Ankle, wrist and any joints, you can't really grow em since it is all genetics.

You said that you have tried 5x5, drop sets, pyramid, bla bla bla... Have you tried eating more?

As I know from common knowledge, excessive carb causes diabetes. Pancreas produces insulin and other hormones to help regulate blood sugar. When eat too much carb, too much stress on pancreas to produce insulin all the time and eventually it stops working (stop secreting insulin) hence we get diabetes.

Thus, I always try to limit my carbs to 280 at max nowadays and add as much healthy fats without getting hungry.
darklight79, what's your take on this? Don't you fear that taking in 450g carb per day could cause diabetes over time? Any explanation on this? Enlighten me.

P/S: Many people in my family (aunty, uncle, grandmother, grandfather) all have diabetes. My parent's friends also 85% of the time have it also (same race). Their diets are usually 95% carb, 5% protein. Like a big plate of rice, with some dal and 10grams of chicken meat from chicken curry.

Not sure about type of sugars. What I do know is diff carb sources have diff glycemic index (GI). Those high GI carbs/simple sugars are said to be bad because they rapidly spike your blood glucose levels and the pancreas have to make a insulin spike to bring things back to normal. Repetition of this glucose and insulin spike is what that's said to overwork the pancreas over time. This is why diabetes patients are advised to eat brown rice due to it's low GI and lower glycemic load (GL).

They are however good to be consumed in small quantities before workout due to their fast digesting properties.

About darklight, from the pics he seems to be consuming alot of white rice (not brown) which is a high GI/GL carb. That is what that made me curious. Or does darky get more than half of his carbs from complex moderate GI carbs?
The body breaks down or converts most carbohydrates into the sugar glucose. Glucose is absorbed into the bloodstream. Insulin (this is where pancreas comes in) is now released to bring back blood glucose levels to normal back.