Avoid Sugar and Processed Foods to Prevent Brain Insulin Resistance
Ekberg frames Alzheimer's as 'type 3 diabetes,' a metabolic disease rooted in insulin resistance. When the brain becomes insulin resistant, it cannot use the abundant blood sugar, effectively starving in the midst of plenty. High sugar intake also generates AGEs—damaged proteins that harm brain tissue—and fructose specifically drives liver fat accumulation, leading to systemic inflammation that breaches the blood-brain barrier. The hippocampus, essential for converting short-term to long-term memory and for spatial navigation, suffers significant impairment. He notes that sugar and processed foods are addictive and nutrient-depleted, promoting overeating and perpetuating the cycle. The solution is to return to a whole-food diet that keeps insulin low and allows the brain to use ketones as an alternative fuel.
Insulin resistance prevents glucose uptake in brain cells; advanced glycation end products (AGEs) cross-link proteins and damage tissue; fructose drives non-alcoholic fatty liver, increasing cytokine production that triggers neuroinflammation; the hippocampus, critical for memory and spatial awareness, is particularly impaired.
When the brain becomes insulin resistant along with the rest of the body, then we can have a lot of blood sugar floating around in the bloodstream, but because the cells are insulin resistant, they don't receive that blood sugar. So, we're basically starving the brain in the midst of plenty.

