Low-Carb Diet and Fasting Insulin Monitoring
Berg stresses that the typical progression starts with decades of high sugar/refined carb consumption causing the pancreas to pump out excess insulin. Initially, this keeps blood glucose normal, but cells become resistant. Insulin normally helps produce NO, so when resistance kicks in, NO drops and vasodilation fails. He warns that many men are told they're fine because of a normal A1C while their vascular system degrades. He personally keeps his fasting insulin at 2 by avoiding sugar. The solution is not a quick fix but a permanent dietary shift.
High chronic insulin leads to insulin resistance, blocking insulin's ability to stimulate endothelial nitric oxide synthase. Over time, this starves arteries of NO and promotes fibrosis. Restricting carbohydrates lowers insulin levels, restores sensitivity, and gradually rejuvenates NO synthesis.
I like to keep it really low. I don't have a lot of sugar in my diet.
The primary thing that really starts this whole problem is insulin resistance. ... You need to go on a low carb diet. Cut out the sugars, cut out the starches.

