Insulin resistance syndrome occurs when this hormone has less ability to put blood glucose in cells, due to the combination of hereditary influences with other diseases and life habits of the person, such as obesity, physical inactivity and increased cholesterol, for example.
Insulin resistance can be detected by a blood test, which shows an increase in blood sugar, especially after meals or when emptying.
- This syndrome is a form of prediabetes because if left untreated and corrected.
- With food control.
- Weight loss and physical activity.
- It can develop into type 2 diabetes.
Insulin resistance syndrome usually does not cause symptoms and therefore, to confirm its presence, a glycemic curve test, also known as oral glucose tolerance test, or TOTG, should be performed.
This test is done by measuring the glucose value after ingesting approximately 75 g of a sweet liquid. The interpretation of the glycemic curve test after 2 hours is as follows:
As insulin resistance worsens, in addition to increasing glucose after meals, it also increases with an empty head, as the liver tries to compensate for the lack of sugar in the cells, so fasting blood glucose tests can also be performed to assess the degree of endurance.
Fasting blood glucose values are
Learn more about how the glycemic curve test and fasting blood glucose test are performed.
During this period, glucose levels can still be controlled, as the body stimulates the pancreas to produce increasing amounts of insulin, to compensate for resistance to its action.
Therefore, another way to diagnose the presence of insulin resistance is to calculate the Homa Index, which is a calculation that is made to assess the relationship between the amount of sugar and the amount of insulin in the blood..
Normal values for the Homa index are generally the following
These reference values may vary by laboratory, and if the patient has a very high body mass index (BMI), then it should always be interpreted by the doctor.See what it’s for and how to calculate the Homa index.
However, after a few months or years of insulin resistance syndrome, type 2 diabetes appears, due to pancreatic insufficiency, which has difficulty producing the amount of insulin needed for the body, this disease also causes symptoms such as thirst and excessive hunger.such as various complications in organs such as the eyes, kidneys, heart and skin.Learn more about symptoms, treatment, and complications of type 2 diabetes.
This syndrome, in most cases, occurs in people who already have a genetic predisposition, when other family members have had or are diabetic, for example.
However, it can develop even in people who do not present this risk, due to lifestyle habits that predispose to metabolism degradation, such as obesity or increased abdominal volume, diet with excess carbohydrates, physical inactivity, high blood pressure or increased cholesterol and triglycerides.
In addition, hormonal changes, especially in women, may also increase the chances of developing insulin resistance, such as in women with polycystic ovary syndrome or PCOS.In these women, changes that lead to a menstrual imbalance and an increase in androgen hormones also cause deregulation.insulin function.
If proper treatment of insulin resistance is performed, it can be cured to prevent the development of diabetes. Treating this condition requires the advice of a family doctor or endocrinologist and involves weight loss, diet and physical activity and follow-up.blood sugar, with medical follow-up every 3 to 6 months.See what the diet of prediabetic people should be like.
Your doctor may also prescribe medications such as metformin, which is a drug that helps control glucose production in the liver and increases insulin sensitivity, due to increased glucose use, if there is a very high risk of diabetes by muscles.However, if the person is strict in treatment with diet and physical activity, medication use may not be necessary.