King, thanks for your input. I agree that reducing carbs is important. I don't think going into an Atkins type diet is necessary. I think it's predominantly an energy balance issue overall, and eating 50g of carbs per day vs 200g is not much different over the long haul. Unless your diet is 2000 cal of sucrose and carbs per day, I've seen studies showing insulin resistance and diabetes being more closely linked to visceral fat levels than variations of macronutrients within decent diets themselves.