š āYour fasting blood sugar is normal. Your HbA1c is fine. But you could still be prediabeticāand hereās why.āā¬ļø
š©āāļøAs a functional medicine practitioner, the first red flag I look for isnāt high blood sugarāitās high fasting insulin and insulin resistance (HOMA-IR).
š©āāļøMost people (and even doctors) miss early prediabetes because they rely solely on glucose and HbA1cābut by the time those rise, insulin resistance has already been damaging your body for years.
š©āāļøThe Science Behind Early Insulin Resistance
Fasting Insulin Rises Firstā¬ļø
Insulin resistance begins when your cells stop responding to insulin, forcing your pancreas to pump out more insulin just to keep blood sugar normal. This is why fasting insulin levels spike years before glucose does (Journal of Clinical Endocrinology & Metabolism, 2018).
š©āāļøStudies show 30-50% of people with ānormalā glucose already have insulin resistance (Diabetes Care, 2020).
š©āāļøHOMA-IR: The Gold Standard for Early Detection
The Ho...
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