Low-carb diet with intermittent fasting to reverse insulin resistance
Berg identifies insulin resistance as the root cause of most chronic diseases, including obesity, type 2 diabetes, and fatty liver. He argues that the previous high-carb, frequent-eating dietary model directly caused an epidemic of insulin resistance. While he applauds the new guidelines for targeting ultraprocessed foods and raising protein, he insists they fail to address the people already metabolically damaged. He explains that if someone simply swaps junk food for real food but continues eating three meals and two snacks, insulin is still repeatedly spiked, making reversal nearly impossible. The only effective strategy is low carb combined with not eating so frequently — essentially intermittent fasting. He thinks the guideline committee omitted this because acknowledging insulin resistance would force them to admit their past errors, much like when they silently dropped cholesterol limits in 2015 without apology. Berg's emphasis on both diet composition and meal timing reflects a clinical reality: insulin health is a product of total insulin load over time, not just calorie type. He also notes that even hidden industrial starches like maltodextrin, often labeled as carb and sugar-free, can spike blood sugar more than sugar, further complicating insulin management without clear definitions.
Eating triggers insulin release. With every meal or snack, insulin rises to shuttle glucose into cells. Chronic high insulin leads to cellular desensitization (resistance), where the body must produce ever more insulin to achieve the same effect, driving fat storage, inflammation, and eventually diabetes. Low-carb diets reduce the insulin demand per meal. When meals are spaced apart or consolidated, insulin has time to return to baseline, allowing cells to regain sensitivity. Extended fasting periods also trigger autophagy and fat oxidation, further improving metabolic flexibility.
The two things you have to focus on reversing it are doing low carb and number two, not eating so frequently.

