Ulrich van Puffelen retweetledi

Here is the mechanism your doctor never explained.
Insulin is not just a blood sugar hormone. It is a sodium retention hormone.
When you are insulin resistant, your pancreas compensates by pumping out more insulin. That excess insulin acts directly on your kidneys through the renin-angiotensin-aldosterone system and tells them to reabsorb sodium instead of excreting it.
Sodium holds water. Water increases blood volume. Increased blood volume raises pressure.
This is not theory. This is published physiology. And it explains why roughly 70% of the risk for essential hypertension is attributable to being metabolically impaired.
The problem is not the salt shaker on your table. The problem is the insulin your doctor never measured.
Hypertension (AHA), 2019. Biomedicines, 2022.
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