The relationship between cortisol and insulin and why it is important to understand it for health

In our body, different hormones are constantly working to maintain internal balance, known as homeostasis. Two of them, cortisol and insulin, play critical roles in energy regulation, metabolism, and stress response.
Although they have different functions, their interaction is key to maintaining healthy blood glucose levels and preventing metabolic disorders.
What is cortisol and what is its function?
Cortisol is a hormone produced by the adrenal glands. It’s often called the stress hormone because it’s released in response to situations that the body perceives as stressful. However, their role goes much further:
- It helps regulate glucose metabolism, facilitating its production in the liver when needed.
- It is involved in the control of blood pressure and the anti-inflammatory response.
- It increases energy availability by mobilizing proteins and fats to produce glucose.
In difficult or fight-or-flight situations, cortisol raises blood glucose levels to ensure rapid energy available to the brain and muscles.
What does insulin do?
Insulin is a hormone produced by the pancreas. Its main function is to reduce blood glucose levels after we eat. It does this by making it easier for muscle, liver, and adipose tissue cells to absorb glucose for energy or storage.
When insulin works properly, it keeps blood glucose within safe ranges and prevents it from staying elevated for long periods.
How do cortisol and insulin interact?
Although cortisol and insulin work in different systems, their metabolic effects overlap in glucose management:
1. Cortisol raises glucose and reduces insulin sensitivity
Cortisol stimulates glucose production in the liver while also reducing the ability of cells to respond to insulin. This can make it difficult for glucose to enter cells, causing a situation known as insulin resistance.
Under conditions of chronic stress, prolonged exposure to elevated cortisol levels can contribute to cells being less sensitive to insulin. This means that the body needs to produce even more insulin to achieve the same effect.
2. Impact on metabolic health
Insulin resistance favored by high cortisol levels can:
- Contribute to the sustained increase in blood glucose.
- Increase the risk of developing type 2 diabetes.
- Promote the accumulation of visceral fat.
- Disrupt overall hormonal balance.
This cycle—where cortisol raises glucose and insulin tries to compensate—can become detrimental over time if not addressed with lifestyle changes or medical intervention.
What is insulin resistance and how is it related to cortisol?
Insulin resistance occurs when the body’s cells stop responding effectively to insulin. As a result, the pancreas produces more insulin to try to compensate. Over time, this can deplete the cells that produce it and lead to elevated blood glucose levels.
Cortisol contributes to this process because:
- It increases glucose production in the liver.
- Reduces glucose uptake by cells.
- It directly counteracts the effects of insulin.
Because of this, chronic stress and persistent elevated cortisol have been associated with an increased risk of insulin resistance and metabolic disorders.
Why is it important to understand this relationship for health?
Understanding how cortisol and insulin interact is essential because this relationship affects key aspects of metabolic health:
1. Prevention of metabolic diseases
The dysregulation of these hormones is linked to:
- Type 2 diabetes
- Metabolic syndrome
- Abdominal obesity
- Cardiovascular problems
2. Impact of chronic stress
Constant stress keeps cortisol levels high, which can:
- Destabilize glucose regulation.
- Make the body dependent on more insulin to function.
- Promote inflammation and visceral fat accumulation.
3. Healthy living strategies
With proper nutrition, stress management, regular exercise, and good sleep, we can help keep these hormones in balance and reduce the risk of metabolic complications.
Conclusion
The relationship between cortisol and insulin is a central aspect of how our body manages energy and responds to stress. Although each hormone has unique functions, their interaction directly affects glucose regulation and metabolic health.
Understanding this relationship allows us to make informed decisions to manage stress, prevent insulin resistance, and support a healthy metabolism.
Finally, you can see all this information in the following video from Ben Azadi’s
channel:

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