Measuring Fasting Glucose and Reversing Fatty Liver

Hi

Austin had helped me before with some advice about fatty liver and my slightly elevated IFG (with normal A1C). That thread is closed but I have some questions which I put in bold.

I am working on adding in conditioning to my training as well as changing my body composition in order to get my fasting glucose down to an average of 90 or less.
I am always working on getting stronger but my primary goal in the short, medium and long term is my health. I have a lot of people depending on me for their livelihood and well being!

I have a good diet, but as well as adding in conditioning I have cut my alcohol consumption down to zero.
I hope I can have a drink now and then at some point but it seems stupid to drink until I know I am reversing any potential liver damage does that make sense?

I purchased a glucometer, which as far as I can tell from my experiments is pretty accurate.
How long would you expect it to take to make a lasting change to my liver/glucose/insulin resistance?

I realize this can probably be confounded by other things so here is more information; Due to other health issues I have had an extremely comprehensive set of labs done and all my other markers from cancer markers to inflammation to lipids are very very good. I know people underestimate their body fat so I won’t try but I am currently 71 inches tall and weigh 197 lbs, my waist has gone down to 36 inches at the navel and I am wearing 33 waist pants. I am starting to see some vascularity and muscle separation and I actually look “fit”
which I haven’t in years. I can’t imagine I am over 20% but as I said I understand it is hard to guess and really doesn’t matter.

Is measuring my own fasting glucose a good way to track this?
I like to track and measure everything, isn’t that a shock! So 6 weeks ago I was getting an average reading of 125. I always do it first thing in the morning when I wake up which is at 545 am.

It is currently averaging around 114 after adding conditioning and cutting out alcohol completely.

If not good to measure then I guess you can forget these questions:
How often should I measure?
How long is “fasting”? The last thing I eat is usually around 10 pm so it is close to 8 hours, I don’t know if that is really long enough?

Anything else you would recommend to help me control this?
My one caveat is I am not going to take medication, I don’t like medication and don’t feel I am having problems that would warrant it.

Is there any way to target “visceral fat”?
I am not sure if you just lose fat generally or if you can target that belly/organ fat.

Is it really true that you “lose strength” if you are “not fat enough”?
I read way too many stupid articles and forums but I have heard all these stories of people who get their fat down and then suddenly they are weaklings, then again we have Charles the amazing charlatan Poliquin who has 1% body fat and can squat 875 kilos and if you can’t you just need to earn your damn carbs you weakling. Or there is a large subgroup of people who just say “GET BIG = GET STRONG”…you may have heard that somewhere :-). I of course have been indoctrinated enough to have thoughts of being an insectile girly man now that I dropped down under 200lbs! Please help me clarify this! **Is it okay if I am 187lbs and have good blood glucose? Can I still be strong? (**I don’t need to be super strong, just as strong as a healthy me can be.)

Thank you so much for everything you all do!

  1. Sure, reducing alcohol intake makes sense.

  2. I can’t predict how long it will take, but you can make significant changes within a few weeks / months.

  3. Checking Fasting glucose is a reasonable way to track this. You can check as often as you’re willing to prick your finger. 8 hours is definitely still considered “fasting”.

  4. “Anything else”? Is a broad question, but if you’re doing the strength, conditioning, and nutrition interventions, while reducing alcohol intake, you’re on the right track.

  5. Getting extremely lean (like <10-12%) tends to result in some strength loss for most. Conversely, carrying lots of body fat tends to come with health consequences, even if you’re strong. I don’t know what you want me to tell you regarding whether it’s “okay” to be 187 lbs, as this is not a decision I can make for you, but it’s certainly possible to get strong in your situation.

Thank you Austin. I appreciate it.

Once I have this more under control is there a recommendation on alcohol intake for someone with this kind of history?

I’m sure I can be strong I was perhaps being a bit dramatic. :slight_smile:
I don’t know if I have the response to get hyoooge but I’m stronger at 47 than I ever have been and in still getting stronger while losing weight. (Especially now that I’m learning to program in appropriate volume/hypertrophy/rpe)

I’d go with the standard alcohol intake recommendations of < 1-2 drinks per day, while continuing to monitor health parameters.