In reading yesterdays post on the liver I realized that I should have included this information. I hope you read this short explanation of the difference between fat made in your liver from carbohydrate and fat that you eat dietary fat. As I said yesterday when you are insulin resistant or type 2 diabetic you have a very hard time using glucose for energy. If you eat the recommended High-carb diet by the ADA your liver will be forced to constantly make saturated and POA fat from the unusable or excess glucose. There are two distinct delivery systems for liver made fat and dietary fat. Here are the two explanations for the two systems. Like cholesterol fat does not mix very well with our blood it is not water soluble. All cholesterol has to be packaged with a lipoprotein. This lipoprotein (think of a suitcase) carries cholesterol in the bloodstream to be delivered to your cells. LDL is a lipoprotein it carries cholesterol made in the liver to your cells. LDL stands for low-density-lipoprotein. (There I go getting off-track again this is not supposed to be about cholesterol.) Back to fat.
When the liver makes fat from excess carbs it also makes VLDL lipoprotein. This lipoprotein is needed to carry the fat to your fat cells for storage. VLDL stands for very-low-density-lipoprotein. The more fat made by the liver the more VLDL needed to transport the liver made fat (triglycerides) to your fat cells. The more carbohydrate you the type 2 eats the more liver fat is made. This is why a type 2 diabetic who eats a high carb diet will have very high levels of triglycerides. Your body can only store so much fat at one time. Your liver and everything else becomes overwhelmed with this constant input of excess glucose from this high-carb diet. And this is why a type 2 who eats this way will have mostly small dense particle B LDL cholesterol. Once this fat is delivered to the fat cells VLDL morphs into LDL cholesterol mostly all small dense the type that can be oxidized.
And also remember this fat made by your liver from the high carb diet is unusable to you the type 2 diabetic. It is unusable because your constant high insulin levels will keep you locked out. A specific enzyme is needed to release your fat stores from storage into the bloodstream where the liver takes and makes ketone bodies for your brain. You the type 2 cannot make ketone bodies for the brain because of this reason. And BTW if you the type 2 in this situation eat ANY dietary fat it will also be unusable to you and end up in storage in your fat cells. If you choose however to follow a LCHF or ketogenic diet you will reverse this process.
When you eat any dietary fat (except for MCT`s) the fat needs to get broken down into smaller units. In the intestine pancreatic digestive enzymes break the fat down into smaller units and the fat is re-packaged with a different lipoprotein called chylomicron to be carried in the bloodstream. It is then delivered by this lipoprotein to your different cells to be used for energy. You can use this dietary fat for energy if you are fat-adapted. The MCT`s from coconut oil by-pass these digestive enzymes and go directly to the liver were they are immediately used for energy. If you the type 2 diabetic would switch from a high carb diet to a LCHF or a ketogenic diet you would lower your blood sugar levels which would lower your insulin levels. Once the conversion would be made from glucose burner to fat burner you would be able to use this dietary fat for energy. And you would unlock your bodies fat stores. Low insulin would activate the enzyme hormone sensitive lipase which is needed to mobilize your fat stores. You would convert your brain from being dependent primarily on glucose for fuel to primarily ketone bodies. Now your liver is free from constantly having to make excess unusable fat from excess carbs to being able to make ketone bodies with your stored body fat. Now your liver is finally free.