Question about insulin resistance when NOT T2D

(Robert C) #21

I am sorry to hear about that.

Yes, stick to the rule (that @cw2001 mentioned) stop if you feel bad.

(Eric - The patient needs to be patient!) #22

In the US you can pay for a test yourself. Direct Labs charges $35. I talked to my PCP and she said that insurance would likely not pay for it and going through her labs might be more than $100US.

My value was 14.6 uIU/mL. I’ve read reports that the values fluctuate greatly even in healthy people. But I wanted to make sure mine was not super high.

https://directlabs.com

(Janelle) #23

I agree with all of this.

When I first went to my GP and asked about help in losing weight, she would not prescribe anything but referred me to an obesity specialist. I had about 80lbs to lose - much of it around my waistline. He had me step on a body fat scale, had me breathe into a tube to measure metabolism and measured my waist. He looked at my neck, where I have multiple skin tags and proclaimed, “I think you’re insulin resistant”. He looked at recent blood results. My A1c was 4.8 and my glucose was 97. I didn’t have a test for insulin. Would have maybe been good as a baseline. I think I want to have all this done again in January as a baseline for the year.

(Bob M) #24

For me, these values are all over the map.

Values

You can see that my fasting insulin went UP while my HbA1c went DOWN.

Also, my trigs/HDL are all over the map. The two yellow lines were taken after 4.5 days fasting; otherwise, it was 12+ hours fasting but eating the day before. Fasting worsens my trigs/HDL ratio, by a lot. Compare also 10/31/16 and 11/14/16, almost a difference of 3 in trigs/HDL ratio in TWO WEEKS. Did my insulin resistance change in that time? I doubt it. I happened to be fasting much more before the 10/31/16 test and ate normally for the two weeks until the 11/14/16 test.

The 1/20/18 test was an oral glucose tolerance test. They were supposed to take three samples, before, at one hour, and at two hours. But they only took samples before and then at two hours. I was low carb/keto before that test.