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High Blood Sugar Blocks Exercise Benefits – Until You Eat More Fat

Ketogenic diet normalizes blood sugar and restores the body's ability to use oxygen efficiently during exercise, study finds

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Today’s article is interesting. Reminds me of a PT that suggested that some people who are looking to lose fats should be working on building up muscles first. Both are indirect ways to get to the final destination.
CS

IEA's record oil release can't stop the bleeding – three ships attacked, inflation data ignored, markets stay nervous

The quick scan: Markets ended mixed as Iran war entered second week. Record IEA oil reserve release of 400 million barrels failed to calm markets after three ships came under fire in Strait of Hormuz Wednesday morning. February CPI met expectations at 2.4% but got overshadowed by escalating Middle East conflict and rising energy costs.

S&P 500: -0.08% to 6,775.70 – Barely negative after spending day bouncing between small gains and losses, tech strength from Oracle earnings (+9.2%) offset by energy sector volatility and inflation concerns
Dow Jones: -0.61% to 47,417.27 – Down 289 points with Sherwin-Williams (-2.4%), Procter & Gamble (-1.8%), and Visa (-1.7%) leading declines while Chevron (+2.9%) gained on rising oil prices despite IEA intervention
NASDAQ: +0.08% to 22,716.14 – Narrowly positive, supported by Oracle's earnings beat and raised guidance, but tech gains limited as Iran-backed cyberattack hit Stryker with global Windows outage potentially linked to pro-Palestinian group Handala.

What's driving it: IEA announced record 400 million barrel strategic oil reserve release – surpassing 182 million after Russia's Ukraine invasion – yet oil climbed anyway. Three vessels (Thai-flagged Mayuree Naree, Liberian-flagged Express Rome, Japanese-flagged ONE Majesty) came under projectile fire in Strait of Hormuz Wednesday morning. WTI pushed past $87, Brent above $93 despite reserve release as shipping remains paralyzed. February CPI came in-line at 2.4% annual but data predates Iran war – fuel oil jumped 11.1%, utility gas up 3.1% from cold snap, gasoline prices already surging from $2.937/gallon one month ago to $3.578 now. Bank of America warned longer conflict "would put upward pressure on headline, core inflation and inflation expectations in the months ahead." Clean energy funds hit record highs as investors fled volatile fossil fuels.

Bottom line: When the IEA throws 400 million barrels at the problem – more than double the Russia-Ukraine response – and oil keeps climbing because ships are literally getting attacked in real-time, your retirement income strategy based on stable 4% withdrawals looks increasingly theoretical. The CPI data is already outdated – it covers February before the war started. Gas jumped 60 cents/gallon in a month, heating costs spiked 11%, and that's all pre-conflict. If you're withdrawing from portfolios to cover living expenses that are rising faster than 2.4% annual inflation suggests, the gap between official statistics and your actual grocery/gas/utility bills keeps widening while markets can't decide if Oracle's good quarter matters more than ships dodging projectiles in the Persian Gulf.

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The Exercise Paradox: Why High Blood Sugar Steals Your Workout Gains

blood sugar monitor by pricking the finger

The scoop: Exercise is supposed to improve how efficiently your body uses oxygen – a key marker of health and longevity. The better your body absorbs oxygen during activity, the healthier you tend to be.

Unless you have high blood sugar, then exercise often fails to deliver this benefit.

People with elevated blood sugar – from prediabetes, Type 2 diabetes, or metabolic dysfunction – frequently miss out on oxygen efficiency improvements. Their muscles don't adapt the same way, and the cardiovascular benefits plateau.

New research from Virginia Tech suggests an unexpected solution. Instead of cutting fat, a high-fat ketogenic diet helped restore the body's ability to respond to exercise.

"After one week on the ketogenic diet, their blood sugar was completely normal," said Dr. Sarah Lessard, associate professor at the Fralin Biomedical Research Institute. "Over time, the diet caused remodeling of the mice's muscles, making them more oxidative and making them react better to aerobic exercise."

The study, published in Nature Communications, found mice fed a ketogenic diet normalized blood sugar and became significantly more responsive to exercise. Their muscles developed more slow-twitch fibers, their bodies used oxygen more efficiently, and aerobic capacity increased.

Why High Blood Sugar Blocks Exercise Gains

Elevated blood sugar interferes with how muscles increase oxygen uptake and blocks metabolic remodeling that builds endurance. Exercise can feel frustratingly ineffective – you train consistently but don't see improvements, endurance plateaus, and the cardiovascular benefits healthy people gain remain elusive.

Lessard's earlier studies showed people with elevated blood sugar have reduced exercise capacity – not from lack of motivation, but because their bodies physiologically resist adaptations exercise normally triggers.

The Ketogenic Intervention

The ketogenic diet triggers ketosis – a metabolic state where the body switches from sugar to fat as primary fuel. The diet severely limits carbohydrates (under 50 grams daily) and increases fat dramatically.

It contradicts conventional advice but has documented benefits for epilepsy, Parkinson's, and historically, diabetes. Before insulin was discovered in the 1920s, doctors used low-carb, high-fat diets to lower blood sugar.

In Lessard's study, mice with high blood sugar ate ketogenic and ran regularly. Within one week, blood sugar normalized. Over time, their muscles developed more slow-twitch fibers, became more efficient at using oxygen, and "remodeled" to rely more on oxygen-based energy production.

The diet didn't just lower blood sugar – it restored the body's ability to adapt to exercise.

Diet and Exercise: Not Separate Strategies

Lessard emphasizes that the findings challenge how we think about exercise and nutrition. They're not isolated interventions that work independently. They interact – sometimes in surprising ways.

"What we're really finding from this study and from our other studies is that diet and exercise aren't simply working in isolation," said Lessard. "There are a lot of combined effects, and so we can get the most benefits from exercise if we eat a healthy diet at the same time."

Exercise benefits nearly every tissue in the body, including fat tissue. But growing evidence suggests the greatest improvements occur when diet and exercise are combined strategically rather than treated as separate tools.

For people with high blood sugar, this matters enormously. If your metabolic dysfunction blocks exercise adaptations, fixing the metabolic problem – through diet – may be necessary before exercise can deliver its full benefits.

The Practical Reality

Lessard plans human trials to confirm whether people experience the same improvements. She acknowledges ketogenic diets are difficult to maintain – severely restricting carbohydrates requires significant lifestyle changes many find unsustainable.

Less restrictive alternatives like Mediterranean diet include carbohydrates from whole foods while supporting healthy blood sugar. It's easier to follow long-term with robust evidence for metabolic benefits.

"Our previous studies have shown that any strategy you and your doctor have arrived at to reduce your blood sugar could work," she said.

The key isn't that everyone must follow keto. It's that blood sugar control – through whatever approach works – may be essential for exercise to deliver full benefits.

What This Means

If you have elevated blood sugar and wonder why exercise feels harder than it should, the problem might not be your workout program – your metabolic dysfunction may be blocking adaptations exercise normally triggers.

Normalizing blood sugar – through diet, medication, or other strategies – may allow exercise to work properly. Once blood sugar stabilizes, the body can respond to training by building endurance, improving oxygen efficiency, and strengthening cardiovascular function.

For people with metabolic dysfunction, diet may need to come first – or work alongside exercise rather than being treated separately, so that fixing the metabolic problem allows exercise benefits to follow.

Actionable takeaways for L-Plate Retirees:

  • If you have high blood sugar and exercise feels frustratingly ineffective, the problem may be metabolic, not motivational. People with elevated blood sugar often miss out on oxygen efficiency improvements from exercise because high blood sugar interferes with how muscles adapt to training. If you train consistently but don't see expected endurance gains, reduced resting heart rate, or improved stamina, blood sugar control might be blocking normal exercise adaptations.

  • Blood sugar normalization may need to happen before exercise delivers full benefits. Research shows that once blood sugar stabilizes – through diet, medication, or lifestyle changes – the body regains ability to respond to exercise normally. This means diet and exercise aren't separate strategies; for people with metabolic dysfunction, diet may be the prerequisite that allows exercise to work.

  • Consider working with your doctor on blood sugar management, not just exercise prescription. If you're exercising regularly but lab results show persistent high blood sugar or HbA1c above 6%, the metabolic issue may be undermining your workout efforts. Address blood sugar first, then exercise adaptations can follow.

  • Ketogenic diet showed dramatic results but isn't the only option. While the study used ketogenic diet (very low carb, high fat) to normalize blood sugar and restore exercise response, Mediterranean diet, low-carb approaches, or other strategies that control blood sugar may work similarly. Choose sustainable approaches you can maintain long-term rather than extreme interventions you'll abandon.

  • Muscle remodeling takes weeks, not days – give dietary changes time to work. Mice showed blood sugar normalization within one week on ketogenic diet, but muscle fiber changes toward more oxidative, endurance-type fibers took longer. If you change diet to support better blood sugar control, expect exercise adaptations to improve over weeks to months, not immediately.

  • Don't treat exercise and nutrition as separate problems. Growing evidence shows diet and exercise interact significantly – the benefits of each amplify when combined strategically. If you're exercising consistently but eating in ways that keep blood sugar elevated (frequent refined carbs, sugary foods, large portions), you're working against yourself. Address both simultaneously for maximum benefit.

Your Turn:
If you've been exercising regularly but not seeing the endurance improvements or cardiovascular benefits you expected, have you checked whether elevated blood sugar might be blocking those adaptations?
When you think about diet and exercise as interacting strategies rather than separate interventions, does that change how you'd approach improving fitness after 50?
If following a very restrictive diet like keto feels unsustainable long-term, what less extreme approach could you maintain indefinitely while still supporting healthy blood sugar levels?

👉 Hit reply and share your story your insights could inspire fellow readers in future issues.

If this newsletter helped you see that proper form matters more than how heavy you lift, consider supporting L-Plate Retiree on Ko-fi. Your support keeps these fitness reality checks coming.

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The L-Plate Retiree Team

(Disclaimer: While we love a good laugh, the information in this newsletter is for general informational and entertainment purposes only, and does not constitute financial, health, or any other professional advice. Always consult with a qualified professional before making any decisions about your retirement, finances, or health.)

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