Top
10
Doctor insights on: Mediterranean Diet Insulin Resistance Glucose Metabolism

Share
1

1
Insulin resistance? fasting insulin 76pmol/l after 75gOral glucose- 1hr-insulin-849pmol/l . 2 hr-864pmol/l glucose fast 5.4mmol/l 1hr10.4 2hr7.5

Insulin resistance? 
fasting insulin 76pmol/l 
after 75gOral glucose- 
1hr-insulin-849pmol/l . 2 hr-864pmol/l

glucose fast 5.4mmol/l
1hr10.4
2hr7.5

Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, suggesting insulin resistance. Now is the time to start getting your weight under control, proper diet, and physical activity. Talk to your doctor about your particular situation. ...Read more

Dr. Michael Moran
247 doctors shared insights

Insulin Resistance Syndrome (Definition)

Insulin resistance is a state in which a given concentration of insulin produces a less-than-expected lowering of blood sugar. This results from obesity and often causes higher blood sugar levels. The early stage of Insulin resistance, known as impaired fasting glucose (IFG) or prediabetes, is potentially reversible with significant weight loss (at least 7 percent). However, without weight loss, Type 2 Diabetes generally results, often causing severe damage to arteries and ...Read more


2

2
How likely is it that I have insulin resistance, if my random blood glucose levels are normal?

How likely is it that I have insulin resistance, if my random blood glucose levels are normal?

Varies: The answer depends on many things, including what risk factors you currently have (obesity, metabolic syndrome, family history of diabetes...) just because you have a normal random blood sugar does not rule out Insulin resistance. Your body might keep your bs normal at the expense of very high level of Insulin in early diabetes. You need to measure glucose, Insulin and c-peptide level as a start. ...Read more

See 1 more doctor answer
3

3
If you have normal glucose levels, is it still possible for you to be insulin resistance?

If you have normal glucose levels, is it still possible for you to be insulin resistance?

Yes: In early stages, body makes more insulin to keep glucose under check but tissues, especially muscles may be resistant to insulin. You can improve your insulin sensitivity by exercise. ...Read more

4

4
I recently was told that i had high insulin resistance and low fasting glucose levels. What does this mean?

I recently was told that i had high insulin resistance and low fasting glucose levels. What does this mean?

Pre diabetes: Insulin resistance is the precursor to type 2 diabetes. It is estimated that people who eventually develop diabetes have had Insulin resistance for at least 10-15 yrs beforehand. Obesity, high blood pressure, high triglycerides, low HDL cholesterol, and high fasting glucose are indicators of Insulin resistance (if you have at least 3 out of 5). Weight loss and exercise are essential for treating. ...Read more

6

6
Is it possible to have pcos without insulin resistance on the c-peptide exam (did twice) and glucose levels are always around 84-85.

Wrong test: C-peptide is not a test for Insulin resistance. It is a test to see if you are still making your own insulin, which we knew that you were or else you would have had type 1 diabetes. There is not specific lab test for Insulin resistance, it is an accumulation of other information and findings by your doctor. Insulin resistance with a normal glucose should yield an elevated c-peptide. ...Read more

7

7
What causes the weight gain associated with anti-depressant drugs: slowed metabolism, increased appetite, increased insulin resistance, other?

What causes the weight gain associated with anti-depressant drugs: slowed metabolism, increased appetite, increased insulin resistance, other?

All of the above: It is possible the underlying condition resulting in the use of medication could be a problem. If 25-oh vit d 3 levels are normal, free T4 levels are normal, and cortisol is not high in the evening, eating 6 small equal meals, managing stress skillfully, and moving though the day with some thing as simple as pretend jump roping for 60 minutes spread out in 1-2 minute intervals should help. ...Read more

8

8
I am a 38 year old woman with pcos with insulin resistance and impaired glucose tolerance in 2005 I have been take metformin since then I've lost 70 po?

I am a 38 year old woman with pcos with insulin resistance and impaired glucose tolerance in 2005 I have been take metformin since then I've lost 70 po?

Good job: If you have lost 70# you are doing very well. Weight loss has been shown to improve both pcos and Insulin resistance. Check with your doctor - it is possible your Insulin resistance has improved enough you can decrease the dose of metformin. ...Read more

See 1 more doctor answer
10

10
Should a prediabetic use glucose meter to monitor glucose after meals to learn which foods cause hi blood sugar to avoid further insulin resistance?

Should a prediabetic use glucose meter to monitor glucose after meals to learn which foods cause hi blood sugar to avoid further insulin resistance?

Maybe but it depends: While your suggestion is not currently part of ada guidelines & recommendations, if it will help you see result of your food choices & help you make better choices, then i think it's reasonable. In truth, your nutritionist can help you develop healthy eating habits w/o using a glucometer. For instance, check out the mediterranean diet. Don't forget to exercise regularly to reduce Insulin resistanc. ...Read more

Dr. Arthur Heller
2,585 doctors shared insights

Diet (Definition)

refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more


Tolerance (Definition)

When one takes a drug, such as heroin or alcohol, repeatedly, 'tolerance' develops because more of the drug is needed to give the same effect on the body/brain; e.g. Liver enzymes r stimulated to metabolize the drug faster and faster. There may be a strong genetic predisposition to addiction, some studies suggesting that 1 of 10 people will become dependent on alcohol or some ...Read more