Dr. Saira Hameed

You are diagnosed with prediabetes or type 2 diabetes.

That is just one facet of insulin resistance.

Insulin resistance is massively common in the US, massively common in the UK where I practice.

So the time period that we're talking about is important.

What happened was this.

So genetics didn't change.

Genetics can't change in 50 years.

On a population basis, we had such massive societal changes.

in the food that we eat and the lifestyle that we lead so that the world is now set up to make you insulin resistant, not to make your insulin signaling work better.

So you now have to go really out of your way

to eat a diet that does not promote insulin resistance.

You have to go out of your way to be active because you can literally be still all day.

You can have a phone and a thumb and everything can come to you.

You can have a Wi-Fi connection and you can work and go to meetings and do your shopping and anything else you need to do to get on with life.

So our human biology, our physiology didn't change, right?

But the environment massively changed.

and public health hasn't kept up.

The second thing I was going to say is that 50% of the population from midlife onwards...

will have a hormone condition, and that is menopause.

So if you look at women from mid-40s onwards, they will have, I would say, I'm going to call it a change in their hormones.