oxygen groups on the sugar molecule. The tightly bound
chlorine atoms create a molecular structure that is exceptionally
stable.

Is sucralose safe?
Sucralose has an excellent safety profile. More than 100 scientific
studies conducted over a 20-year period demonstrate that sucralose is
safe for use as a sweetening ingredient. The data from the studies
were independently evaluated by international experts in a variety of
scientific disciplines, including toxicology, oncology, teratology,
neurology, hematology, pediatrics and nutrition. Importantly,
comprehensive toxicology studies, designed to meet the highest
scientific standards, have clearly demonstrated that sucralose is not
carcinogenic."

Regarding other artificial sweeteners, the four most popular do not
alter blood-glucose levels and are approved by the American Diabetes
Association. They are:
Saccharin
Aspartame (NutraSweet)
Acesulfame potassium (Sunett)
Sucralose (Splenda)
A discussion of these is found at:
[ Artificial sweeteners: Any effect on blood sugar? - MayoClinic.com ]

I trust this information will be sufficient for understanding these
chemicals' impact on diabetes. If you need a clarification, however,
please request one before rating this answer. Thank you for bringing
your question to Google Answers!
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Old 06-21-2007, 09:05 PM
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Remember Insulin is both good and bad. To make it effective you need to be in complete control of it. Insulin resistance is a BAD thing. The good news is you can control it by consuming foods that have a low insulin response for the majority of the day. If you dont have big issues with insulin resistance its ok to spike it once or twice a day, maybe even three times. Although I wouldnt recommended doing it year round. Furthermore, exercise helps promote insulin sensitivity(that means make your cells respond better to insulin).


Being insulin insensitive means your cells dont respond to insulin very well, so your body compensates by releasing even larger amounts of insulin, thereby making your cells even more resistant possibly leading to diabetes.

Insulin resistance - Wikipedia, the free encyclopedia
Quote:
Insulin resistance is the condition in which normal amounts of insulin are inadequate to produce a normal insulin response from fat, muscle and liver cells. Insulin resistance in fat cells results in hydrolysis of stored triglycerides, which elevates free fatty acids in the blood plasma. Insulin resistance in muscle reduces glucose uptake whereas insulin resistance in liver reduces glucose storage, with both effects serving to elevate blood glucose. High plasma levels of insulin and glucose due to insulin resistance often lead to metabolic syndrome and type 2 diabetes.

Quote:
In a person with normal metabolism, insulin is released from the beta (β) cells of the Islets of Langerhans located in the pancreas after eating ("postprandial"), and it signals insulin-sensitive tissues in the body (e.g., muscle, adipose) to absorb glucose to lower blood glucose to a normal level (approximately 5 mmol/L (mM), or 90 mg/dL). In an insulin resistant person, normal levels of insulin do not trigger the signal for glucose absorption by muscle and adipose cells. To compensate for this, the pancreas in an insulin resistant individual releases much more insulin such that the cells are adequately triggered to absorb glucose. Occasionally, this can lead to a steep drop in blood sugar and a hypoglycemic reaction several hours after the meal.
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