Aging and Insulin Resistance?

What is Insulin Resistance

Plain definition (key-and-lock):

Insulin is the “key” that helps move sugar (glucose) from the blood into cells, especially muscle, liver, and fat. With insulin resistance, the locks don’t open as easily. The body needs more insulin to get the same job done, so the pancreas steps on the gas (“hyperinsulinemia”) to keep blood sugar in a healthy range.

When it tends to appear:

After our mid-40s, normal changes in the body make cells a little “harder of hearing” to insulin: we carry less efficient muscle, accumulate more visceral (belly) fat, spend more time sitting, and less sleeping and hormones shift. Genetics can tilt risk up or down, but day-to-day patterns strongly influence how quickly insulin resistance shows up and progresses.

How the body compensates  (the silent creep of rapid aging):

At first, the pancreas makes extra insulin, this is what I coined, the silent stage of aging, most have no symptoms. Over time, needing “more and more” insulin wears down beta cells (the insulin-making cells). When the pancreas can’t keep up, blood glucose rises. That’s when prediabetes or type 2 diabetes can appear—but the biology of insulin resistance affects health well before diabetes shows up. The unfortunate thing is that several aging processes rapidly progress.

How the body quietly works to manage blood sugar as we age, highlighting the hidden effects of insulin resistance.

Why it matters beyond diabetes:

Insulin does more than manage sugar. Insulin resistance is linked to stiffer blood vessels and higher blood pressure, fatty liver, changes in brain energy and mood, and the physiology that underlies frailty and “faster aging.”

Where We Can Intervene (the “map,” not the “how-to”)

Think of these as levers in the body, that ism places where small, steady changes can restore insulin’s signal.

  1. Muscle (legs, arms, core):  the biggest “glucose sponge.”
    Goal: open more GLUT4 “doors” and improve the muscle’s energy engines (mitochondria).

  2. Liver (upper right abdomen):  the “glucose valve.”
    Goal: help the liver hear insulin’s “turn it down” message to reduce excess glucose output.

  3. Visceral Fat (belly region):  an active endocrine organ.
    Goal: reduce inflammatory signals and shift hormones (e.g., adiponectin) toward insulin-friendly.

  4. Cell Signaling (receptor - GLUT4 inside cells): the wiring.
    Goal: lower the “static” from fat by-products and low-grade inflammation that blocks the pathway.

  5. Pancreas (beta cells):  the insulin “engine.”
    Goal: ease constant “overdrive” demand so the pancreas doesn’t have to flood the system.

  6. Blood Vessels (endothelium/NO): healthy flow to muscle.
    Goal: restore nitric oxide signaling so vessels relax and muscle gets fuel efficiently.

  7. Brain–Gut Timing (incretins & circadian rhythm)when we handle fuel best.
    Goal: align insulin’s action with meal timing signals (GLP-1/GIP) and body clocks.

  8. Stress & Sleep Axis (brain/adrenals): background “noise.”
    Goal: lower cortisol-driven glucose output and protect deep sleep, which maintains insulin sensitivity.

  9. Immune Layer (whole body): “metaflammation.” (that means ramped up inflammation)
    Goal: quiet the low-grade inflammatory buzz that interferes with insulin signaling.

  10. Mitochondria (inside muscle & other tissues): the engines.
    Goal: increase number and efficiency to burn fuel cleanly and reduce oxidative stress.

Bottom line:

Insulin resistance often emerges after the mid-40s, progresses quietly at first, and touches multiple organs—not just blood sugar. The good news is that there are intervention zones that are well-mapped in the body. In the weeks I’ll focus on one lever at a time so staff can see how small, steady steps restore the signal.

Dr. Peter Rawlek

Dr. Peter Rawlek is the founder and CEO of GoGet.Fit Canada. He is an Emergency Department Physician. He is an avid cross country skier and all things outdoors.

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Part 3: Celebrating Success