5 Ways to Reduce or Even Reverse Diabetes
The statement “you don’t need to lose fat, just shift it” is a simplified way of expressing a powerful scientific idea: The problem isn’t just the amount of fat you have, but the location and health of that fat.
The “Bad” Fat: Visceral Fat
The most dangerous type of fat for metabolic health like prediabetes is visceral fat. This is the fat that accumulates deep inside your abdomen, surrounding your vital organs like the liver, pancreas, and intestines.
- Why it’s bad: Visceral fat is not just a passive storage depot. It’s metabolically active, pumping out inflammatory chemicals and fatty acids directly into the liver.
- The result: This leads to insulin resistance, a condition where your body’s cells stop responding properly to insulin. Since insulin’s job is to usher glucose (sugar) into cells for energy, this resistance causes blood sugar to rise, which is the hallmark of prediabetes and type 2 diabetes.
Visceral fat is what gives many people an “apple” body shape.
The “Better” Fat: Subcutaneous Fat
This is the fat that lies just beneath the skin, found all over the body (thighs, buttocks, arms). While excess subcutaneous fat isn’t ideal, it is far less metabolically harmful than visceral fat.
- Why it’s better: Subcutaneous fat is more stable and doesn’t directly release inflammatory chemicals into the liver’s portal circulation. In fact, having a healthy amount of subcutaneous fat in places like the hips and thighs can even be protective.
What Does “Shifting It” Mean?
“Shifting fat” means reducing the dangerous visceral fat while potentially maintaining or even increasing the healthier subcutaneous fat and, crucially, improving the health of your fat cells overall.
This “shift” happens through specific lifestyle changes:
- Physical Activity is Key:
- Strength/Resistance Training: This is the most powerful tool for “shifting” your body composition. Building muscle improves your body’s ability to use glucose for fuel, directly combating insulin resistance. Muscle is metabolically active tissue that burns calories even at rest.
- Cardiovascular Exercise: Activities like brisk walking, cycling, and swimming are excellent for burning visceral fat directly.
- Dietary Changes:
- Reducing processed foods, sugary drinks, and refined carbohydrates lowers the fat-storing signals in your body and reduces the burden on your liver.
- Eating a diet rich in fiber, lean protein, and healthy fats helps improve insulin sensitivity and reduces inflammation.
When you do these things, here’s what happens “under the hood”:
- You lose visceral fat first. This type of fat is more readily burned for energy.
- Your fat cells become healthier. Exercise and a good diet reduce inflammation within the fat tissue itself, making it function better.
- You may gain muscle weight while losing fat weight. This is why the scale can be misleading. You can become leaner, healthier, and reverse prediabetes without seeing a dramatic change on the scale.
The Bottom Line: Is Losing Fat Still Helpful?
While the “shift” is the crucial mechanism, for most people with prediabetes, losing a modest amount of total body weight (5-7%) is the most reliable clinical way to achieve this shift and reverse the condition.
Why? Because you cannot “spot-reduce” visceral fat with a specific exercise. Your body decides where it loses fat from, and it typically goes for the dangerous visceral fat first when you create a healthy calorie deficit through diet and exercise.
So, in practice:
- The Goal: Improve metabolic health by reducing visceral fat and building muscle.
- The Most Effective Strategy: A combination of strength training, cardio, and a healthy diet.
- The Outcome: You will “shift” your fat from dangerous visceral stores to healthier body composition (more muscle, less harmful fat). This almost always involves losing some total body fat, but the focus is on the quality of your body tissues, not just the quantity on the scale.
Conclusion: Your statement is correct in spirit. The primary goal for reversing prediabetes is to change your body composition, not just to see a lower number on the scale. By focusing on building muscle and burning visceral fat through exercise and diet, you are effectively “shifting” your fat to a healthier state, which is what truly reverses the condition.
Reference:
https://www.emoryhealthcare.org/stories/wellness/5-ways-to-reduce-or-even-reverse-diabetes
https://www.yalemedicine.org/news/prediabetes
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