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šŸ” ā€œYour fasting blood sugar is normal. Your HbA1c is fine. But you could still be prediabetic—and here’s why.ā€ā¬‡ļø šŸ‘©ā€āš•ļøAs a functional medicine practitioner, the first red flag I look for isn’t high blood sugar—it’s high fasting insulin and insulin resistance (HOMA-IR). šŸ‘©ā€āš•ļøMost people (and even doctors) miss early prediabetes because they rely solely on glucose and HbA1c—but by the time those rise, insulin resistance has already been damaging your body for years. šŸ‘©ā€āš•ļøThe 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). šŸ‘©ā€āš•ļøStudies show 30-50% of people with ā€˜normal’ glucose already have insulin resistance (Diabetes Care, 2020). šŸ‘©ā€āš•ļøHOMA-IR: The Gold Standard for Early Detection The Ho...

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