High insulin levels drive visceral fat gain, inflammation, and early-stage coronary disease—often a decade before diabetes diagnosis. Cardiologist Dr. Pradip Jamnadas explains why frequent eating keeps insulin elevated and reveals how fasting (not calorie restriction) reverses metabolic dysfunction by mobilizing stem cells, boosting growth hormone, and triggering cellular repair. Frequent consumption of glucose and carbohydrates keeps insulin chronically elevated, causing the body to become insulin resistant and requiring even more insulin to manage blood sugar levels. Visceral fat accumulation around organs is the direct result of hyperinsulinemia and is highly inflammatory, producing cytokines that increase disease risk even when BMI appears normal.