总有一天，我们会回首过去，质疑现代医学的一个核心假设。

为什么我们要通过给体内胰岛素过量的人注射更多胰岛素来“治疗”2型糖尿病？

目前主流的医疗模式侧重于用药物和胰岛素来控制血糖水平。降低糖化血红蛋白A1c值，达到目标，然后继续治疗。

但这种方法往往忽略了上游问题：

• 胰岛素抵抗
• 慢性炎症
• 代谢功能障碍

2型糖尿病并非主要由胰岛素缺乏引起，而是由胰岛素抵抗引起。以下是令人不安的历史真相：

100年前，2型糖尿病极其罕见。

医生们没有胰岛素、GLP-1受体激动剂或降血糖药片。所以他们别无选择，只能直言不讳：

“你必须立即减少糖和精制碳水化合物的摄入——否则将会发生可怕的事情。”

患者们听从了（因为他们别无选择）。
他们瘦了。
他们的新陈代谢健康状况通常有所改善。

今天，我们却反其道而行之。

我们给予安慰。我们开具处方。我们增加剂量。

胰岛素是一种强效的脂肪储存和促炎激素，它被添加到已经充斥着胰岛素的系统中。血糖水平或许会有所改善，但潜在的疾病往往会恶化。

我们只关注数字……而根本原因却在悄然发展。

代谢健康的未来不再是追逐葡萄糖，而是恢复胰岛素敏感性和减少炎症——从源头上解决问题，因为疾病就潜伏在那里。

我在这段视频中更详细地剖析了这种错误的思维模式：

One day, we’ll look back and question a core assumption of modern medicine.

Why did we “treat” type 2 diabetes by giving more insulin to people who already had too much insulin?

The dominant medical paradigm focuses on fixing glucose numbers with medications and insulin. Lower the A1c. Hit the target. Move on.

But this approach often ignores the upstream problem:

• Insulin resistance
• Chronic inflammation
• Metabolic dysfunction

Type 2 diabetes is not primarily an insulin deficiency disease. It’s an insulin resistance disease. And here’s the uncomfortable historical truth:

100 years ago, type 2 diabetes was exceedingly rare.

Doctors didn’t have insulin, GLP-1s, or glucose-lowering pills. So they had no choice but to be blunt:

“You must immediately cut back on sugars and refined carbohydrates— or something dreadful will happen.”

Patients listened (because they had no other choice).
They lost weight.
Their metabolic health often improved.

Today, we do the opposite.

We reassure. We prescribe. We escalate doses.

Insulin— a powerful fat-storage and pro-inflammatory hormone— is added to a system already drowning in it. Glucose numbers may improve, but the disease underneath often worsens.

We treat the number…while the root cause quietly progresses.

The future of metabolic health won’t be about chasing glucose. It will be about restoring insulin sensitivity and reducing inflammation— upstream, where the disease actually lives.

I break down this broken paradigm in more detail in this video here: http://t.cn/AXUO1106 @DrSuneelDhand