# @doctoranshikagupta on Instagram

- **Type:** Video
- **Original URL:** https://www.instagram.com/p/DI06yP2SaLe
- **Gondola URL:** https://gondola.cc/posts/59828164-doctoranshikagupta-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/1e03029f9a.jpg
- **Posted:** 2025-04-24T11:00:00.000+00:00
- **Account Owner:** Dr. Anshika Gupta (@doctoranshikagupta) — https://gondola.cc/doctoranshikagupta

## Caption

🔍 “Your fasting blood sugar is normal. Your HbA1c is fine. But you could still be prediabetic—and here’s why.”⬇️

👩‍⚕️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). 

👩‍⚕️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.

👩‍⚕️The Science Behind Early Insulin Resistance
Fasting Insulin Rises First⬇️

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).

👩‍⚕️Studies show 30-50% of people with ‘normal’ glucose already have insulin resistance (Diabetes Care, 2020).

👩‍⚕️HOMA-IR: The Gold Standard for Early Detection

The Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) calculates insulin sensitivity using fasting glucose + insulin.

Optimal HOMA-IR: <1.0

Early insulin resistance: >1.5

Prediabetes/diabetes risk: >2.0 (Diabetes Research and Clinical Practice, 2019)

Calculate your HOMA-IR score here : https://www.mdcalc.com/calc/3120/homa-ir-homeostatic-model-assessment-insulin-resistance

📌 Save this post—most people don’t know they’re at risk until it’s too late.
🔗 Use  this HOMA-IR calculator to check your numbers.  https://www.omnicalculator.com/health/homa-ir
https://www.mdcalc.com/calc/3120/homa-ir-homeostatic-model-assessment-insulin-resistance

👇 Comment if you’ve ever had your fasting insulin checked—or tag someone who needs to!

#InsulinResistance #Prediabetes #FunctionalMedicine #DiabetesPrevention #MetabolicHealth #HOMAIR #BloodSugarBalance #EarlyDetection #ReverseDiabetes #GlucoseControl #PCOS #Inflammation #FunctionalNutrition #HealthScience

## Stats

- **Views:** 5,859
- **Likes:** 193
- **Shares:** 0
- **Comments:** 2

## Tags

metabolichealth, reversediabetes, healthscience, homair, inflammation, earlydetection, pcos, functionalnutrition, insulinresistance, functionalmedicine, prediabetes, glucosecontrol, diabetesprevention, bloodsugarbalance

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