Paul Saladino· MD
this is physiologic insulin resistance quote which should be glucose sparing this is a very different state because in this glucose sparing state as you said insulin is low glucose is low yeah right and it's really only the muscle that is refusing glucose it's not you know it and and it's really only the muscle that is becoming resistant to the actions of insulin or saying hey i'm not going to listen to you insulin i'm going to do my free fatty acids right