Medical App & Medical Advice with Hello Doctor

Do you have insulin resistance?

You may have heard the term “insulin resistance” bandied about in recent years; maybe you thought it was just another manufactured disorder to sell yet another fad diet. But insulin resistance is a real health condition.

What is insulin resistance? 


Insulin resistance is when your body doesn’t respond to insulin released into your bloodstream.

Insulin regulates the amount of glucose (a type of sugar) in your blood; this is important for your body to have enough energy to get you through the day. Insulin either converts glucose to energy, or to body fat. Preferably energy rather than excess body fat, right?

Definitely, particularly as excess body fat, especially tummy fat, can cause insulin resistance in the first place.

As your cells become resistant to insulin, your body responds by generating more insulin. High insulin levels are associated with high blood pressure, hardened arteries, excess weight gain, and Type 2 diabetes.

Symptoms of insulin resistance


Insulin resistance is a silent disease; initially you will have no symptoms, but eventually, symptoms will develop.

You will:

  • Feel tired.
  • Have difficulty concentrating.
  • Feel hungry.
  • Gain weight around your tummy (if you don’t already have a spare tyre).
  • Develop higher blood pressure and cholesterol levels.

Without appropriate diagnosis and management, you could develop type 2 diabetes. .

What causes insulin resistance?

Insulin resistance is mostly caused by:

  • Unhealthy eating.
  • Lack of exercise.
  • Being overweight.
  • Constantly high stress levels.
  • A family history of diabetes.
  • Chronic inflammation (often related to high stress levels).

It can also be a side-effect of polycystic ovary syndrome or Cushing’s disease, or taking steroids for a long time.

How can I treat insulin resistance? 


While researchers can’t pinpoint the main cause (for example, an obese person does not necessarily develop insulin resistance as a result of their weight), they all agree that lifestyle changes are the best defense and offence. A good example of prevention better than cure!. 

Treating and preventing insulin resistance relies on changing your lifestyle; what you eat, how much you exercise and watching your weight.

Change your diet


Changing your diet will have knock-on effects if you’re overweight; you shed excess kilos and have more energy to exercise.

Your new diet should cut out refined sugar and carbohydrates (goodbye cooldrinks and white bread) as well as processed and convenience foods. Your diet should include mostly fresh produce, healthy fats (coconut oil, olive oil, avocado, nuts) and good quality protein (meat, eggs and fish)..

Get moving


Exercise is difficult to get in if you’re working at a desk all the time but make time to get at least 30 minutes every day. You don’t need to go to the gym; walking, gardening and housework are all moderate activities that contribute to get your body moving. A sedentary lifestyle is a major cause of insulin resistance.

The good news is that in most cases, you can treat and prevent insulin resistance.

References:

How to find out if you have pre-diabetes

If you have pre-diabetes, it means you have a high risk of developing type 2 diabetes and heart disease. If left undiagnosed and untreated, pre-diabetes can become type 2 diabetes within a decade. Both of these conditions can be prevented however, by adopting a healthier lifestyle that includes maintaining a healthy weight and exercising regularly.

In a way, you could say pre-diabetes means you have signs that you might become diabetic soon, unless you make the necessary lifestyle changes.

It’s a wake-up call!

How can I find out if I have pre-diabetes?

If you think you’re at risk, make an appointment to see your doctor, they’ll be able to run the necessary blood tests to check for pre–diabetes. The most common tests for this are:

  • The FPG (fasting plasma glucose test): You’ll need to fast overnight for this test, which generally means no eating past 10pm the night before.
  • The OGTT (oral glucose tolerance test): This also requires fasting overnight before the test
  • The glycohemoglobin A1c test: This doesn’t require fasting

How do I know if I’m at risk?

Anyone who is aged 45 and older, and overweight, should be tested regularly. If you’re younger than 45, overweight and have any of the risk factors, then you should also make an appointment to get screened:

  • Don’t exercise regularly
  • Have a family history of diabetes
  • Have had gestational diabetes or have given birth to a child weighing more than 4kg
  • Have high blood pressure
  • Have an HDL (“good”) cholesterol level of 35 mg/dl or lower, and/or triglyceride level of 250 mg/dl or higher
  • Have polycystic ovary syndrome
  • Have previously been identified as having IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
  • Have a history of vascular disease

The good news, people who’ve been diagnosed with pre-diabetes can do a lot to delay or even prevent diabetes. One study showed that losing just 5-7% of your bodyweight if you’re overweight, and exercising 3-5 times a week can lower a person’s risk of type 2 diabetes by nearly 60%.
If you think you might be at risk of pre-diabetes, and want to find out more about the condition and how you can prevent it, why not speak to one of our doctors right now – they’re online and waiting to answer your questions. Get Hello Doctor NOW, you can start speaking to a doctor right away!

Questions to ask your doctor if you have been diagnosed with pre-diabetes

  1. What tests will you do to confirm the diagnosis?
  2. Do I need to do anything special to prepare for the test(s), for example fast?
  3. If I have pre-diabetes, will I get diabetes?
  4. What can I do to prevent diabetes if I have pre-diabetes?
  5. My father has diabetes. Should I be screened for pre-diabetes on a regular basis?
  6. I have diabetes. Should I have my children screened for pre-diabetes?
  7. I had gestational diabetes when I was pregnant, should I be screened for pre-diabetes regularly?
  8. Are there any foods I should eat that will help me to avoid pre-diabetes or diabetes?
  9. Should I speak with a Nutritionist or Dietician about changing my diet?
  10. Do I need to lose weight? If so, how much?
  11. What other lifestyle changes do I need to make?
  12. Will the condition resolve itself if I don’t change anything?

Sources: Doctor Oz; WebMD; Family Doctor