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April 02 2005
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Leptin: How Diabetes and Obesity Are Linked

 

Like two peas in a pod, the obesity and type 2 diabetes epidemics have joined forces in an attempt to ravage America's health ... and it's working, as hundreds of millions of people have been significantly affected by this deadly pair.

But how are these two epidemics intertwined? Popular belief is that if one eats too much sugar, they'll get fat and develop diabetes; and, if they don't get diabetes it's merely because their body is producing enough insulin to keep up with the sugar. However, researchers have discovered evidence that there's more to the obesity-diabetes connection than this classic way of thinking: The missing link? Leptin.

Mice Studies Shed Light on the Subject

Research on mice has suggested that leptin is the key, as it regulates blood sugar through two different brain-body passageways:

  • One: Responsible for controlling appetite and fat storage
  • Two: Responsible for telling the liver what to do with its stored glucose

While it was previously found that disrupting the appetite-controlling passageway leads to obesity (which significantly increases the risk of diabetes), results of the study indicated that it likely takes disruptions in both of leptin's passageways to trigger full-blown diabetes.

Mice used in the study were genetically modified to disable what is known as the leptin-STAT3 cell-signaling passageway that leads from the brain to the body. This s/s strain of mice was still able to produce leptin and the receptor it attaches to when sending STAT3 signals in the body. Further, after eating too much and becoming obese, s/s mice did not develop diabetes; however, other strains of mice that did not produce leptin or have receptors became obese, developed diabetes and died.

Therefore, even when disrupting the leptin-STAT3 signal, the s/s mice were still able to keep their glucose under control, suggesting the likelihood of a brain-liver signaling passageway responsible for regulating blood sugar.

Cell Metabolism March 2005; Vol 1, 169-178 (Free Full-Text Article)

Newswise Mar 16, 2005



Dr. Mercola Dr. Mercola's Comments:

One of the more popular articles on my Web site is a transcript of a lecture about the importance of insulin by Dr. Ron Rosedale, who is an expert on leptin physiology, a very powerful and influential hormone that has totally changed the way science looks at fat, nutrition and metabolism. I interviewed him last year for the book he wrote, The Rosedale Diet, and I invited him to give a guest editorial comment on this article.

Guest Comment by Dr. Ron Rosedale:

This study illustrates several very important points about health. We are not a single life, but instead are a republic of cells and our health depends on how accurately the instructions are conveyed to those cells so that they can act in harmony. It further supports the notion that leptin may be "on top of the food chain" in metabolic importance and relevance to disease.

Leptin is the way that your fat stores speak to your brain to let your brain know how much energy is available and, very importantly, what to do with it. Studies have shown that leptin plays significant if not primary roles in heart disease, obesity, diabetes, osteoporosis, autoimmune diseases, reproductive disorders, and perhaps the rate of aging itself. Many chronic diseases are now linked to excess inflammation such as heart disease and diabetes. High leptin levels are very pro-inflammatory, and leptin also helps to mediate the manufacture of other very potent inflammatory chemicals from fat cells that also play a significant role in the progression of heart disease and diabetes.

Leptin: A Key Player in Your Health

Leptin plays a far more important role in your health than, for instance, cholesterol, however few doctors are taught to pay attention to it, or even know much about it. Leptin's critical importance is largely unknown to the medical community because there are no known drugs that regulate its activities and therefore there is no incentive to spend money to educate doctors about leptin's crucial role in health and disease. The only known way to reestablish proper leptin (and insulin) signaling is via diet and, as such, these can have a more profound effect on your health than any other known modality of medical treatment.

The study also supports prior studies that have shown the brain and liver to be of paramount importance in regulating your blood sugar levels especially in type 2 or insulin resistant diabetes. It had been previously believed that the insulin sensitivity of muscle and fat tissues were the most important factor in determining whether one would become diabetic or not. It should be noted that leptin plays a vital role in regulating your brain's hypothalamic activity which in turn regulates much of your "autonomic" functions; those functions that you don't necessarily think about but which determines much of your life (and health) such as:

  • Body temperature
  • Heart rate
  • Hunger
  • Stress response
  • Fat burning or storage
  • Reproductive behavior and
  • Newly discovered roles in bone growth and blood sugar levels

The study also illustrates the complexity of hormonal orchestration. Especially with very important hormones like insulin and leptin with far ranging effects, a particular cell can be resistant to one effect while the other stays intact. For instance, it had been shown previously that cells may become resistant to the effects of insulin on glucose influx (which may be protective in limiting the amount of glucose entering cells and thus intracellular glycation), while that same cell may not become resistant to the effects of insulin on cellular proliferation that tell cells to multiply, as these are mediated by two separate pathways.

Thus a person with high insulin levels, being insulin resistant in regards to glucose, would still be at a much higher risk of cancer, and this indeed is what happens; high insulin levels are associated with many common forms of cancer. Also, different organ systems become resistant at different rates. Therefore, just taking or artificially raising (by drugs) insulin, and/or leptin, will not correct the problems in the orchestration of the signals, any more than playing the tuba louder will fix mistakes in the written music.

However a strategic diet that emphasizes good fats and avoids blood sugar spikes coupled with targeted supplements to enhance insulin and leptin sensitivity (such as my Rosedale Diet and Dr. Mercola's Total Health Program), by resensitizing your cell's ability to hear hormonal messages correctly, will allow your life to be the symphony it was meant to be.

Related Articles:

Obese Brains

Mysterious Hormone's Role in Successful Weight Loss

How Does Obesity Cause Diabetes?

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Community Comments ( 6 )
Comment on this Article
  
  
Rett
[ Joined on 11/06 ] [ Posted on October 5, 2008 ]
1 Points        
   
 
Novice User

Believe me. I know how you feel. I have TriCare Prime and my doctor will not test for leptin levels or insulin levels or B-12 or Vitamin D difficiencies. You may want to research a good sublingal B-12 supplement for yourself if you are feeling tired all the time. Are you getting your daily dose of sunlight at midday without sunscreens? Are you getting enough pure clean water. The eight 8oz glasses is no longer a truth to be considered but our bodies do need water.  Not juices or soda pop.  When we are thirsty, we should drink water.  I am not that good at drinking enough water.  :) Are you consuming soy based foods? Soy is NOT a good source for nutrition.  www.westonaprice.org has vital info about soy. Dr. Mercola has so much info about that and I'm sure you can find satisfaction through his search engine. I'm not a doctor. I value the info I have discovered here and other sites who advocate that we take responsibility for our own health and well being.  Food is our medicine and medicine is our food.  We should make it our business to know what foods work best according to a nutritional type or a metabolic type.  This info is so available to the average lay person who has a PC and there really is no excuse.  I tell every body who will listen what I have learned.  Many will disregard it.  Okay.  That's fine.  But I'm hoping for that one person who will get it and see how easy it is to be healthy and happy without the drugs.  Hugs from Florida

 [ Reply ]
  
  
sunshine50
[ Joined on 04/08 ] [ Posted on April 15, 2008 ]
1 Points        
   
 
Novice User

I have Type 1 diabetes that I got at age 13.I was never fat.Acording to doctors I was under weight.I had to be forced to eat before I got it.I was skinny and very active but people thought I was too skinny and tried to force me to eat.Was never sick before.Maybe it was because of food change and environment but I don't seem to be a typical diabetic.So what happened to me?I'm still not that much overweight today.I remember before I got sick and had the coma I had the symptoms of insulin reaction for a couple of years before.It took about 3 years before I got high blood sugar.I was born in a country where people grew their own foods organically.The food was all together different here.I found it tasted bland.There was no good taste to the fruit and vegetables.Guess because we never got them ripe in the grocery stores here and I could always taste the chemicles added to the food.To make things worse they started putting things in plastic containers and I could taste the plastic in foods especially in liquids.That really killed my apetite.

 [ Reply ]
Mercola
  
T. Ruth
[ Joined on 05/08 ]  [ Posted on May 16, 2008]
2 Points        
   
Novice User
  Mercola

Type1 and Type2 diabetes are significantly different. While a type2 diabetic is typically overweight, type 1 are not.  Usually prior to diagnosis of type 1 patients experience weight loss.  One of many functions of insulin is to allow glucose to enter cells.  Type1 diabetics actually have a decreased to no production of insulin as you know.  The cells then "starve" if you will.  The glucose is left in the blood where it is unusable to the body.  A type 1 diabetic loses weight because this glucose can not be used by the body and its cells.  You are a typical type 1 diabetic.  What role food and environment played its hard to say, can't completely rule out it had some effect.

  
  
Soteriagal
[ Joined on 12/06 ] [ Posted on August 12, 2008 ]
       
   
 
Novice User

How is the Rosedale Diet different from Atkins, Southbeach, Sugarbusters, etc.????  I've done all those with limited success and I'm so tired now and the thought of buying yet another diet book just overwhelms me.

 [ Reply ]
Mercola
  
halle1144
[ Joined on 11/08 ]  [ Posted on November 24, 2008]
       
   
Novice User
  Mercola

Soteriagal -- I'm not sure what the Rosedale diet consists of but I have been following a food combination diet for over a month now and feel better than I ever have.  When you properly combine your foods, your body can actually digest them and use them to their full potential leaving you with tons of energy.  Your body will also be able to burn fat better!  The book I purchased is "Great Taste, No Pain" by Sherry Brescia.  Go to their website to learn more -- www.greattastenopain.com.

I'm not one to try to sell a crappy product for someone else to make them money.  This really is a great food plan to follow!

  
  
jve
[ Joined on 06/08 ] [ Posted on July 20, 2008 ]
       
   
 
Novice User

Leptin is a hormone that a lot of doctors don't even know about. I asked my doc about it and he didn't know much (and was sure insurance wouldn't cover it).  I had read Dr. Rosedale's book and wanted to get my leptin level checked anyway.  Sure enough, it was high. I was successful in getting it into the normal range by following the leptin diet for several weeks.  I was actually surprised at how easy it was to correct with just diet.  My cholesterol had a dramatic improvement as well.

It's not easy to find a place that will check your leptin level without a doctor's order. I finally found a place that I think anyone in the US can use: www.lsscreening.com/labs

Time after time we see that diet is the key to success.  You are what you eat so eat well!

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