Old 04-17-25 | 12:21 PM
  #42  
Harold74
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Originally Posted by Iride01
Personally, I think you are asking the wrong people.
I am certainly asking the wrong people in the sense that I seem bafflingly unable to get the message through to some folks that I am training for T2D related health and not optimal cycling performance.

Originally Posted by Iride01
From my perspective, it just doesn't matter. You have the mitochondria that you have.
It will matter immensely if you are concerned that your T2D is a result of something akin to mitochondrial atrophy and you are wondering if that is:

1) Skewed towards sugar metabolism.

2) Skewed toward fat metabolism.

3) Agnostic to fuel metabolism.

Originally Posted by Iride01
Experimenting will also eventually show you the results you seem to want from this knowledge.
I suspect that is something that only a person who has not attempted that experimentation with respect to T2D would say. Anyone who knows even an iota about regulatory metabolism will know that the process is almost ridiculously complex with all manner of overlapping feedback loops etc. One could experiment until the end of time and never make progress. This is precisely why one needs to develop a mechanistic understanding of things in order to optimize treatment efficacy.

There's not a T2D alive who has not struggled mightily to manage their blood sugar. What to eat, when to eat it, how liver dumping obfuscates things, whether your results are skewed by your particular state of beta cell function... on and on. And, if anything, reliable advice in the athletic space is even more difficult than the nutrition space because so much less research has been focused on that. To claim that it is somehow an easy thing to sort out via experimentation is, frankly, insulting as a T2D.

Originally Posted by Iride01
They might tell you something if you ask. Or they might not. For certain they probably have access to the people that will know the answer to your question. Likely those people aren't cyclist.
Again, anyone suggesting this should try it. It's hard enough to get decent T2D from your own doctor. The success rate in reaching out to busy strangers with other priorities is basically zero. I've seen Inigo San Milan -- who is precisely who one would want to talk to about this -- say in interviews that he's inundated with outreach from lay people and doesn't really have the bandwidth to reply to anybody.

Functionally, my only options for making progress on this stuff are a) reading & viewing what has been published b) crossing my fingers and talking to non-experts who may be interested in similar things.
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