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Diabetes

Question
Posted by: Radhika Pande | 2018/09/12

Q.

Fasting blood insulin

My fasting blood insulin is 24. My doctor has asked me to take Glycomet 500 SR (composition: Metformin). I am 30 pounds overweight. My mother has diabetes for the past 14 years. I have 2 questions: 1. Do I really need to take those medicines or just reducing weight is the real solution. 2. If fasting blood insulin levels are not useful then what other tests I can take to know if I have insulin resistance or not? Thank you in advance. Awaiting your reply.

Expert's Reply

A.

Diabetes expert
- 2018/09/17

Insulin resistance is an early stage of progression to diabetes, and is very much driven by increasing weight. The best option to improve insulin resistance is therefore to lose weight by modifying diet and exercise. With regards to diet, there are a few options and these include a low fat diet, low carb (difficult to do long term) diet or Mediterranean diet. This would address the quality issue, but to help further to lose weight, you need to lower the quantity as well, as the best way to reduce weight is to cut down on total calories, more so than the type of calories, for your body can only burn so many calories a day, and if you eat less than this, then weight loss will occur.  Exercise requirements for weight loss are a lot and entail about 60-90 minutes every day. Exercise less than this amount will help you live longer regardless of weight loss and will also help with insulin resistance. The diet with a slightly better edge in terms of insulin resistance would be the Mediterranean diet. Essentially this would mean more monounsaturated fats which you could get in your diet by eating 5-7 almond nuts a day and adding olive oil where possible. Glucophage is a medication that can help with insulin resistance, and can delay progression to diabetes, but will not have a marked effect on weight loss. 

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

1
user comments

C.

Posted by: Anonymous | 2018/09/18

Insulin resistance isn't driven by increasing weight. Increasing weight is driven by insulin resistance.

Reply to Anonymous

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