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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 (6)
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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. 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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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.