Mineral Deficiency & Insulin Resistance

I remember the first episode as if it happened yesterday.

I was sitting in my kitchen when suddenly the world snapped into hyperfocus. Sounds became loud—too loud. The lights turned on sharply. My heart started racing, and I felt like I was moving even though I was perfectly still.

It didn’t feel psychological. It felt electrical.

I ended up in the emergency room. They ran labs. They ran them twice. They told me everything was “normal.”

After two days, I walked out of the hospital with no diagnosis, no explanation, and a lingering feeling that something inside me was breaking down.

This is where the story begins. Not with willpower or dieting or “eat less, move more.”

But with minerals.

Because minerals are metabolic electricity — and when they run low, nothing in the body works right: not insulin, not glucose signaling, not liver function, not energy, not emotion.

We focus so heavily on carbohydrates and calories that we forget the chemical translators that make metabolism possible.


The Hidden Early Warning Sign

Here is the part no one tells you:

Low potassium is extremely common in people developing insulin resistance — even when blood labs look “normal.”

If you are dealing with:

  • cravings

  • blood sugar swings

  • stress intolerance

  • “wired but tired.”

  • sensory overload

  • fatigue after meals

…there may be a mineral story underneath.

I didn’t know this until I lived it.


Potassium Lives Inside Cells

Potassium is not a blood mineral — it is a cellular mineral.

Only about 2% of the body’s potassium exists in the bloodstream. The other 98% is supposed to live inside cells, where it:

  • keeps electrical impulses stable

  • supports insulin signaling

  • helps regulate energy

  • maintains muscle and nerve function

  • supports normal heart rhythm

This is why potassium matters so much for metabolism. And this is why my ER labs were “normal.”

They were looking in the wrong place.


Insulin Decides Whether Potassium Stays in the Cell

This is critical:

Insulin controls the movement of potassium into cells.

When insulin signaling becomes impaired (insulin resistance), potassium:

  • leaks out of cells

  • circulates in the blood for a short time

  • is lost through urine

You can eat what looks like a perfectly adequate diet and still end up in functional potassium deficiency at the cellular level.

Doctors rarely catch this because:

  • serum potassium looks “fine”

  • no one checks intracellular potassium

  • symptoms mimic anxiety, dehydration, or stress

So most people are given:

  • water

  • SSRIs

  • “stress management.”

…instead of identifying the mineral imbalance driving the problem.

I lived that experience.

I know what it feels like to be treated like a “worrier” when your body is depleted.


Sodium (Salt) Makes It Worse

Here’s the part almost everyone misses:

Modern diets are salt-heavy, potassium-light.

Processed foods are engineered to be hyper-palatable using sodium because salt enhances taste and extends shelf life.

But sodium and potassium are opposites in the body:

  • potassium lives inside the cell

  • sodium lives outside the cell

When insulin signaling falters, sodium begins to accumulate inside cells, forcing potassium out and disrupting normal electrical gradients.

This creates symptoms like:

  • lightheadedness

  • heart flutters

  • “adrenaline” surges

  • feeling like a switch flipped

All with perfectly “normal” labs.

I’ve been there. It’s startling and disorienting.

And nobody connects it to early metabolic dysfunction.


The Magnesium Connection (The Door Nobody Knows About)

Now we bring in the third piece no one talked to me about in that ER room:

The sodium-potassium pump (the thing that moves potassium into cells and sodium out) requires magnesium to work.

No magnesium = the pump fails = potassium cannot enter cells even if you’re consuming it.

Magnesium is the key in the lock. It activates the pump (Na⁺/K⁺-ATPase) that sets electrical balance across the cell membrane.

When magnesium is low:

  • potassium can’t get where it needs to go

  • sodium accumulates

  • electrical signaling misfires

  • insulin signaling weakens

  • metabolic stress increases

In hindsight, this was the missing link in my story.

It wasn’t just low potassium. It was low potassium moving through a low-magnesium system in a high-sodium world.

That is the metabolic trap.


Why This Is So Common (And Rarely Diagnosed)

Three reasons:

  • Processed food: High sodium, low potassium, low magnesium. A triple imbalance.

  • Chronic stress: Stress hormones burn through magnesium. Stress also increases insulin output (which increases potassium loss through urine).

  • “Normal labs”: Serum potassium is tightly regulated. Your body will sacrifice intracellular potassium to keep blood levels normal — until things get severe.

So the message is:

“Normal” potassium does not mean “optimal” potassium.

The ER sent me home because my numbers weren’t out of range.

Nobody asked about:

  • intracellular potassium

  • mineral depletion

  • magnesium status

  • sodium balance

  • insulin signaling

Nobody looked at the metabolic context.


What This Means (Still No Cure, Just Awareness)

I’m intentionally not going into solutions here yet. This is just the problem revealed.

Key takeaway:

Low potassium is often an early metabolic warning sign, especially when magnesium is low and sodium is high.

It is the first crack in the system. It shows up years before elevated glucose, A1C, or even fatty liver.

It looks like:

  • anxiety

  • overwhelm

  • loud sounds

  • dizziness

  • fatigue

  • heartbeat irregularities

It looks like your body is betraying you. But what it’s actually doing is alerting you.

Not in language. In electricity.


The Lab Value Hidden in That ER Visit

Later, when I requested my records, I saw it:

Potassium: 3.3

Here’s what that means physiologically:

  • 3.5 = low normal

  • 3.3 = neurological symptoms and cardiac irritability

Below 3.5, you can get:

  • sound amplification

  • dizziness

  • faint feeling

  • heart palpitations

  • muscle instability

  • panic sensations

  • confusion

  • pressure in the chest

That is exactly what I experienced. And not a single clinician said the word “potassium.” Not once.



Fatty Liver Contributes to Low Potassium

Here’s the part no one talks about: When the liver is storing fat, it’s not just storing energy. It’s storing minerals.

The liver becomes less efficient at:

  • storing glycogen

  • releasing glucose

  • maintaining electrolyte balance

So what happens?

  1. Your blood sugar becomes unstable

  2. Your insulin spikes harder

  3. And potassium gets pulled inside cells

This causes:

  • dizziness

  • faint-like episodes

  • loud sound sensitivity

  • racing heart

  • panic sensations without a psychological cause

It is not a character flaw. It is an electrochemical imbalance.


Cortisol (Stress) Lowers Potassium Too

Chronic stress (from work, family dynamics, and menopause sleep disruption) creates:

  • adrenaline

  • cortisol

These hormones force the kidneys to excrete potassium through urine. You literally pee it out.

Especially in:

  • stressful meetings

  • high-conflict relationships

  • sleep interruption

  • late-night rumination

  • emotional shocks

Stress is electrolyte expensive.


Why “Healthy Convenience Foods” Made It Worse

People assume low potassium is a “junk food” problem. But here is the trap:

  • protein bars

  • premade salads

  • “low carb” snacks

  • trail mix

  • grab-and-go smoothies

  • wellness drinks

  • sparkling waters

Almost none contain electrolyte minerals. They give calories. They give stimulation. They give marketing language. They do not give potassium.

Worst part: Salt is added, but potassium is removed in most packaged foods.

It is literally by design.


Why Doctors Miss Low Potassium

Because they look for:

  • ECG abnormalities

  • life-threatening levels (below 2.5)

  • kidney disease

But they do not look for:

  • metabolic stress

  • insulin patterns

  • cortisol load

  • fatty liver

  • mineral depletion

Potassium 3.3 gets ignored because it’s not “dangerous.” But metabolically? It is a scream for help.


Why Low Potassium Causes Loud Sound Sensitivity

This part is critical, and rarely explained: Potassium controls the electrical threshold for nerve firing. When potassium is low:

  • nerves fire too easily

  • sensory input amplifies

  • sound becomes louder

  • light becomes brighter

  • touch becomes intense

  • emotions feel extreme

Doctors call this “anxiety.” But this is neurology. It is over-firing neurons.

You’re not “overreacting.” You’re over-conducting.


Why This Matters for Insulin Resistance

The relationship is circular:

  • Insulin mismanages potassium

  • Low potassium worsens insulin resistance

It becomes a loop:

  1. High insulin pushes potassium into cells

  2. Low blood potassium triggers cortisol

  3. Cortisol raises blood sugar

  4. Insulin spikes to compensate

  5. Even more potassium disappears from the blood

This is why you can:

  • eat less

  • exercise

  • “do everything right.”

…and still feel metabolic chaos.


The “Mineral Awakening” Begins Here

Potassium wasn’t a panic disorder. It wasn’t emotional instability. It wasn’t psychological fragility.

It was electrical depletion from:

  • stress

  • insulin

  • fatty liver

  • convenience eating

  • ignored labs

And once I understood this, everything changed. You will never unsee this. Your body is electric. Potassium is the current. Insulin is the switch.

Once you support the switch and the current, you stop feeling like you’re “about to faint for no reason.”

There is always a reason. It’s metabolic.


Why Low Potassium Feels Like Panic

Low potassium isn’t “just an electrolyte.” Potassium is electric.

It controls:

  • nerve firing

  • heart rhythm

  • muscle stability

  • sensory processing

When potassium is low, your nervous system misfires. It feels like:

  • fear

  • urgency

  • panic

  • unreality

Even when you’re not scared. Even when nothing dangerous is happening. It’s not emotional.

It’s cellular.


Why They Didn’t Tell Me

I’ve reflected on this so many times. ER medicine is designed for binary danger:

  • Are you having a stroke?

  • A heart attack?

  • A seizure?

  • A bleed?

If the answer is “no,” you get sent home. But metabolic dysfunction is not emergency medicine.

It is:

  • gray area

  • early whispers

  • cumulative stress

  • nutritional depletion

There is no code for:

“This woman has low potassium because her liver is storing fat and her insulin is spiking at night.”

So it becomes:

“Probably anxiety.”


The ER Discharge Sheet

It literally said:

  • Diagnosis: Anxiety

  • Follow up if symptoms persist

  • Labs: WNL (within normal limits)

Potassium 3.3 was right there on the sheet. I didn’t know how to read it yet. Because no one teaches us how to read labs, we aren’t given our own numbers in context.

We are given labels:

  • normal

  • abnormal

  • fine

  • anxiety

I was not “fine.” I was depleted.


The Moment I Learned

Weeks later, I asked for my ER records. And there it was:

  • Potassium: 3.3

  • ALT: elevated

  • AST: normal

  • GGT: normal

  • Glucose: “fine”

That combination means: early fatty liver + electrolyte depletion + insulin resistance.

Not panic attacks. Potassium. Insulin. Liver.

Three words no doctor said to me that night. “I wasn’t weak. I was under-mineralized.”


The Awakening

I didn’t “hit rock bottom.” I hit realization. That ER visit didn’t solve anything, but it gave me a mission:

Learn the metabolic language doctors never taught me.

It was the moment I realized:

  • I need to advocate for myself

  • I need to track my labs

  • I need to request records

  • I need to understand electrolytes

  • I need to support my liver

This wasn’t anxiety. This wasn’t imaginary. This wasn’t emotional fragility.

This was metabolic communication. My body wasn’t attacking me. It was warning me.