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endocrine

Insulin Resistance

A condition where cells don't respond well to insulin, leading to high blood sugar and increasing diabetes risk.

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Overview

Insulin resistance is a condition where the body's cells — particularly muscle, fat, and liver cells — don't respond properly to insulin, so the pancreas must produce more to achieve the same effect. Over time, the pancreas can't keep up, leading to prediabetes and eventually type 2 diabetes. Insulin resistance is the underlying driver of metabolic syndrome and is strongly linked to excess visceral fat, physical inactivity, and certain genetic factors.

Symptoms

Common Signs

  • Often no symptoms until prediabetes or diabetes develops
  • Difficulty losing weight, especially belly fat
  • Fatigue, especially after meals
  • Brain fog
  • Cravings for sugar and carbohydrates
  • Acanthosis nigricans (darkened skin in folds)
  • Skin tags
  • High fasting insulin on blood tests
  • Low HDL and high triglycerides

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.

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