The Diary Of A CEO with Steven Bartlett Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now
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Apr 17, 2026 
Dr Pradip Jamnadas, a cardiologist and metabolic health expert, dives into why high insulin may drive belly fat, fatty liver, and early disease. He explores how processed carbs keep insulin elevated. He also gets into fasting styles, ketones, autophagy, muscle retention during fasts, and why short intense training may beat endless cardio.
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High Insulin Starts Damage Before Diabetes
- Pradip Jamnadas says the real metabolic problem starts with chronically high insulin, not just high blood sugar.
- Frequent carbs and processed foods keep insulin elevated for years, driving fatty liver, visceral fat, and disease before diabetes shows on labs.
Belly Fat Signals Toxic Visceral Fat
- Jamnadas says a protruding belly often signals hyperinsulinemia because glucose-driven fat accumulates deep around organs.
- He links visceral and ectopic fat to inflammation, fatty liver, and even plaque-promoting fat around coronary arteries.
Use Progressive Fasting To Target Visceral Fat
- Start fasting progressively if the goal is reducing visceral fat.
- Jamnadas begins patients at 12-12, moves them to 18-6, and uses weekly 48-hour or periodic three-day water fasts for severe obesity or diabetes reversal.