The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
if you want to know how good your insulin sensitivity is really you must do a hyper a hyperinsulinemic u-glycemic clamp test or an oral glucose tolerance test as i've talked about on previous podcasts if you are fat adapted if you are doing a car a carnivore diet without carbs if you were doing a ketogenic diet you will fail an ogt because you have physiologic insulin resistance
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Fasting insulin is not a good measure of insulin sensitivity without carbohydrates in your diet
if you take somebody who's on a ketogenic diet or a very carbohydrate restricted diet its more common than not when you do an oral glucose tolerance test on them that they will have this paroxysmal very elevated glucose very elevated insulin after being challenged so they'll have a low fasting glucose low fasting insulin and then you give him the Glu Cola and their glucose and insulin are sky-high
if you take somebody who's on a ketogenic diet or a very carbohydrate restricted diet its more common than not when you do an oral glucose tolerance test on them that they will have this paroxysmal very elevated glucose very elevated insulin after being challenged so they'll have a low fasting glucose low fasting insulin and then you give him the Glu Cola and their glucose and insulin are sky-high