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Insulin Resistance

Everything you need to know about insulin resistance and how to manage it.


What is Insulin?

Insulin is one of the most important hormones in the body, produced by the pancreas.

Functions of Insulin:

  • Maintains normal blood glucose levels
  • Plays a role in the breakdown and storage of fats and proteins

Difference Between Insulin Resistance and Type 2 Diabetes

Insulin Resistance

Type 2 Diabetes

The pancreas produces enough insulin, but cells respond poorly to it

The pancreas does not produce enough insulin, but cells still respond to it


What is Insulin Resistance?

Insulin resistance is a condition in which cells do not respond normally to insulin. As a result, the pancreas produces more insulin to keep blood glucose levels within normal range. This leads to a state known as hyperinsulinemia (excess insulin in the blood).


How is Insulin Resistance Diagnosed?

Through the HOMA-IR test, which uses:

  • Fasting blood glucose
  • Fasting insulin level

Formula:
HOMA-IR = Insulin (μIU/mL) × Glucose (mg/dL) / 405

Result

Interpretation

0.5–1.4

Normal

>1.9

Early insulin resistance

>2.9

Significant insulin resistance


Risk Factors for Insulin Resistance

Higher-risk individuals include:

  • Overweight or obese individuals
  • Those consuming high-calorie, high-carb diets
  • Women with PCOS (Polycystic Ovary Syndrome)
  • Individuals with Cushing's Syndrome

Other Contributing Factors:

  • Fat accumulation around the pancreas and cells
  • Elevated insulin levels
  • Increased inflammation
  • Genetic predisposition

Symptoms of Insulin Resistance*

(Often appear in more advanced stages)

  • Fatigue
  • Increased hunger
  • Poor concentration
  • High blood pressure
  • Elevated cholesterol levels
  • Weight gain (especially around the abdomen)

Potential Complications

If left untreated, insulin resistance can lead to:

  • Type 2 Diabetes
  • Heart disease
  • Non-alcoholic fatty liver disease (NAFLD)

How to Manage Insulin Resistance

The most effective way to manage insulin resistance is through lifestyle changes, such as:

  • Adopting a balanced, healthy diet
  • Following a weight-loss plan if overweight
  • Engaging in a suitable exercise routine
  • Quitting smoking
  • Reducing sugar intake
  • Managing stress
  • Getting enough sleep

General Nutrition Guidelines

  • Focus on a low to moderate glycemic index (GI) diet
  • Eat 4–5 servings of vegetables and 2–3 servings of fruit daily
  • Limit fast food
  • Reduce saturated fats and hydrogenated oils

Physical Activity Tips

  • Use stairs instead of elevators
  • Park further away and walk
  • Choose group or family activities like cycling or soccer
  • Try at-home exercises like jumping rope

Glycemic Index Overview

Foods are classified based on their GI:

  • Low GI (≤55) – Minimal impact on blood sugar
  • Medium GI (56–69)
  • High GI (≥70) – Rapid rise in blood sugar

Low GI Foods: Quinoa, oats, bran bread, lentils, sweet potatoes (boiled), cooked beans, milk, oranges
Medium GI Foods: Couscous, pineapple, ice cream, rye bread, grapes, beets, oat cake, mango, berries
High GI Foods: White bread, bagels, fried or mashed potatoes, watermelon, white cereals, honey, soda, instant rice/pasta