Insulin resistance is:
when cells in your muscles, fat, and liver don’t respond well to insulin and can’t use glucose from your blood for energy. To make up for it, your pancreas makes more insulin. Over time, your blood sugar levels go up. Insulin resistance syndrome includes a group of problems like obesity, high blood pressure, high cholesterol, and type 2 diabetes. It could affect as many as 1 in 3 Americans. You might also hear it called metabolic syndrome.Whose victim to it and what is the causes it?
Anyone can become insulin-resistant. In particular, people with excess weight are at a higher risk, compared to the general population. Risk is further increased with a family history of type two diabetes, age over 45, African, Latino or Native American ancestry, smoking, and certain medications, including steroids, anti-psychotics, and HIV medication. There are other medical conditions associated with insulin resistance, like obstructive sleep apnea, fatty liver disease, polycystic ovarian syndrome, also known as PCOS, Cushing's syndrome, and lipodystrophy syndromes. Lipodystrophy syndromes are conditions that cause abnormal fat loss. So carrying either too much or not enough fat tissue in your body can be associated with insulin resistance.What are the symptoms?
Very often people with insulin resistance don't have any symptoms at all. It is usually picked up by their doctor during an annual health exam or routine blood work. There are some signs of insulin resistance that your doctor may look for. These includes a waistline over 40 inches in men, and a waistline over 35 inches in women. Skin tags or patches of dark velvety skin called acanthosis nigricans. A blood pressure reading of 130 over 80 or higher. A fasting glucose level equal or above 100 milligrams per deciliter. Or a blood sugar level equal or above 140 milligrams per deciliter two hours after a glucose load test. An A1C between 5.7% and 6.3%. A fasting triglycerides level over 150 milligram per deciliter. And an HDL cholesterol level under 40 milligrams per deciliter in men, and an HDL cholesterol level under 50 milligrams per deciliter in women.common signs of blood sugar imbalance
Irritability
Excessive sleepiness after a meal
Craving carbs / sugar
Headaches
Dizziness
Poor sleep
Mid-day sleepiness
Excessive hunger shortly after eating
Fatigue relieved by eating
The symptoms of Insulin Resistance:
You can't tell that you have insulin resistance by how you feel. You'll need to get a blood test that checks your blood sugar levels.
Likewise, you won’t know if you have most of the other conditions that are part of insulin resistance syndrome (high blood pressure, low "good" cholesterol levels, and high triglycerides) without seeing your doctor.Some signs of insulin resistance include:
A waistline over 40 inches in men and 35 inches in women
Blood pressure readings of 130/80 or higher
A fasting glucose level over 100 mg/dL
A fasting triglyceride level over 150 mg/dL
A HDL cholesterol level under 40 mg/dL in men and 50 mg/dL in women
Skin tags
Patches of dark, velvety skin called acanthosis nigricans
Risk Factors and Causes of Insulin Resistance
Things that can make this condition more likely include:
Obesity, especially belly fat
Inactive lifestyle
Diet high in carbohydrates
Gestational diabetes
Health conditions like nonalcoholic fatty liver disease and polycystic ovary syndrome
A family history of diabetes
Smoking
Ethnicity -- it’s more likely if your ancestry is African, Latino, or Native American
Age -- it’s more likely after 45
Hormonal disorders like Cushing’s syndrome and acromegaly
Medications like steroids, antipsychotics, and HIV medications
Sleep problems like sleep apnea
Insulin Resistance Treatment and Prevention
Get to a healthy weight. If you're not sure what you should weigh or how to reach a weight loss goal, ask your doctor. You may also want to talk with a nutritionist and a certified personal trainer.
Eat a healthy diet. Think fruits, vegetables, whole grains, nuts, beans, fish, legumes, and other lean protein.
Take medications. Your doctor may prescribe a medication called metformin (Fortamet, Glucophage, Glumetza, Riomet) to help keep your blood sugar in check.
Severe high blood sugar
Severe low blood sugar
Heart attack
Stroke
Kidney disease
Eye problems
Cancer
Alzheimer’s disease.
Age -- it’s more likely after 45
Hormonal disorders like Cushing’s syndrome and acromegaly
Medications like steroids, antipsychotics, and HIV medications
Sleep problems like sleep apnea
Insulin Resistance Treatment and Prevention
You can take steps to reverse insulin resistance and prevent type 2 diabetes:
Exercise. Go for at least 30 minutes a day of moderate activity (like brisk walking) 5 or more days a week. If you're not active now, work up to that.Get to a healthy weight. If you're not sure what you should weigh or how to reach a weight loss goal, ask your doctor. You may also want to talk with a nutritionist and a certified personal trainer.
Eat a healthy diet. Think fruits, vegetables, whole grains, nuts, beans, fish, legumes, and other lean protein.
Take medications. Your doctor may prescribe a medication called metformin (Fortamet, Glucophage, Glumetza, Riomet) to help keep your blood sugar in check.
The complications of Insulin Resistance
If metabolic syndrome goes untreated, it could lead to:Severe high blood sugar
Severe low blood sugar
Heart attack
Stroke
Kidney disease
Eye problems
Cancer
Alzheimer’s disease.