Homa-ir = 2.35

diabetes
(Todd Chester) #1

HI All,

Got my blood work back yesterday. My HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) came back at 2.35, which is wildly good news for a T2 Diabetic.

I am “mildly insulin resistant”. (T2’s not under control would be way up there above 3.0.)


Optimal HOMA-IR: Typically less than 2.0
Mild insulin resistance: 2.0–2.9
Moderate to severe insulin resistance: Greater than 3.0

My insulin was a tiny bit high: 7.5 uIU/mL.

Tens years on strict Keto since my T2 diagnosis 10 years ago.

Still have a round hard gut (non fatty liver disease I presume). My TCM (Traditional Chinese Medicine) doctor is thinking of starting me on “dai-zong-fang” to adjust my insulin down and get my hard gut down. He thinks my insulin is keeping me from losing the gut.

Thriving, not just surviving.
-T

(Bob M) #2

Let us know how that goes. My fasting, morning insulin is typically over 10.

My HOMA-IR isn’t great, because my morning blood sugar is > 100 and my insulin is over 10.

(Jane) #3

I paid to get my fasting insulin and glucose tested my second year on keto (8 years keto now) because I wanted to calculate my HOMA-IR score and was pleasantly surprised it was just under 1 (0.9).

My insulin was 4.6 and glucose was 83. Never been diabetic and hope to never be by staying on keto for life.

(Connor Lidell) #4

You could nuke that score if you did some fasting along with strict keto. I fast 3-4 days per week, and it’s brought my fasting insulin down very far very fast.

(Jane) #5

I try to do 72-hr fasts at least once a month, twice if it fits my schedule. I do strict keto on and off, but never go crazy on my carbs so I can maintain my weight loss. I have gained 10 of the 40 back over the last couple of years so after this fast I WILL be strict keto until the 10 pounds are gone. On regular diets I would have gained the 40 back 7 years ago LOL.

I have a ton of keto recipes I printed out, put in sheet protectors and have in a 3" binder. When I get in a rut I get it out to make something I haven’t made in a while and forgot about.

(Todd Chester) #6

My TCM doctor is researchng abut my “nerve deafness” in my ears. Soon as he gets back on that I think I will start the “dai-zong-fang”

This formula has been used for a long time to help stabilize blood sugars and insulin resistance.

Were you told, like I was, that your pancreas was burned out and you were no longer producing enough insulin? What nonsense.

Are you keeping your total carbs (not net carbs) down to 60 mg (30 preferred) per day? And your glycemic load down to 10 to 15 per day? Are you eating most of your food within a four hour window?

(Peter - Don't Fear the Fat ) #7

Have you put them up on here Janie? :smiley:

(Bob M) #8

I never got tested enough to figure out what was happening before I went keto. I never got HbA1c, for instance, and didn’t even know what that was. Never got fasting insulin tested. Even now, I have to ask for HbA1c and insulin, because they only test fasting blood sugar.

(Doug) #9

Well, if the beta cells have been killed off, they’re not going to be making insulin.

(Todd Chester) #10

And they mix up T1 diabetes, where the beta cells are killed off with T2 Diabetes, which is severe insulin resistance. And you get to pay 1000 U$D / hr (250.00 U$D for 15 minutes) to get them to tell you that you burned out your beta cells. Hmmmmm. Why the high insulin then? Incompetence? Corruption? or both?

(Doug) #11

T1 is technically from immune system problems, no? Where the body itself is killing the beta cells.

But as a practical matter, if it’s long-term persistent high sugar levels that have killed them off, then the effect is the same, regardless of preferred medical technology.

If one has high insulin then they’re still making it, so not the same deal.

(Jane) #12

I have over the years!

We haven’t had a keto food thread in a while so I just started one and will start posting my meals. If I use a recipe I will post it. If I wing it I will explain what I do.

:grin:

(Todd Chester) #13

T1 -> autoimmune attacking the pancreas
T2 -> severe insulin resistance caused by long term high glycemic carbohydrate poisoning
T3 -> Alzheimer’s, same as effect as T2 to the body, but to the brain
T3c -> drug induced destruction of the pancreas

(ANNE ) #14

Not sure how active this thread is, as I have not logged into the forum in a while.
I have some concerns about my blood sugars. I am running in the 6-7 mmol range through out the day, I checked my fasting insulin in December 24 and it was 4.1 IU.
Some my HOMA-Ir is about 1.24. Apparently good.
I was diagnosed as T2D in early 2023 and took ozempic for a year. Weight fell off and HB1AC was in the 5.7 range. I am following a very low carb diet, almost carnivore, no longer on ozempic, or HRT (55yr old menopausal women).
Should I care about the persistent higher blood sugar, in the light of being very low carb? I just dont want to be on medications for the rest of my life.
Sorry if I have posted this in the wrong place, but just need to find some advice or pointers towards some research that can help explain to me why my blood sugar is still higher.

(Peter - Don't Fear the Fat ) #15

If your very low carb HbA1c should be under control.

Yes… I woud go back to your dr. Is it possible you are actually type 1 ??
I don’t want to alarm you but genuine low carb normally works for type 2. It’s worth more investigation

(ANNE ) #16

I think if I had type 1 then I would also have higher ketones and be losing weight.
I am due a Hb1AC. TBH I think worrying about it all the time is just compounding it. Need to calm my chimp down a bit perhaps.

(Peter - Don't Fear the Fat ) #17

That’s good. There’s one other point, if your not eating glucose then glucose can’t be a problem. The glucose that’s present is what you’ve made youself. In other words it’s the level that’s normal for you.
I’m some random bloke on the internet so if you’ve got a good Dr that understands low carb then take that advice.

(Todd Chester) #18

Actually, over half of protein is converted to glucose by your liver. But it isa slwoprocess, so your blood sugar should not spike. But it will rise a little bit.

Have you tried vanadyl sulfate? It was my second highest drop in blood glucose. Discontinuing metformin was my largest.


(You've tried everything else; why not try bacon?) #19

Dr. Paul Mason says not. He sees patients with higher blood sugar levels, but as long as the levels stay within a narrow range, it seems to be fine. He says that the problems come when blood sugar spikes and falls, even if the average is low. It’s the swings that are the problem.

(You've tried everything else; why not try bacon?) #20

I don’t believe this is correct. Gluconeogenesis is a well-regulated process. The body doesn’t need much circulating glucose, about 5 mg in total. Extra glucose produced by the liver can be stored in the form of glycogen, which can then be shared with skeletal muscles at need. (The glycogen produced in the muscles can only be consumed by the muscle that made it.) But there are too many uses for amino acids throughout the body for the liver to be converting too many of them to glucose.