North American
                    Institute of Medical Herbalism
Herbal Education: Beginning, Advanced, Clinical
Training herbalists since 1989
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Insulin Resistance: Pathophysiology and Natural Therapeutics

36 hours CE Credit with Certificate

The CD-Set, Notes, and Supplemental Readings and Texts may be purchased separately without enrollment in the course and with no additional tuition fee.

  • Learn the basic pathophysiology of insulin resistance and it role in modern chronic disease
  • Learn the anthropology of insulin resistance, and see what normal health and blood parameters are in our close hunter gatherer relatives.
  • Learn how to assess insulin resistance through blood work
  • Learn how to assess a patient for insulin resistance using nothing more than an interview and a tape measure.
  • Learn the role of basic nutrients essential to normal insulin function
  • Learn the role of trained muscle status on overall insulin and glucose effects in the body
  • Learn the role of glycemic index, glycemic load, and total carbohydrate percentage in insulin resistance
  • Learn the basic science of a ketogenic diet
  • Learn how to prepare a patient for ketosis in stages to reduce the unpleasantness of the induction phase
  • Learn how to coach a patient for a complete ketogenic diet.
  • Learn herbs which may benefit insulin and insulin resistance, as opposed to simply lowering blood sugar
  • Learn how to use a basic insulin resistance protocol in the treatment of prediabetes, diabetes, vascular diseases, cancers, neurological  diseases, and reproductive dysfunction, including PCOS
Insulin resistance is the root pathology not only of Type II diabetes, but also contributes to heart disease, stroke, obesity, hypertension, several common cancers, and other conditions ranging from polycystic ovarian disease to acne to brittle bones and depression. It is a pathology fundamental to the “diseases of civilization.” Although cell level pathology is complex, the roots of this condition are based in malnutrition in the basic nutrients that regulate insulin, untrained muscle mass, and imbalances in the carbohydrate content of the diet. Correcting these three roots of insulin resistance, along with herbal allies to help restore imbalance, can cause some chronic diseases to resolve in a matter of weeks to months. In this course you will learn the pathophysiology of insulin resistance, and the influence of diet, exercise, nutrition and herbs on the condition. You will gain understanding and competence in the clinical application of protocols based on the material learned.

Hours: 36
Term: 8 weeks
Cost of materials: $198
Tuition cost (optional): $120
Enrollment fee (optional): $25

With this course you receive 19 audio disks, 19 pages of lecture notes, and 110 pages of supplemental readings. Students enrolled in our courses are also eligible for a 10% discount on purchases at Mountain Rose Herbs.


Each lesson includes an average or 3 hours of lecture and readings.

Lesson 1. The Pathophysiology of Insulin Resistance 1

Lesson 2. The Pathophysiology of Insulin Resistance 2

Lesson 3. The Influence of Stress and Sleep Debt on Insulin Resistance

Lesson 4. Exercise therapeutics, Growth Hormone, and Insulin Resistance

Lesson 5. Pathophysiology of Diabetes Types I and II

Lesson 6. Therapeutics for Insulin Resistance, Obesity, and Diabetes 1

Lesson 7. Therapeutics for Insulin Resistance, Obesity, and Diabetes 2

Lesson 8. Therapeutics for Insulin Resistance, Obesity, and Diabetes 3

Further down on this page you can find Faculty Biographies, and a List of Tracks of the 19 CDs

Enrollment for Credit

To enroll in the course, receive faculty support, and to earn the Continuing Education certificate, follow these steps:

  • 1) Purchase the CD-set in the CD-ROM Section of our Online Store The CD-Rom set may be purchased without further enrollment in the course aor any tuition payment..

  • 2) When you receive it, open the data disk file, and print out the application form. Send this in with a $25 application fee. This entitles you to student support and faculty contact for eight weeks after the enrollment is received.

  • 3) Read the instructions for obtaining CE credit in the read-me-first file.

  • 4) Look over the CE questions and review them before listening to the disks.

  • 5) Complete any assignments and answer the CE questions for each disk.

  • 6) Tuition ($120) is paid upon completion of the the course and the CE questions.

  • 7) You will receive a certificate reflecting 36 hours of CE credit. 


Paul Bergner is director of the North American Institute of Medical Herbalism. He has edited the Medical Herbalism journal since 1989. He completed more than 50 semester hours of doctoral level studies at the National College of Naturopathic Medicine in the 1980s, including the full sequence on Chinese Medicine offered to the ND students. He was Director of clinical education at Rocky Mountain Center for Botanical Studies from 1996-2003, and clinic director at the Evergreen Center in Boulder, CO from 2003 to 2013.  He has trained more than 250 students through a two-year program with internship in clinical herbalism and clinical nutrition. He is the author of seven books on medical herbalism, clinical nutrition, and naturopathic medicine. Paul has practiced natural medicine for more than 40 years. Paul has been lecturing internationally on the topic of insulin resistance since the year 2000.

CD Contents and Track List


A Data Disk containing lecture notes, supplemental readings, and instructions on how to obtain Continuing Education credit for this course.

Nineteen Audio Disks, with .wav files, which will normally play in any computer or any CD player. They will not play in an .mp3 player unless you convert them to .mp3 on your computer.

Disk 1 Insulin resistance overview 1

1 Start

2 Introduction

3 Normal insulin function

4 Chromium

5 Growth Hormone

6 Abnormal function

7 Consequences

8 Systemic inflammation

9 Insulin curves chart

10 Manifestations

11 Cancers and PCOS

12 End

Disk 2 Insulin resistance overview 2

1 Start

2 Diagnosis

3 Glucose tolerance

4 Causes

5 Fats

6 Glycemic index

7 Stress

8 Nicotine

9 The Cure

10 Value

11 Dysregulation 1

12 Dysregulation 2

13 Dysregulation 3

14 Finish

Disk 3 Insulin resistance overview 3

1 Start

2 Dysregulation continued

3 Insulin responses

4 Ketosis

5 Brain fuels

6 Withdrawal symptoms

7 Breaking the cycle

8 Sedentary lifestyle

9 Exercise physiology

10 Growth hormone

Disk 4 Pathophysiology 1

1 Start

2 Introduction

3 IGF-1

4 IGF-1 Details

5 Obesity

6 Dyslipidemia

7 Hypertension

8 Blood clotting

9 Atherosclerosis

10 Homoscysteine review

Disk 5 Pathophysiology 2

1 Start

2 Cancers

3 Colorectal cancer

4 Homocysteine research

5 Breast and Prostate Cancer

6 Insulinemic foods

7 Dietary sugar

8 Evaluation of intake

9 Protein and insulin

10 Breast cancer study

11 Iowa study

Disk 6 Pathophysiology 3

1 Start

2 Uterine fibroids

3 IGF-1

4 More effects

5 Appetite hormones

6 Adipose tissue

7 Leptin

8 Leptin dysregulation

9 Leptin resistance

10 End


Disk 7 Pathophysiology 4

1 Start

2 Ghrelin

3 Fructose

4 Nicotine

5 Growth Hormone

6 Protein and GH

7 GH and aging

8 GH and exercise

9 Muscle energy pathways

10 Sprints

11 Exercise timing

12 End


Disk 8 Pathophysiology 5

1 Start

2 Walking exercise

3 Daily routine

4 Stress

5 Sleep debt

6 Effects

7 End


Disk 9 Pathophysiology 6

1 Start

2 Cardiovascular effects

3 Requirements

4 Modified bed rest

5 Sleep physiology

6 Shift work

7 Healthy sleep routine

8 Case study

9 End


Disk 10 Diagnosis

1 Start

2 Diagnosis and assessment

3 Anthropological norms

4 Hunter-gatherer normal

5 Glucose tolerance

6 Triglycerides

7 Hypertension

8 Obesity

9 Stages of dysfunction

10 Overt IR

11 Diabetes

12 End


Disk 11Dietary therapeutics 1

1 Start

2 Intro to therapeutics

3 Atkins diet

4 Carbohydrate addiction

5 Easing withdrawal

6 Appetite

7 Behavioral modification

8 Induction Phase

Disk 12 Dietary therapeutics 2

1 Start

2 Satiation

3 Protein

4 Carbohydrates

5 Phase 1

6 Phase 2

7 Phase 3

8 Saturated fat

9 Definition and Types

Disk 13 Ketones

1 Start

2 Ketogenic diet

3 Comparative trials

4 Ketone science

5 Fasting and exercise

6 Low-carb Ketosis

Disk 14 Ketones/Therapeutics summary

1 Start

2 Ketosis and exercise

3 Side effects

4 Ketosis and seizures

5 Cognition

6 Ketosis and acidosis

7 Review of therapeutics

8 Meal and exercise timing

9 Fish oils

10 Krill oil

11 The oil change

Disk 15 Supplements

1 Start

2 Supplements

3 Minerals

4 Carnitine

5 Antioxidants

6 Results

7 Case history

8 End


Disk 16 Diabetes 1

1 Start

2 Diabetes introduction

3 Definitions

4 Therapeutic strategies

5 Type I Diabetes

6 Type II

7 Diagnostic tests

8 Glycosylated hemoglobin

9 Glucose tolerance

10 Readings

11 Trends

12 Self-monitoring

13 Insulin index

Disk 17 Diabetes 2

1 Start

2 Diabetes pathology

3 3 theories

4 Abnormal glycoproteins

5 Symptoms

6 Acute complications

7 Chronic complications

8 Retinopathy

9 Vascular changes

10 Therapeutics

11 Cautions

12 Bernsteins law

13 Glucose test demo

14 End


Disk 18 Herbal Therapeutics 1

1 Start

2 Herbs and insulin resistance

3 Drug pharmacology

4 Insulin-sensitizing drugs

5 Sulfonureas

6 Thiazolidinediones

7 Herbs and insulin resistance

8 The Ginsengs

9 Gymnema

10 Vaccinium

11 Oplopanax

12 Brickellia

13 Syzygium

14 Trigonella

15 Cinnamon

16 Grifola

17 Momordica

18 Ocimum

19 End


Disk 19 Herbal Therapeutics 2

1 Start

2 Caffea

3 Opuntia

4 Herbs for DM complications

5 Vaccinium

6 Gingko biloba

7 Neuropathy

8 End



Data Disk

Supplemental readings and reference texts.    Adobe Acrobat format

  • Track-list.pdf. A list of the tracks on the 19 audio disks.
  • Insulin index article
  • Insulin Resistance and depression
  • Long-term glucose control and all-cause mortality
  • Smoking and Insulin Resistance
  • What if its all been a Big Fat Lie

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