The general consensus for this is that the high level of fat around your scapular area, the middle of your back, is generally related to a high amount of insulin resistance.
Therefore, the more fat you store in this area, the more unlikely you are to get away with eating carbohydrates and the more you will to have to monitor and restrict the actual amount of carbohydrates you eat every day, and certainly you will need to monitor the type of carbohydrates you are eating. This is a hormonal ‘hot-spot’.
We all have different areas around our body that mean different things, hormonally; for example, stored fat around the navel (belly button) has been linked to high levels of cortisol, which is stress hormone. In a similar way, fat in the area in the middle of the back indicates intolerance to the ingestion of carbohydrates.
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