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How to know if you’re insulin resistant using routine blood tests

October 14, 2019

How do you know if you’re INSULIN RESISTANT
? Well the easiest way is to look in the mirror. What you’re looking for is not fat per se,
but where the fat is distributed. Anytime there is a protruding belly AND you’re NOT
pregnant, odds are you’re insulin resistant. If you want to put a number on this “look”,
you can calculate the waist to hip ratio. To do this……… measure how wide you are
around the belly and measure how wide you are around the hips. Take the number you got
for the waist and divide by this, by the number you got for the hips, to get your ratio. Now
in this particular example, this guy is not insulin resistant. You would be considered
insulin resistant, if you have a number bigger than one. Now the waist to hip ratio is a
crude measure. The way to KNOW for sure, you’re insulin resistant is to undergo a procedure
known as a hyperinsulinemic-euglycemic clamp. It is a PROCEDURE. And it is a rather an unnatural
situation. Briefly, what happens is you get hooked up to two IV lines, draining directly
into your blood vessels. The one IV line pumps in a fixed dose of insulin. Since insulin’s
job is to put away the groceries, the body responds to this outside insulin, the same
way it would respond to naturally produced insulin. It starts putting the groceries away,
this causes sugar levels drop. Now low sugar levels ARE potentially a BIG PROBLEM, for
the brain. So to keep this from being a catastrophe, glucose is pumped in at the same time. Exactly
how much glucose needs to be pumped in, to counterbalance the insulin, depends on…………your
level of insulin resistance. If you’re serious insulin resistant, you need less glucose,
because the insulin that is going in, is not doing it’s job. On the flip side, if you’re
insulin sensitive, well you need lots of glucose, because the insulin is efficiently putting
the sugar away, so glucose is in short supply. The required glucose infusion reflects your
insulin resistance. The name of the variable measured is the M score. Now the trouble with
this hyperinsulinemic-euglycemic clamp, is well it’is time consuming, and it requires
a hospital setting, it’s expensive and it’s traumatic. So…….. it ‘s not done on
a routine basis. Instead proxy measurements are used. Now the best proxy for insulin resistance
is fasting insulin levels. Now the reason this is helpful, is when you’re insulin
resistant, insulin levels are high, morning, noon and night, not just in the moments post
dinner. So a high fasting insulin level speaks volumes about what is going on in your metabolism.
Fasting insulin levels are not so easy to interpret. So to make the number a little
bit more “meaningful”, it is plugged into one of several formulas, to give a final number.
The final number is represented as a cute little acronym on the blood work panel. The
acronyms include, HOMA, which stands for the homeostasis model assessment. QUICKI, which
stands for quantitative insulin sensitivity check index. The FGIR, which stands for fasting
glucose to insulin ratio. And the FIGP, which stands for fasting insulin glucose product.
Now the number is calculated and then compared with reference ranges, to establish the level
of insulin resistance. The problem with fasting insulin levels, it works, but measuring insulin
levels is expensive, and variable. So although it is the “best” it is also not something
measured on a routine basis. Are there other proxy measures ? Join us for this episode
of BETTER BODY CHEMISTRY TV to find out, how to establish if you’re insulin resistant,
using the blood tests your doctor routinely orders. Better Body Chemistry TV is brought
to you by Dr Sandy – a scientist turned gremlin buster, HELPING YOU, battle sugar gremlins,
heffa-lumps & other health horribles, through BETTER BODY CHEMISTRY. Remember, small things
can make a big difference to your health. The TyG index is for everyone – it stands
for the product of triglycerides times glucose. And it is also based on a calculation, but
this equation uses common blood measurements. You can do it yourself. Start by taking your
fasting triglyceride level and multiply it, by your fasting glucose level. Now, it is
important to realize, the units must be in mg per decilitre. So if they are in millimolar,
you will need to convert them. Don’t let the maths overwhelm you. There are sever TyG
index calculators available on line. I’ll link to one in the description below. Now
when it comes to the TyG index, the “magic number’ is 4.68. Below this, you are considered
insulin sensitive, above it, insulin resistant. The bigger that number…………. the bigger
your problem. Now the TyG index will give you a heads up, that you’ve got bad body
chemistry. But it is not perfect, it’s a stand in measurement. When researchers compare
TyG to the value from the hyperinsulinemic-euglycemic clamp, remember this was considered the gold
standard, for measuring insulin resistance, they find that the TyG index sometimes get
it wrong. 2 % of the time it would not detect insulin resistance in people with insulin
resistance. And 3 % if the time, it would detect insulin resistance in people are were
not insulin resistant. That said, perfect is not required, a heads up is acceptable,
because at this stage, there is no pill you can swallow to “fix” insulin resistance.
For the most part, you have to “wait” until something gives……….. then, a whole
host of medical interventions are used, to manage the problem. Unfortunately, the odds
that something GIVES, if you are insulin resistant, is rather high. It’s probably a matter of
when, not if. What gives will depend on your genetic predispositions. The list of health
problems associated with insulin resistance is rather long, extending from acne to xanthoma,
and everything in between. So you do want to know if you are insulin resistant, because
you are a medical problem, waiting to happen. Remember it can happen to you, even if you
are NOT visiably overweight. But there is a “fix”. Hyperinsulinemia is creating
the DIS-EASE ! So if you can find a way to rein in insulin, this will bring relief. It
might not be easy, but there is a multitude of little things you can do, to rein in insulin.
For more tips & strategies that will help rein in insulin, download the free willpower
report, it will introduce you to the CANDY FLOSS system, so you can begin the journey
today, to BETTER BODY CHEMISTRY and BETTER HEALTH. Interested in discovering more ways
to create BETTER BODY CHEMISTRY or need a little help getting your body chemistry on
track ? Visit our website WWW BETTER BODY CHEMISTRY dot COM, browse our library or enrol
in one of our courses or programmes. The advice is simple to follow and based on real science,
not hype. Know someone who is worried about their health ? Share this video with them
– so they know how to check their status, using standard blood tests. And if this is
your first time here, be sure to subscribe to our channel, to catch future episodes of
BETTER BODY CHEMISTRY TV. Thank you so much for watching and I will see you next time.
Remember small things can make a big difference to your health.

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