Insulin Resistance Test (Best Test for IR & Stubborn Weight Loss) Homa-IR
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Insulin Resistance Test (Best Test for IR & Stubborn Weight Loss) Homa-IR


what is the best test for insulin
resistance insulin resistance is linked to the majority of modern disease
obesity diabetes cardiovascular disease all have a component of insulin
resistance so people want to know how to measure it
for a lot of people it’s enough just to measure your basic glucose and maybe an
a1c but for some it’s not enough that’s not going to tell them the whole picture
so today we’re going to talk about Homa IR what it can measure and when it’s a
good idea to ask your doctor for a test coming right up Homa IR stands for homeostatic model
assessment of insulin resistance glucose is one indicator of insulin resistance
but glucose varies it fluctuates a whole lot through the day so depending on when
we catch it we may or may not get a representative value a1c is a blood
glucose average it measures how much glucose sticks to a red blood cell and
the red blood cell lives about three to four months so by measuring how much is
stuck to a red blood cell we can get a three to four month average of the
glucose so that’s a better measurement but it still doesn’t tell us the whole
picture because you could still be insulin resistant and have a normal
blood sugar so let’s talk about that and Homa IR measures insulin and glucose and
the homeostatic means how good is the body’s ability to return to balance
these two factors out to return to homeostasis so we multiply the blood
glucose by the insulin and we divide by a constant to come up with a score so
there’s two factors that drive the score it’s both blood glucose and insulin so
either one could drive up the score and that where it gives us the value so if
you have a normal blood glucose but a high insulin you
still insulin-resistant and if both are high then obviously you are also insulin
resistant so let’s look at a few examples here every time you eat your
body raises blood sugar the food gets into the bloodstream blood sugar goes up
if you eat carbs it goes up a lot if you eat protein it goes up a little
bit and if you eat fat it hardly rises at all then that blood glucose the
purpose is not to be in the blood the blood is just a transportation system to
get the fuel to the cells because the cells are going to do some work with
that fuel and insulin is what allows the glucose to get out of the blood and into
the cell so it’s like a lock key into a lock to open up the door to let the cell
use that fuel so we eat something our glucose goes up insulin goes up it
delivers it to the cell when the cell has the food then insulin is no longer
lead that needed and insulin goes back down so that’s kind of the normal
sequence of things and the system is set up beautifully because it’s self
managing as long as we live a natural life and eat whole healthy foods if we
have a moderate or low amount of blood glucose it doesn’t take much insulin to
control that and we have a balanced a homeostatic situation and our Homa IR
score would be 1 or less so let’s look at a few examples there the first
example is a person who goes get their blood work their fasting glucose is 90
we measure their insulin levels their fasting insulin levels which come out to
4.5 we plug it into the formula we multiply glucose by insulin divided by
the constant and we have 1.0 so this is a person with good insulin sensitivity
meaning it doesn’t take a lot of insulin the body doesn’t have to work very hard
to deliver that food to the cell the cell is receptive it’s sensitive
because it wants that food so this is a good situation there a 1 C measures 5.5
so their average glucose is about 110 and so they start the day off at 90 and
then they eat but they eat reasonably well so the blood sugar goes up it goes
a little bit outside of the zone maybe if they eat some rice and potatoes and
things but it doesn’t climb excessively because they eat whole food and it comes
back down in the range and the body doesn’t have to work very hard the next
example though that person comes in get their blood work their fasting glucose
is 85 so if that was all we measured for that person we go hey congratulations
you’re in tip-top shape don’t worry about a thing just keep doing what
you’re doing and the person goes off and he’s heading into trouble because if we
had also measured insulin we’d see that it was 10 and this person that insulin
is more than twice that one even though they’re fasting glucose is lower so when
we calculate the home IR we get a two point one meaning the body can maintain
the blood sugar especially after a while when you’ve been fasting but it has to
work really hard at doing so then we measure the a1c and we see this person
has a 6.3 indicating an average glucose of 134 and there’s a big big difference
between the fasting the fasting they look good but their average is pretty
high so this person is pre-diabetic and even though if we had sent him off with
the congratulations based on the fasting glucose and he keeps doing what he’s
doing he is heading for diabetes so what is he doing well he starts off the day
low but then he eats his milk and cereal and toast with a jam and orange juice
and then he has a hamburger and a coke and every time he eats his blood sugar
goes very very high it goes way outside that ideal range which is an
emergency and the body has to make a ton of insulin but the body can still keep
up so the insulin is sufficient to bring it back down to a normal level
especially if you let it work overnight which is when we take that fasting
glucose so here’s an example of where you’re developing insulin resistance you
are eating a lot of carbs a lot of processed food the blood sugar goes high
a lot of insulin is pushing all that fuel into the cell and the cell is happy
in the beginning and then after a while it says hey this is too much I can’t use
all this fuel so the sugar gets converted into fat and the fat starts
filling up the cells of the body especially the liver which is usually
the first place to develop insulin resistance the cell has had enough the
cell says I don’t want any more so it starts resisting insulin the longer you
go without food the more the cell can start burning off those stores and then
it welcomes insulin you become more insulin sensitive so this person would
do well to start changing some habits before it’s too late the earlier you can
catch something the quicker and easier it is to turn it around it’s never too
late but this quickly you get at it the
easier it is this is a full-blown type-2 diabetes patients fasting glucose is 200
their insulin is at 20 a 1 C is a 10 average glucose 240 we calculate their
score and it’s a nine point nine so here’s a very insulin resistant person
and of course we had no doubt because every marker indicates that there’s
something out of whack here there if we charted their blood glucose they are
never in the normal range they never ever get down there because they push
their body too far they start off high every meal they eat which is probably
frequent they increase it they make mass of amounts of insulin but the cells are
so resistant that the massive amount of insulin is not can’t make a dent in it
it fluctuates a little bit up and down but it stays at a very high level even
so the moment this person stops eating carbohydrate the blood sugar will start
to go down so there is hope even in this case but what I really wanted to focus
on with the Houma IR is this special case and this is the person who has
tried everything they might have lost some weight
maybe they plateaued maybe nothing happened maybe it’s a person who managed
to lose a good bit of weight but all the remaining weight sits on the midsection
and this could be someone who has eaten really really well for a long time maybe
for years so we checked them their fasting glucose
is a hundred so it’s a little bit on the high end but not alarming we check their
insulin and it’s a whopping twenty it’s it’s as high with half the blood sugar
it’s as high as this one so their score calculates 26.2 so they’re very very
insulin resistant but they’ve eaten well for quite some time so their blood sugar
never goes crazy and we check their a1c it’s a 5.4 their average glucose is
about 108 so there’s hardly any difference between the fasting and the
a1c and in some cases they could be the same this person’s blood sugar never
really budges and yet they can’t lose weight so if we think about this and and
these are these are I have seen people like this and every person with this
might be different so don’t think that I’m just talking about you but it could
be a large range of cases if this doesn’t look exactly like you then just
look at the the principal’s so this person might have been on keto they
might be fully fat adapted the body burns fat for fuel
perfectly they don’t get hungry much they have no cravings but they’re so
insulin resistant that the cells won’t release the fuel okay they have all this
fuel stored on the body but it takes extreme measures to release any of it
the body there’s so much insulin there that the body that that packs the fuel
into the cell that locks the cell down that the body prefers to eat fat to as
opposed to burning it so this person if they’re on keto they probably feel a
strong urge to maintain their calories their intake they get hungry when they
don’t get food because even though their fat adapted and they have all this fat
they still can’t get to it because of all that insulin so in this case you
probably have to get a little bit more drastic so a lot of these people have
already tried the the keto they’ve tried the calorie restrictions they’ve done
all those things so Kido may not be the thing that’s going to do it for them
they it might low-carb is absolutely necessary because if you start loading
up the carbs then their system is going to get even more insulin crazy but keto
may not be enough so they need to stay keto and/or low-carb but they need to
start doing some other things as well exercise would be one thing and they
want to do low intensity exercise something that gets their heart rate to
a hundred hundred and twenty not higher because then you start burning a lot of
cortisol which drives more insulin they might want to play around with fasting
so even if they’ve done intermittent fasting 16 hour fast 18 hour fast they
probably want to go more toward ohm add one meal a day or even longer fasts like
36 48 72 hours and they might be a little uncomfortable because the body is
so resistant to releasing that energy that
fat for fuel but if they can get over the hump then they’ll probably see some
results and then of course then there are also cases where even that may not
be enough because there can be other factors that are underlying the problem
so things like hypothyroid if you’re toxic with metals chemicals immune
toxins or if you have nutritional deficiencies then your body is just not
in a strong enough place to to bounce back all of the things we talked about
are still appropriate but they may not be enough where you may get very slow
results so this is what we specialize at in our office we analyzed the body and
find out what are the hidden root causes so if you’ve tried everything then try
this and then maybe look if there’s someone locally that can help you as
well we do nutrition response testing which is the best method I’ve ever found
of identifying those things so let me know if this answers your questions on
insulin resistance or if there’s anything that you want more clarity on
if you enjoy learning and understanding more than just sort of getting a few
facts bailed out if you feel this is valuable information then make sure that
you subscribe and hit that notification bell also share this information with as
many people as you can because there’s a lot of people out there who need to get
healthy thanks for watching

About Bill McCormick

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100 thoughts on “Insulin Resistance Test (Best Test for IR & Stubborn Weight Loss) Homa-IR

  1. Learn ways to lower your blood sugars https://youtu.be/Ea4du9Cuwq0 or healthy weight loss https://youtu.be/vGT6JbzdMRE

  2. Would enjoy more clarity about nutritional response testing… I have suceeded in elimination of NAFLD, plus weight loss of 90+ pounds (now at 185 lbs / bmi of 26.5) over the past two years. But that mid section fat just won't go away. I follow low carb (< 30 most days), do intermitent and multi day fasts, walking and lower paced exercises, and a good variety of low glycemic vegitables daily. During the past year my HOMA-IR has been 2.0 / 1.7 / 2.2 .. my fasting glucose is ok; but my insulin keeps hovering around 10. Except when I do an extended fast, then it drops under 3. And my A1C has remained under 5 the past year. Ergo, I seems to fit your description near the end and would appreciate places to learn more. Oh yeah, home is in Thailand so this is a very self guided quest towards better health.

  3. Thank you very much for this VDO. Very well explained!! You mentioned briefly that you would not recommend High Intensity Training (e.g. HIIT) for people that have difficulty to burn body fat, while it raises cortisol. Would be very interesting if you could do a VDO on what HIIT is doing to your body. Some doctors say HIIT is wise to do, especially if you have already CAD (eg. calcium score of >100). Other doctors say you have to be careful with doing HIIT, while it increases cortisol and it temporary increase your blood pressure significantly which may harm the wall of your arteries and thus increase the level of plaque as well. It would be very interesting to get your perspective on this topic. Thanks a lot!

  4. after switching to a low carb diet for the past 3 months, I am finding my morning blood glucose levels are higher now than before, averaging 105 -120..( no food intake for 8 – 10 hours ) …..I started this low carb , no sugar diet after I discovered my A1C was 5.8 and want to bring it down….after having a low carb breakfast and testing again ( approx. 90 min. after my last bite ) it usually drops to the low 90's…..I am a 60 year old male , who is not and never been over weight ( 5'10" / 160lbs ) and exercised regularly all my life and in good health …… if I change my lifestyle and lower my carbs ( keep under 75 a day ) and cut my added sugar intake , but never really achieve ketosis , can it actually be harmful to me …….thanks

  5. Please someone help me:
    Experta say fats combined with carbs lower BS but spike insulin. Doesn't make much sense.

    Carbs combined with protein spike insulin. So if I eat eggs+apple or eggs+oats or chicken+sweetpotato its not good.
    Thanks

  6. Dr. Ekberg,
    I just had a lab work done, my fasting glucose was 69, heg a1c= 5.7, and insuline= 1.7 (which very low according to the reference interval: 2.6-24.9).
    I’ve been prediabetic (5.8) for many years and I started the keto diet and IF (not very strict though) about 2 months ago and my a1c went down to 5.7. I expected to have a much higher insulin level since I thought I was IR all this time. Does my low insulin level mean that my body (pancreas) is not producing enough insulin?
    I appreciate your input in advance!

  7. I haven't been able to find a description of the process of doing the Homa IR, ie. is it like the OGTT, requiring multiple draws over times with the glucose drink, or is it just one draw from a fasting patient?

  8. Great info. What is your opinion on high blood pressure? Is there a connection between blood glucose, insulin levels, and elevated blood pressure? I can test my blood glucose and Keytone‘s with a monitor, however is there a way to test your insulin at home?

  9. What exactly is a Nutritional Response Testing? Is it something we would have to make an appointment to have done?

  10. I seem to be towards 3, though I have not tested my Insulin, I have been on keto for about 4 months, started out dirty and lazy, last 5-6 weeks strict and mostly clean. yet scale is not moving.(9 pounds in 4 months) FG 110 for the past couple of weeks,( Trig. 144, and a1c 7.0 (march 19)) Thyroid 29.97, this is w/o meds since 11/24/2018 normal with meds 5-7. I am exhausted, started recording my sleep, 1st night 2.3 hours last night 5.5. I cannot heal I feel, because I cannot sleep. Can you do a nutritional test, if I am in another state, or is that a face to face? I know there is a collection place that does testing, called DoctorsData, if blood work or urine collection, can you write an order for my local facility? On a totally different page….. I have gait issue, my left arm is pretty stagnate and often held close to my body & bent. I have tried to be a little more mindful and when I think about about it intentionally cross crawl. Should I be concerned, no idea how long I have been doing this. THANKS

  11. so interesting… I'm that last person..last 10lbs.of belly fat won't budge…I'm drinkin decafe but they are espressos and i do about 5 a day… probably cortisol ? part of it anyway…I wish you were my doc!

  12. Just found your channel. Watched several videos, liked, sub'd & shared. Your presentations are very clear, efficient & polished. Thank you so much for sharing this important information. Knowledge empowers us to better manage our health! Wishing you love & abundant Blessings!

  13. Now I understand why it's so hard to lose wight. I guess I'm in the last type of HOMA IR category. I will start doing longer fasting and check if I have any underlying causes you described. Thank you DR. Ekberg

  14. Hi Dr Ekberg. I just had an idea. How could a chart composed of a "Resting Metabilic Rate chart", "blood glocose level delta", and "hours fasted" be an indicator of insulin resistance?

    For example:
    Lets say I'm 40, weight 200lbs, and my last meal was at 12PM.

    My glucose level is lets say 8 mmol/L when I go to bed 10PM.

    Then, I measure my blood glucose again at 6AM to find that it decreased to 7 mmol/L, havinf a delta of -1 mmol/L.

    How could we make a chart that would identify the level of insulin resistance considering these meteics?

  15. This is a very insightful video. It would be really interesting if you could explain the effect or interplay of cortisol on insulin and possibly the access to fat stores or even weight loss? Especially in the case of exercise, like higher intensity or longer duration training sessions.

  16. I have insulin resistance and try to start the keto diet, but my gall bladder is not active and does not break the fat. Maybe You have some suggestions on how to force the gall bladder. Thank You 🙂

  17. Thanks a lot. Great video with great information. I might have missed it but I can't find the indications about how to measure Insulin. It could only be done by a laboratory or there is a home test available?

  18. My Dr. Refuses to give me an Insulin resistance test……… I even
    tried to explain to her when she asked me "why"… first I told her my
    mother had developed type 2 and then I went on to tell her how useless I
    thought a straight glucose test was…. its like testing to see if the
    fire has burned the house down yet, instead of preventing the fire in
    the first place, not to mention that if you wait for your glucose to
    rise into type2 territory it does damage on the way there if you have
    insulin resistance!!….. WHY would she be soooo resistant to this test when the facts are so damning?

  19. This is absolutely invaluable information I wish I had know 10 years ago. It would have saved me a lot of pain.

  20. Fascinating lecture. I now have been to confirm I do have insulin resistance! Thank you for this precious info.

  21. Is post meal glucose test a good test for IR ?
    is normal that you have a rise of blood sugar if you eat a carbs or that is the normal reaction of body ?
    Thank you

  22. Dear Sten, I recently discovered your channel! You are amazing. Based on your advice I am taking the blood tests you suggested to understand if I am prediabetic tomorrow. I have been eating low carb since a week. Do you think that this may dilute the test results? E.g. my levels may be better than reality because I have significantly reduced my insulin levels last week. Thanks – appreciate your help!

  23. Doc my husband is a sports person and has a homa ir of 0.45 and hba1c of 6.. fasting insulin is 3.36.. is it ok ? Please reply.. thank u

  24. Definitely good information. My doc wouldn't do the fasting insulin test so I paid for it myself. I'm at 11. Fasting blood sugar is 99. So that would put me at 2.6 Not good but I know what to do. And im slowly making progress. Thanks Doc. Keep up the good work!
    Cheers!

  25. I just stop smoking in Dec. And I'm seeing a npd..I'm doing if and taking suplements and eating low carb..what you think about the quitting the smoking..is that part of the ir, liver enzymes 14 n 16 lds

  26. What a wonderful presentation. I’ll be having my first IR measurement tomorrow. Although my fasting and my A-1C are quite good, I feel I cannot be sure how well I am doing until I see my fasting insulin numbers. Your video has provided a clear explanation of exactly what is involved and how and why we, and our doctors can be misled by seemingly-normal BG and A-1C. readings.

  27. My name is Sean and my sugar went from A1C went from 8 to probably a five little under five then about an ex because I was eating everything that I should have been eating which is salads and white meats and vegetables and I lost 52 lb of my sugar went down to five or mayo and see what down to a five so I was wondering about four months later I guess I started eating a little starchy foods and my sugar went all the way back up to 10 is there a reason why did that or should I I mean I should have stayed on my died of eating salads and Tina and white meats and stuff I felt better too

  28. I was told by a doctor that I may have insulin resistance when I was 13 and I think I didn't understand what it meant or the seriousness of the matter and I didn't take it seriously.

  29. Do you know the Ethiopian food , It's my traditional dish but I've never heard if it raises insulin, the flour is called "taff" without glutan. I'd love to hear what this what you think , its my dayliy food

  30. Thank you doctor for your videos! Just wondering if you could provide some information on lowering cholesterol ? I'm doing Keto/IF and so far I've lost 20 lbs. I'm 6 ft and 185 lbs so not overweight but my cholesterol is slightly elevated. My doctor suggested I take 10 mg of Crestor and it's lowered my cholesterol but I would love to stop taking a statin if possible. I have no other health issues. Thanks again for all your advice!!

  31. Thanks Dr. Ekberg. You make everything very clear. My lab doesn't do the HOMA-IR test but they do an insulin test and a glucose plasma and a glucose serum. Should I do the glucose plasma or serum with the insulin test? Thanks

  32. I sent an email to my Primary Care Physician requesting that he order a HOMA-IR test for me. I received this response back from his Nurse Practitioner:
    “I have never heard of this test. I will send an e-consult to your Endocrinologist about it, and get back to you.”
    “I spoke to your Endocrinologist. She notes that the HOMA-IR is for research only and has no application in management of patients. Even with a result, she is not sure what we would do to change or adjust the management of your diabetes.”

    My response: “Okay, I will go elsewhere to get this test.”

  33. Thank you very much Dr. I will share this video to my friends that have the same problem. Finally I see some information that makes sense to me and my difficulty to loose weight. I recently had a blood analysis done to test my Hba1c, glucose and insuline level. My glucose was 102, Hba1c 5.4 and tne insulin was 22.
    I always measured my glucose levels every day up to 3 times a day. It happens that my fasting glucose is the highest of the day up to 120 some times. But usually in the 100 106 range. After that it goes downto 90 and even after meals it does not rise more than 100. I try to eat a diet very low in carbohydrates. I avoid sugar and all processed food and always skip breakfast, my first meal is at 1 pm and my last meal at 8pm as the latest. I exersice by riding bike for 2 hours at least 3 times from Monday to Friday and on sundays I take a long ride usually 5 hours on hills. But my weight does not move a single pound. I guess I fit in the special case since my HOMA IR is of about 6.5.

  34. I know I’m number 3. I have been insulin resistant for a long time. I have lost 23 kilos in 18 months, but now have not lost any weight in months. I’ve been doing 18 hours fasts, daily. Eating a meal at 2 pm and 7 pm. Nothing else but water and coffee and tea with cream. I am waiting for bloods that were taken a week ago, had fasting glucose done, but will talk to dr about you’re extra test, see what she says. You make everything sound so clear and easy to understand. Thankyou. I will tell you my numbers when I find out.

  35. I asked my Kaiser Doctor for the HOMA-IR test and he had no idea what that was! He checked with the lab and they also never heard of that test. Scary!!

  36. Are all these tests for A1C, Insulin and FG only done via a doctors orders for bloodwork? It's not something that can be measured at home on an ongoing basis, right? I already check BG and BK at home but I know my "health care provider" would not order any of those tests without reason, unfortunately. The last scenario you mentioned sounded just like me!

  37. Hello Dr. Sten. How are you? I'm Tatiane and I'm from Brazil! First of all, I'd really like to thank you for all support and for all important information and enlightenment you have given to us through those spectacular and blessed videos. I have been desperate and since I watched your videos my worries have really reduced! I've been diagnosed with prediabetes and since then it has been a total disarray in my life. I've cried a lot, but now I understood that it is possible that I can lead my body to balance again. The results of my blood test were: a fasting blood sugar level of 83mg/dL, a Glycated hemoglobin (A1C) of 5,7 and an insulin level of 7,30. I'm still afraid of not making those levels lower. I'm already very thin and I'm sad and worried that I'll loose more weight going on the diet that cuts off carbohydrates.
    Do you think it's still possible for me to recover totally from it if I continue on my diet? And once I go down on those levels, will I be able to eat normal food without going prediabetic again ?
    I also have another question: Aproximatelly how long will it take for me to lower that insulin level?
    I really thank you for all! May God bless you!

  38. Wow! My Homa-IR is 15. My doctor did not explain what it is or what it meant. This video explains a lot. I've tried Keto and lost a few pounds and then stalled. Blood levels only changed a few points. I've recently added IF and will see how much that affects it.

  39. Hi Dr Ekberg, I searched for HOMA IR under LabCorp, the most popular laboratory used in America and they do not recognize HOMA-IR. What lab has this test? I believe I am one who could benefit from this lab test, as I am not fat-adapted at almost 5 months on KETO diet.

  40. Best ever explanation seen in any Internet platform. Great job.
    Q. What's are the natural method to reduce insulin?

  41. Greetings Dr. Ekberg. I've been doing healthy Keto for 65 days now. I'm a type 2 diabetic. My fasting glucose started out , prior to keto at 250. After Keto it stayed around 80 to 110, the first 4 weeks. The past 3 weeks it's been 100 to 150. I've been on a OMAD schedule. And I work out 30 to 40 minutes every other day. My question is based on something you said in the video. How long is " too long" ??? For insulin resistanc to improve or go away. I thought I was doing well. But now I'm not sure lol. Thank you 😊😊😊

  42. Thank you Dr. Ekberg, makes perfect sense now
    A1C 8.2 in 2013 at age 61, started Metformin

    A1C 7.2 in 2015, added Trulicity injections

    A1C 6.7 in September 2018, I started on a low carb diet after watching Dr. Jason Fung vids

    A1C 5.6 in December 2018, Lost 20 pounds, stopped taking Trulicty

    A1C 6.0 in June 2019, Stalled weight loss at 208, FBG=118 FI=29.9 Calc HOMA-IR 8.7

    Started one meal a day with 16-20 hours fasting a week ago and I’m still mostly showing FBG slightly above 100
    . I plan on adding longer fasting periods after watching your excellent video

  43. Dr Ekberg,
    I think you should include OGTT test in your hypothetical cases explanation…..And measure blood glucose and the corresponding insulin values at the reference time points.

    Then, it would be more realistic to make suitable assessment.

  44. You described my situation to a t in the very insulin resistant scenario. I lost 40 plus pounds. My belly is still big and I get tired easily and still feel like eating. Getting my first c-peptide test on Monday, and that was a struggle to get, my doc does not think its necessary. I have had one 36 hour fast and it was torture; I was very hungry all the time. I will add more fasts but it's a tough fight.

  45. Hi been watching your videos with great interest. So is it a hopeless case for a would be athlete that is diabetic type 2 to excel in their sport? You mention that aggressive training techniques like intensive weight training might raise cortisol but how can an athlete ever train hard then? Boxers have to train hard so how do they get over this hurdle if they are type 2 diabetic?

  46. What is frustrating is that my doctor’s office does not know what a HOMA IR test is. All they know of is A1C. I can’t request something they have never heard of. 😖

  47. Excellent explanation of insulin vs glucose. Thank you so much for making us aware that simply a low glucose reading does not necessarily indicate all is well.

  48. Thank you Doctor, please I have a question: what is the relation between hypothyroid and insulin resistance? Because I think I might be in the case scenario with a normal blood glucose and high insulin..as I tried almost everything and nothing works ( with exercise and everything) . Do I need a check for my thyroid first or insulin?

  49. Hello doctor Ekberg
    Ever since I'm eating low carb I lost too much weight. Now I'm 40 kilograms for 1,50 meter and even though my blood tests are ok, I don't think I'm in a good shape.. I'm really too much skinny. What can I do to gain a little More weight?

  50. In the UK none of the medical professions are interested in high insulin annoys me so much my insulin level when fasting is through the roof and they’re not bothered😡😡😡😡😡😡😡😡😡😡😡😡

  51. Have had my glucose measured, as well as insulin (not specifically for purposes of Homa IR) and glucose measurement is given in Mg/DL while the insulin level given as MCLU/Ml. How to work with those numbers for this measurement? Thanks.

  52. ? Calculator? Homa-IR calculation is: FGXFI/22.5 = 90×4.5/22.5= 18, not “1.0” as in first example (according to quoted calculation on every other site).

  53. Doctor Ekberg, thank you for what you do! I found your channel a couple weeks ago I learn a lot from your videos every day and want to ask something almost after every video. If it is ok I'll ask some questions in the comment under this video because it was the one I saw first and currently most important for me.

    I am 38, height 168 cm, weight 56 kg. I have 2 children. During the 1st pregnancy I was diagnosed with Gestational Diabetes. I guess it happened because I had more than usual stress at that time, I worked from home, didn't do much physical activity because for first 6 months I was nauseous all the time and low energy, didn't want to do anything. And my diet was primarily carbs. After pregnancy the glucose test got back to normal. But I gained weight, about 10kg, in the next 3-6 months. I felt like I was always hungry. Then after 2 years my weight got back to normal, ~58kg. The second pregnancy was easier. I was worried I'll have GD again but this time the glucose test was normal. And I was nauseous and sick only for about 3 months. I heard that if during pregnancy the woman feels sick it means her kidneys are having hard time removing toxins from the body. I don't know for sure if it is true or not but now I plan my next pregnancy and wonder what can I do beforehand to avoid this sickness period at all. If you know anything about it please share.

    Also I still worry about getting GD again. This year I made some changes in my diet: removed all wheat products, sugar/honey/candies and prepackaged granola bars, tried to avoid adding salt. At first I ate a lot of fruit instead of sweets that I removed. After your videos I started to track everything I eat with an app. And made a limit of 150 total carbs. Eating less fruit, more vegetables. After about a week of trying to stay under 150 carbs for a few days I felt tired and nauseous in the morning, noticed my heartbeat more than I normally notice, had some mild leg cramps at night. I read it could be because of low sodium so I started to add a more sodium back. And it seems like it helped me. I haven't got to all your videos yet maybe you could direct me if you already talked about how much salt is recommended on different types of diets.
    A few days ago I asked my doctor to place orders for my blood tests and add Homa-IR. He said he doesn't know this test and I asked if he can order fasting insulin levels test (I thought since the glucose level is something that I can find in A1C test I need only insulin level to calculate HOMA-IR score myself). So in the end the doctor ordered "NMR Lipoprofile with Insulin Resistance Markers without Lipids (without graph)". I'm not sure it is the right test and wanted to check with you before I do it. Maybe you could share a CPT code for the Insulin level test I hope it can also will help explain them what I need. My A1C/Estimated mean glucose in the last 3 years was 4.9/94, 5.0/97, 4.7/88. I want to find out my Homa-IR score to make sure I haven't developed Insulin resistance yet and make other changes to the diet if necessary.

    Thank you again for your help and support!

  54. I weight 172 lbs and my ideal is 167. was concerned that I started to have bigger stomach than Ussual …so, I have 3 days fasting (16 hrs per day) but now I want to know my IR # and I'll probably have to wait until next year to have that test…sad. I guess I will eat only salads and see if the stomac goes down

  55. I'm in the USA, my doctors have never measured my insulin, only blood glucose. I'm sure if i asked them to they would say they have, because they tested blood glucose. They're just pill pushers for every symptom.

  56. Thank you for this! I think I might be that 'special case'. I have never dieted & have been skinny my whole life. 10 years ago while pregnant and addicted to Pepsi was told I had gestational diabetes. I quit the Pepsi, bread and pasta only while pregnant and afterwards went right back to it. I have always eaten one meal a day just because of my work schedule and I would crash immediately after eating.

    I got the Mirena put in 7 1/2 years ago and in the last 5 1/2 years put on close to 50 lbs. I use to always be hot and now I am always cold. I started taking my temp. daily before getting out of bed and found my core temp. running 97 degrees 6 out of 7 days. I was also a smoker for the last 30+ years. I quit smoking March 19, 2019 & knew I did not want to gain anymore weight so I started Keto May 3, 2019. I lost 9 lbs the first 21 days, felt great and had a ton of energy. I started tracking my glucose levels. I am at pre diabetic levels most days. (low 100s 17 hours fasted). I decided to get the Mirena out on June 24, 2019. Even though I'm 49 I am now having a regular period so not in menopause, YET!

    Then all of a sudden my numbers started going the wrong way. I would wake up and weigh in and be up a pound or up 2 pounds. I am swelling up and puffy and my muscles feel so weak sometimes it's hard to lift my legs! And today I step on the scale and I gained another 2 pounds over night and have gained back ALL I lost even though I'm eating 1400 or less calories a day. To the point where some days I feel like I'm starving but I refuse to eat because I want to stay fasted to eat my body fat but it isn't!! UGHHH

    I take Potassium, Magnesium, Calcium, Zinc and salt every day but I'm having bad cramping at night. I do not cheat and most days am under 3% Carbs and around 80% fat.

    Between the quitting smoking, quitting carbs and getting the Mirena out have I just shocked my system too much too fast? Or is something really wrong with me? I can't take the weakness in my muscles anymore!
    Help!!! Thanks!! XO

  57. Thank you very much Dr. Sten for your explanation on this video about Homa IR… I have learned so much. Usually I only test Fasting Glucose only and A1c… But Now I learned that it is not enough… I still need to do my HOMA IR test. I have a grandfather and mom who has Diabetes type 2 so I am very concerned for my health especially my blood glucose level and insuline level. Last week I tested my fasting insuline and the result is a bit shocking to me. My A1c is 4.7 but my Fasting insuline is pretty high… It is 10.9……dr.Sten…could you please explain what the normal range is for HOMA IR… Is it between 1.0 – 2.0 or is it something else… You have not mention the normal range of HOMA IR yet in your video… Thank you very much

  58. We know of blood glucose meter and kit.

    Is there anything call – insulin test meter and kit – ?

    How may we assess IR with over the counter tool kit ?

  59. Hi Dr. Sten, Thanks for informative video. I have one question. Can you please provide us normal,prediabetic and diabetic range for Homa IR test & A1C test?

  60. Great video. Also, how do you get the A1C average in examples 2 and 3 of (134) & 240?. And finally, what's involved in Nutritional Response Testing?

  61. Here is a problem I'm tackling. I am significantly overweight and an insulin test I took 3 days ago proved I have insulin resistance. I was at 12.7 on insulin and 92 on blood sugar. Using the formula ( Blood glucose) x (Blood insulin) / 405 = IR I have a figure of 2.88 for IR. Anything over 2.00 is considered unsatisfactory. With a low carb diet that also increases fat I have had some success with weight loss. I am not using any prescription medicine. I have been noticing blood pressure spikes when some weight starts coming off. When my weight is not changing I don't see the spikes. My suspicion is that toxic substances are being released when weight comes off but I'm not sure what to do about it.

  62. I will be asking my primary Dr to do order the MOMA IR test for me… I hope this test will be done. Earlier post you talked about getting the test online perhaps? Can you update this?

  63. I have been a T2D since 1997 and was put on insulin from day one, I have been to numerous Quacks since with no success and I am suffering because of it. I spent 8 weeks in hospital last year with blood cloths in my leg and my eyesight has begun to fail. My question is; for the last 2 months I have been on omad with very low carbs but my counts continue to be very high 17 in the morning (x18) and 18-20 (x18) in the afternoon before my meal, I take 30 units of insulin at night and 26 units before my meal but this does not lower it more than about 10 (x18) after two hours, what can I do?

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