A clear and thorough look at the relationship between hyperinsulemia and heat disease. LDL has no correlation with risk, insulin has a massive correlation:
https://www.youtube.com/watch?v=bWcgT4BYwo0
65-75% of the population is pre-diabetic or diabetic. Heart attacks-in-waiting. Many of those are skinny distance runners. I was one of them. Fortunately, it is almost 100% preventable, if you are willing to go against the seriously flawed recommendations of the past 50-60 years.
Isn't diabetes and pre-diabetes rare in people who engage in regular aerobic exercise?
gtuilytu wrote:
Isn't diabetes and pre-diabetes rare in people who engage in regular aerobic exercise?
I doubt it's rare. I'm 55, running competitively since age 13 - still average 50+ miles per week, plus swimming. My fasting glucose is now 110 - I'm on the threshold of pre-diabetes. My fasting glucose has risen annually for the past 10 years - definitely diet related. Fortunately, my coronary calcium score is mid-40's and HDL is 79. Cardiologist said I'm fine for now.
gtuilytu wrote:
Isn't diabetes and pre-diabetes rare in people who engage in regular aerobic exercise?
It might be if people didn't gorge on carbs before during and after said exercise.
If I make only one point in this thread, it is this:
If you are a long-time runner who has been on a high-carb diet, have your A1c AND CAC checked. Don't rely on your doctor to bring this up, as they are used to overweight, sedentary people coming through their office all day and are likely not aware of the elevated risk that runners face with undiagnosed diabetes!
My doctor never brought up my A1c and it was never tested, but I had many issues that in hindsight were indicative of pre-diabetes. Probably the best -documented case of an avid runner with pre-diabetes is Dr. Mark Cuccuzzella (
http://naturalrunningcenter.com/category/markc/
http://www.letsrun.com/forum/flat_read.php?board=1&id=8818588&thread=8818588#8818588
), who was performing at a high level with the disease, and went on to reverse it.
The perception of running as protective is too heavily relied upon for those of us on the outlier end of dedication to this sport. Be pro-active, it might save your life!
bmp
YMMV wrote:
If I make only one point in this thread, it is this:
If you are a long-time runner who has been on a high-carb diet, have your A1c AND CAC checked. Don't rely on your doctor to bring this up, as they are used to overweight, sedentary people coming through their office all day and are likely not aware of the elevated risk that runners face with undiagnosed diabetes!
My doctor never brought up my A1c and it was never tested, but I had many issues that in hindsight were indicative of pre-diabetes. Probably the best -documented case of an avid runner with pre-diabetes is Dr. Mark Cuccuzzella (
http://naturalrunningcenter.com/category/markc/http://www.letsrun.com/forum/flat_read.php?board=1&id=8818588&thread=8818588#8818588), who was performing at a high level with the disease, and went on to reverse it.
The perception of running as protective is too heavily relied upon for those of us on the outlier end of dedication to this sport. Be pro-active, it might save your life!
Couldn't agree more - my family doctor has no clue. I scheduled an appointment with a cardiologist and he recommended the CAC if I wanted peace-of-mind. Insurance doesn't cover it, but it was $125 well-spent. Cardio told me to check back in 5 years.
Awesome.
gtuilytu wrote:
Isn't diabetes and pre-diabetes rare in people who engage in regular aerobic exercise?
I would think it would suppose to be. ? Why else would many of us middle-aged cats engage in daily aerobic exercise, whether it be running, cycling, race walking, etc or a combination thereof. I do daily cardio (3 days running/4 days cycling) and I better get a bang for my buck or I might as well become a sedentary old fart and eat, drink & get fat! ?
May he rest in peace wrote:
May he rest in peace. Apperently he is still the record holder in the marathon for Denmark.
https://www.iaaf.org/records/all-time-toplists/road-running/marathon/outdoor/men/senior?regionType=countries®ion=den&drop=all&fiftyPercentRule=all&page=1&bestResultsOnly=true&firstDay=1899-12-31&lastDay=2019-01-27
He is still the Denmark Marathon record holder until I "get my hands on" a very talented Danish young runner. Well......so sad he didn`t get older, but such sad things unfortunately happens. Try to live fully when you still can! I once raced him in Varberg City half and he easily won in 1:08 and me second at about 1:09 .Seemed to be a very simple and good guy......
That doesn't sound creepy at all.
SUPERIOR COACH JS wrote:
He is still the Denmark Marathon record holder until I "get my hands on" a very talented Danish young runner.
Thought he collapsed while on his usual 7 mile route around Caspian Lake in Greensboro, VT.
Still here wrote:
I had a heart attack while running at age 55. (I didn't die.)
I never won any marathons or set any records, but have been a runner since 1976.
I had one last year at 58. Wasn't out running but mountain biking. No warning signs whatsoever. I've been a runner for about 30 years and ran all of my PRs from age 49 to 53. The year of that heart attack I still ran 3:04 for the marathon. I had low cholesterol though my BP has always been 'marginal'. I'm now on statin, BP med as well as a blood thinner(and have a couple of stents in my LAD artery).
And for some more data ... I had A1C done after this episode and it was 5.1% with 100mg/dL glucose. As well, in my mid-40's my wife and I started restricting carbs and have done it ever since. We are not no-carbers but we cut way back on complex carbs. Led to about 10 pounds of sustained weight loss for the past 13 years. Bad genetics, I think drives my problem.
At the 2011 Lake Wobegon Marathon in Minnesota, runner Paul Melby had a fatal heart attack at the finish line just as he scored his first and only Boston qualifying time - 3:14 and change. Apparently there was a family history of heart trouble.
elviejo wrote:
in my mid-40's my wife and I started restricting carbs and have done it ever since. We are not no-carbers but we cut way back on complex carbs. Led to about 10 pounds of sustained weight loss for the past 13 years. Bad genetics, I think drives my problem.
So you increased the fat in your diet?
I'm curious what your total cholesterol level was when you had the heart attack.
elviejo wrote:
And for some more data ... I had A1C done after this episode and it was 5.1% with 100mg/dL glucose. As well, in my mid-40's my wife and I started restricting carbs and have done it ever since. We are not no-carbers but we cut way back on complex carbs. Led to about 10 pounds of sustained weight loss for the past 13 years. Bad genetics, I think drives my problem.
Have you had a CAC scan? Homa IR? Trig/HDL ratio?
It’s very simple folks.... The heart only has so many beats in it before it breaks down. Aerobic training isn’t always the best exercise. Take it easy and strength train.