In people with type 1 diabetes, eating a diet with 40% low-glycemic carbohydrates raises blood levels of free fatty acids and triglycerides more than eating a diet with 60% high-glycemic...
Mechanism
Synthesis from 1 study
Eating fewer carbs that don’t spike blood sugar means the body makes less insulin. With less insulin, fat cells release more fatty acids into the blood, and the liver turns those into triglycerides, which then build up in circulation—even when blood sugar stays the same.
Most probable mechanism
When someone eats fewer carbohydrates that don't cause quick blood sugar spikes, the body releases less insulin. With less insulin around, fat cells break down stored fats more easily, releasing free fatty acids into the blood. These fatty acids then get packaged into triglycerides and circulate at higher levels, even though blood sugar stays steady.
Reduced dietary carbohydrate intake lowers postprandial glucose excursions and decreases insulin secretion
Lower insulin levels reduce inhibition of hormone-sensitive lipase in adipose tissue
Activated hormone-sensitive lipase hydrolyzes stored triglycerides into free fatty acids and glycerol, increasing free fatty acid release into circulation
Elevated free fatty acids are taken up by the liver and re-esterified into triglycerides, which are packaged into very low-density lipoproteins and secreted into the bloodstream
Evidence from Studies
Supporting (1)
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Effects of Dietary Carbohydrate Concentration and Glycemic Index on Blood Glucose Variability and Free Fatty Acids in Individuals with Type 1 Diabetes
Contradicting (0)
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