You can have good levels of body fat but still be under muscled. I’d look at your Fat Free Mass Index and your Appendicular Lean Mass Index. Both of those are in my DEXA scan report so maybe are in yours too. My guess is you are on the low end for both and so adding some muscle to your frame might be something to look at since muscle does a great job of improving insulin sensitivity.
And you shouldn’t with the general population either because the current population is very unfit and unhealthy. I wouldn’t want to be unfit and unhealthy, which would be better than average… I would want to be (very) fit and healthy…
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You can absolutely be in a high energy state and also not diabetic. Having high glycogen levels in your muscles would actually be a sign of not having T2DM.
Saying it’s a disease of having full energy stores is like saying your hard drive is full, but not explaining your hard drive is from 2001 and only holds 8 gb.
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Mmmmm
I have Lean/Height2(kg/m2) = 17.2, young normal percentile =. 28, Age Matched percentile 7%
Appen Lean Mass Index 7.94 33% percentile compared to Young Normal and 15% percentile when compared to aged matched.
Seems ok/good to me. Could be better
When you are reporting the percentages, these are putting you in the top percentiles, right?
I think so, because the lower the better, when you look at what they give me for Young Normal vs Age Matched
For ALMI you actually want to be higher than normal. Take a look at the chart towards the bottom of this blog post:
I know folks have different reactions to Peter Attia, but he’s said maintaining being in the 75th percentile for ALIM as one ages is a good goal.
Edit: Though the way your DEXA has reported the percentages doesn’t make a whole lot of sense to me compared to the table in the blog post I linked. I’d expect the numbers to be reversed.
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Interesting, this is the original source:
But I’m not Caucasian nor did the hospital use a GE machine (I think)
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Fantastic article indeed. Thanks very much for posting that.
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I think I have a handle on the tweaks I can implement to test if the sugar issues are due to diet or statins. But I need to run an experiment first.
Here are main considerations:
Because I don’t have HA1C results to compare, blood sugar behavior, I have to use Triglycerides/HDL as a ratio.
In the literature, the statin that I use has a low potency dosis of 10mg, I’m taking 2.5mg.
After 4 months of this dose, I didn’t see any adverse changes in the ratio, quite the contrary, I saw the opposite.
It was after introducing Ezetimibe (10g) that the ratio turned bad and confirmed by blood sugar readings and HA1c.
However, all this is confounded by a 12% decrease in bike load, and a slight increase 2.5% in daily carb consumption, a 5.5% increase in sugar consumption and a .5% increased in average weight.
Son now that the offseason is ending, the experiment is to increase load, find the minimum effective dosis of carbs/sugar and test again at the end of April.
I already see the changes in postprandial glucose readings, but I remain alarmed at my fasting blood sugar levels. I can run a couple of experiments to see if this is due to the dawn effect.
l
Old
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I limit saturated fat intake at 25-35g/ day, so most for the sources are good fats from nuts, avocado, olive oil, etc.
I average a 35%/45% split for carbs/fats
Average last year is 3000
Fit 29 year old, visible 6 pack, 3.6 W/KG, 7-12 hrs cycling/week, have an “athletic” amount of muscle, eat healthy besides sugar water on the bike, and have been active either running or cycling all my life.
A1C came back at 5.6 last year… frustrating to say the least. Don’t really have any input, just wish we could do a blood sugar training block and train out down 
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One element I should add is that I do not get enough sleep (6-7 hrs usually) - that is probably my low hanging fruit in regards to blood sugar and most other aspects of my life
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I looked into this, not sure I can hang my hat on, it’s totally understudied in non diabetic populations.
Yes, this is something I need to optimize, but there’s another dimension that is quality of sleep. Lately, average duration is about the same, but quality is better. I’m taking: Glycine, Magnesium and Ashawagandha. Just started, could be placebo.
You are going back to the ignored list, this time forever.
But for completeness, I’ve experimented with those diets and my lipids go nuts. People are different and complicated.
Bye
Great thread here:
Did you test your insulin or c-peptide? And pancreatic autoantibodies? Rule out latent autoimmune diabetes. Otherwise improve insulin sensitivity, avoid high fructose sources and sucrose. The genetic aspect means you are carb sensitive… and the type of carbs matter. Unless your small LDL is significantly high the statin isn’t helpful. It impairs your mitochondrial from making atp. There are other ways to skin a cat.
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Yes, I probably end up taking a PCSK9 inhibitor.
No, but will look into this?
This is what I’m testing now, no rice, bread, pasta, less fruit, more carbs from veggies, legumes. Let’s see how it goes.
LDL goes over 100 with just a clean diet and excercise. That’s why I started the 2.5mg Crestor + Ezetimibe.