Just as some people like to believe their current circumstances were preordained in a previous life, or in an alternate reality, scientifically-minded folks may feel certain that their genetic makeup is responsible for their struggles with weight control and diabetes. No doubt our genetics have a dramatic influence on our physical and psychological makeup, but genes are not simple, immutable masters of our realm. Genes respond to their environment, and a gene can be expressed differently at different times throughout an individual’s life.

A critical function of our genes is the issuing of instructions to make important proteins. The genetic instructions change according to the presence of epigenetic marks - chemicals that can be attached to a gene and thus change the rate that it produces a particular protein, or even stop its production altogether. Understanding proteins and their production is a huge and barely tapped area of investigation; how genes influence protein production may offer important clues in understanding, and perhaps even preventing, disease.

Juleen Zierath and her research team at the Karolinska Institute in Sweden are trying to discover how people develop insulin resistance (a precursor to type 2 diabetes). Epigenetic marks seem to play an important role, and their research, published in Cell Metabolism, indicates that these chemical markers are affected by the dietary substances they are subjected to.

In type 1 diabetes, an individual fails to produce sufficient quantities of insulin to control sugar levels in the blood. This is usually because of the failure of the pancreatic cells that should make it. In the case of insulin resistance or type 2 diabetes, however, insulin is being produced but the body has begun to ignore it. As a result, the insulin is ineffective at moving sugar out of the blood.

Dr. Zeirath’s group used muscle biopsies from a small group of type 2 diabetics plus individuals with early signs of insulin resistance, and compared them to biopsies from healthy participants. It turned out that hundreds of genes differed in ways that matched the different types of patients being examined. For this study, they narrowed their research down to one gene (PGC-alpha) that is involved with the development of the mitochondria - the power plants of a cell.

The researchers found extra epigenetic marks on the genes of diabetics and pre-diabetics, which resulted in the production of fewer and smaller mitochondria than normal. Since a poor diet and lack of exercise is strongly associated with insulin resistance, the researchers tested the idea that these circumstances could be causing the extra epigenetic marks on the genes. In their lab, they exposed cells to a bath of glucose, fat and cytokines (proteins that cause inflammation - found at high levels in the obese). It turned out that both fats and cytokines caused the appearance of more epigenetic marks in the PCG-alpha genes. In other words, our diet and lifestyle can actually damage our genes.

Dr. Zierath also tested an inhibiting chemical that was able to prevent the genetic changes. Sadly, perhaps, this could lead to the development of another drug to treat what is foremost a lifestyle disease. So many of us are, after all, ever hopeful for a pill that will undo the abuse we inflict upon bodies through our lifestyle choices. Unfortunately, the quick fix is never as good as preventing the damage in the first place. Here we have more evidence to dump upon the existing pile that our bodies, and many of our diseases, are deeply affected according to the care we give them. As Dr. Zierath concludes, “we are not victims of our genes. If anything, our genes are victims of us.”

Up to ten years before type 2 diabetes is diagnosed, there are signs of your body resisting insulin. This is why researchers now refer to this as the “silent” epidemic or the “silent” killer. And it is usually the accompanying heart disease they have the most concern with.

7 Important Signs of Insulin Resistance:

1. Hypertension or high blood pressure. This may be the result of the high amount of insulin required to keep your blood sugars normal. What often shows is that as the insulin-level rises so does your blood pressure reading.

2. Elevated triglycerides levels. These levels are often high if you are overweight. It is not just the result of excessive fat intake; refined carbohydrates such as sugar and white flour are the culprits also. Existing body fat is also responsible.

3. Low HDL levels. The way fat is carried on the inside affects your risk of heart disease.

4. Increased abdominal fat. The culprit is a particular type of body fat centered around your abdomen, particularly around the intestines. Usually the male who has this type of fat has a waist much larger than his hips. The females’ waist is at least 80% of her hip measurement.

5. Obesity. Everyone who is obese, or has a high proportion of fat in their body, is insulin-resistant.

6. Fatigue. This is the most common feature; for no apparent reason your spark is no longer there. Some people are tired in the morning, some in the afternoon and some all day. This is because your body’s cells are not getting enough of the glucose they need. Even though there is plenty of insulin, your body is resistant to it’s action

7. Unable to concentrate. Your memory is not so sharp; your brain needs a constant supply of glucose to work properly and fluctuations are sending your blood sugar levels too high, or too low, quickly. This results in disordered memory and foggy thoughts.

To prevent long term complications:

• there are a variety of drugs available to help treat elevated triglycerides and low HDLs
• it is really important to concentrate on controlling your type 2 diabetes by losing weight and reducing your resistance to insulin

Weigh loss is not always easy but it is doable. Often losing just ten or twenty pounds, (5 or 10 kilograms), is enough to reduce your insulin resistance and blood sugar levels, and therefore your type 2 diabetes. You will also have less worry about heart disease.