Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

Beyond the Bread: The Complex Web of Metabolic Overload

1 Jun 2026 · 0 min

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Dr. Jaiwant Rangi argues type 2 diabetes isn't just about carbs. Stress, poor sleep, inflammation, and visceral fat around the liver and pancreas all impair insulin sensitivity and drive the disease. It's metabolic overload, not a simple carbohydrate equation.

People often think that the diabetes equation involves only carbohydrates. Carbs matter, but diabetes is a result of metabolic overload, and we are talking about type 2 diabetes here, which involves many things like stress physiology, our sleep, inflammation from other causes, visceral fat that we have around the, the liver, around the pancreas. All the factors that change the insulin sensitivity all contribute to the development of diabetes.

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