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Early insulin resistance
Hi,
Age - 31, Male
My HBA1C trend:
* 2023 - 6.0
* 2024 - 5.8
* 2025 - 5.4
* 2026 August - 5.7
* 2026 September - 5.7
Fasting sugar always 90–99 mg/dL.
Average blood glucose around 117 mg/dL.
Recently I did fasting insulin in September - 16 uU/mL.
Calculated HOMA-IR - above 3.
My question is: Is this a sign of early insulin resistance? I have a BMI of 20. How can I reverse it if it is early insulin resistance?
My parents and grandparents are diagnosed with T2DM.
Answers (11)
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Hello,
Take Balanced diet which is mentioned below,
1/3 of food plate should contain bread ( or 4 roti ), pasta, potato and rice.
1/3 of food plate should contain fruits and vegetables.
1/9 of food plate should contain fish, meat, egg, beans and other non dairy sources of protein.
1/9 of food plate should contain milk and dairy foods.
1/9 of food plate should contain food and drink high in fat and/ or sugar.
plus a glass of milk daily.
For prescription contact me at WhatsApp at +91959508739nine or consult by practo app.
In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app.
Thanks.
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Your hba1c is o.k. Risk of insulin resistance developing always exists with genetic and life style factors.
Adopt and continue healthy diet and regular physical exercise and adequate relaxation to prevent onset of diabetes.
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Need proper evaluation please consult for assessment and treatment
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Endocrinologist
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Your HbA1c of 5.7% is in the prediabetes range, but HOMA-IR alone does not diagnose diabetes or determine treatment; fasting insulin tests vary between laboratories. The falling earlier values are encouraging, while family history increases your long-term risk. This can often be improved with consistent lifestyle measures rather than starting medicines solely on this result.
Next Steps
Repeat HbA1c and fasting glucose with your physician; an oral glucose tolerance test may clarify the picture if needed. Aim for regular exercise, resistance training, high-fibre whole foods, good sleep and avoiding sugary drinks; do not self-start metformin. Discuss the reports in a Practo consult or visit Synergy Multispeciality Hospital, Miraj.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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