Three Stages of Metabolic Health – Poor, Moderate, and High

Dr. Basima Williams

Metabolic health is the foundation of overall well-being, influencing how effectively our bodies convert food into energy and maintain vital functions. Understanding the levels of metabolic health from optimal to impaired empowers us to take proactive steps toward longevity and vitality. When metabolic processes function smoothly, risks for chronic diseases such as diabetes, heart disease, and obesity dramatically decrease.

Moreover, good metabolic health enhances energy levels, mental clarity, and physical performance. By tracking key indicators like blood sugar, cholesterol, and waist circumference, individuals can identify their current metabolic health status and implement targeted lifestyle changes.

In this article, Being Functional, explores the three stages of metabolic health, detailing their characteristics, health implications, and the factors influencing them. By recognizing where one stands on this spectrum, individuals can take proactive steps to improve their metabolic health and enhance their quality of life.

Stage 1: Poor Metabolic Health

This stage signals trouble in your body’s energy system. This means your body has problems metabolizing food, which can lead to various health problems. When metabolic health is poor, several noticeable signs appear.

When insulin is unable to transport sugar from the blood into cells, high blood sugar and insulin resistance result. This can lead to elevated blood sugar levels and may advance to prediabetes or type 2 diabetes. Approximately one-third of adults are estimated to have prediabetes, often without realizing it.

Unhealthy cholesterol and triglyceride levels are another concern. Poor metabolic health can cause low levels of “good” HDL cholesterol and high levels of “bad” LDL cholesterol or triglycerides. These can clog arteries, increasing the risk of heart disease, affecting about 38% of American adults.

Elevated blood pressure, or hypertension, is closely linked to metabolic issues. When energy processing is inefficient, it strains blood vessels and the heart, raising the risk of heart attacks and strokes, with over 45% of U. S. adults affected.

Excess body fat, particularly visceral fat, poses additional risks. This type of fat surrounds organs in the abdomen and causes inflammation and hormonal imbalances. Being Functional’s Dr. Williams highlights that individuals with poor metabolic health may notice weight gain around their midsection even without changes in diet or exercise.

Long-term consequences of poor metabolic health include a heightened risk of chronic diseases such as heart disease, stroke, type 2 diabetes, various cancers, and fatty liver disease. Additionally, low energy and fatigue may arise when the body inefficiently processes energy, leaving individuals tired despite adequate sleep. Finally, poor metabolic health is linked to cognitive decline, including “brain fog,” and mood disorders like depression and anxiety, as the brain also needs stable energy to function well.

Stage 2: Moderate Metabolic Health

Stage 2 is a transitional phase in which some metabolic markers are slightly off track. The situation is not yet critical, and there’s a good chance of making improvements.

In this moderate stage, your body shows signs of struggle, similar to a yellow warning light. Your fasting blood glucose levels might be slightly high, ranging from 100-125 mg/dL, and your HbA1c could be in the prediabetic range of 5.7-6.4%. These readings indicate that attention is needed, though not at diabetes levels yet.

Blood pressure might be slightly elevated, possibly in the prehypertensive range, around 120-129 over less than 80 or in Stage 1 hypertension at 130-139 over 80-89 mmHg. These readings suggest your heart is working harder than it should, but they are not critically high.

Your lipid profile may show suboptimal results, with higher LDL or lower HDL levels than recommended, indicating a less-than-ideal fat processing system. Small changes can help improve these levels.

Individuals in this stage may be slightly overweight or have some extra body fat without severe obesity. They might notice tighter clothing around the waist, inconsistent energy levels, and feeling sluggish after meals.

Signs that you are in this stage include occasional energy dips after meals, cravings for sugary or processed foods, and difficulty losing weight despite efforts to eat healthier or exercise. You may feel “okay” but not truly vibrant, lacking energy and not feeling as healthy as you’d like, even if your doctor considers your numbers “fine. ” This overall feeling is an important clue regarding your metabolic health.

Stage 3: High Metabolic Health

When your metabolic health is high, your body performs efficiently, using energy well and protecting against disease. This is the state of optimal metabolic function, where everything is in sync, leading to a thriving life.

In this stage, your blood sugar levels remain stable, with fasting glucose typically below 100 mg/dL and HbA1c usually below 5.7%. This is a sign that your body effectively manages blood sugar and responds well to insulin. Your blood pressure is also consistently within the optimal range, often below 120/80 mmHg, indicating a healthy cardiovascular system.

Individuals typically show favorable cholesterol and triglyceride levels, maintaining a balanced lipid profile with optimal HDL, healthy LDL, and low triglycerides. This balance reduces the risk of heart disease. In terms of body composition, these individuals usually have healthy lean mass and minimal visceral fat, making it easier to maintain a healthy weight and good muscle tone.

Achieving high metabolic health offers a range of benefits. These include sustained energy and vitality, preventing sudden energy crashes. It significantly lowers the risk of chronic conditions such as heart disease and type 2 diabetes due to a strong internal defense system. Additionally, improved cognitive function, enhanced focus, and a better mood are common advantages, as the brain receives a steady supply of energy, eliminating “brain fog.”

Overall, optimal metabolic health promotes longevity and a higher quality of life, allowing for greater independence and enjoyment in daily activities as you age.

Actionable Steps to Improve Your Metabolic Health

Dr. Williams recommends the following steps to improve metabolic health –

Diet Improvements

• Focus on whole, unprocessed foods

• Eat fruits, vegetables, lean proteins, and healthy fats

• Meal prep with whole ingredients for healthy habits

 Carbohydrate Management

• Choose complex carbohydrates over refined sugars

• Opt for whole grains like oats and brown rice

• Include legumes like beans and lentils

• Make simple swaps, like whole wheat bread instead of white bread

 Healthy Fats and Proteins

• Incorporate healthy fats for metabolic function

• Sources include avocados, nuts, seeds, and olive oil

• Consume adequate protein from chicken, fish, eggs, and plant-based options

 Lifestyle Changes

• Engage in regular physical activity

• Combine cardio exercises with strength training

• Aim for at least 150 minutes of moderate-intensity cardio weekly

 Sleep and Stress Management

• Prioritize quality sleep with a consistent sleep schedule

• Manage stress using mindfulness, deep breathing, and gentle yoga

• Stay hydrated by drinking plenty of water

 Health Monitoring

• Regular screenings to track metabolic markers

• Listen to your body regarding energy levels, cravings, and sleep patterns

Importance of Monitoring and Improving Metabolism

Effective metabolic health management is crucial for overall well-being. By closely monitoring your metabolism, you can proactively identify issues, make necessary lifestyle adjustments, and prevent chronic conditions such as diabetes and obesity. Enhancing your metabolism relies on establishing sustainable habits that improve energy levels and mental clarity.

To boost metabolism, prioritize personalized nutrition, consistent physical activity, and effective stress management. Don’t delay in addressing potential problems; take charge of your metabolic health today for a healthier future. 

Contact us to learn how we can help you manage your metabolic health effectively.

About the Author

Board-Certified Family & Functional Medicine Doctor: 25+ Years in Practice, Passionate About Nutrition, Hormones, Gut Healing, & Longevity