
Can Insulin Resistance Be Treatable?

Fastig glucose is between 82-88 & a1c is 4.2
Yes it is possible
Detailed Answer:
Although it is not straightforward to diagnose insulin resistance, a good clinician will take into account multiple aspects to arrive at this conclusion.
This includes indirect evidence such as skin conditions called acanthosis and skin tags. Further indicators would be belly fat, general overweight or obesity, high blood triglyceride levels and low blood HDL cholesterol levels.
Then medical diseases that lead to insulin resistance need to be ruled out. Examples include thyroid problems, Cushing's syndrome and Acromegaly.
Once the diagnosis is likely, treatment is commenced with lifestyle modification in the form of increased physical activity and healthful eating. Weight loss is desirable if you are overweight or obese.
Medications like metformin help but are not approved as such for this purpose.


Follow up
Detailed Answer:
It depends on the specific type of chronic illness. A chronic excess of cortisol in the body as occurs in Cushings syndrome , or a chronic excess of Growth hormone as occurs in Acromegaly, can cause Insulin resistance.
The role of stress if also known. For instance, the stress of a significant illness requiring hospitalization or surgery does lead to elevated blood glucoses temporarily in some people. This is at least partially due to insulin resistance.


Second follow up
Detailed Answer:
The decrease is not particularly impressive. Moreover, measuring DHEAS as a marker of insulin resistance is not practised.

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