Insulin Resistance

The hormone insulin regulates the cells in the pancreas to absorb and use glucose. Insulin resistance makes the pancreatic cells resistant to insulin, making them unable to metabolize glucose. The risk factors for developing insulin resistance are obesity, sedentary lifestyle, smoking, hypertension, and sleep problems.

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I have excessive body hair and obesity. Please help.

Query: Hi doctor, I have had PCOS for over a decade now. I initially saw a gynecologist who tried oral contraceptive pills, microgynon, and spironolactone. She did a battery of blood tests and ultrasounds to confirm I have the condition. A general physician prescribed Metformin a few years back. All of the...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and from what you have mentioned, it appears that you have a 21-hydroxylase deficiency and that causes an excess of testosterone and androstenedione causing virilization of females and PCOS. This is the cause of your hirsutism and insulin resis...  Read Full »

I have been suffering from PCOS for a year. Can tablet Metformin help cure the disease?

Query: Hello doctor, I have had pcos for a year and have irregular periods that only come after taking Meprate 10 mg and Yasmin. But I was wondering if Metformin can help to cure insulin resistance in pcod or pcos, which can help to reduce weight? How much should I take? Please advise.  Read Full »

Dr. Monica Mathur

Answer: Hello, Welcome to I understand your concern. PCOD (polycystic ovarian disease) is a condition that causes irregular periods that are usually two to three months late due to hormonal imbalance. PCOD may be associated with obesity, but based on your weight of 32 kilograms and height of...  Read Full »

How to reduce levels of cortisol?

Query: Hi doctor, I am a 25 year old female. Is there any way to effectively reduce elevated cortisol and aldosterone? But, it is not Cushing's. I just have too high cortisol for the last few years and weight loss problem.  Read Full »

Dr. Divakara. P

Answer: Hi, Welcome to There are medicines for that, but it would be a temporary solution. We need to find the cause of elevated cortisol and aldosterone. In that regard, kindly upload the tests reports. Also, let me know, are you on any birth control pills?  Read Full »

Can bariatric surgery be repeated?

Query: Hi doctor, I am 41 years old. I am suffering from hypothyroidism and for which I am taking Thyroxine 175 mcg daily. My height is 5 feet and 10 inches, and my current weight is 279 lbs. Two years ago, I had a sleeve gastrectomy and lost only 44 lbs. The surgeon now advised me to get gastric bypass su...  Read Full »

Dr. Divakara. P

Answer: Hi, Welcome to I went through your query and the reports (attachment removed to protect identity). Your testosterone level is normal. Though on the lower side of the normal range, nothing needs to be done to increase testosterone. There are medications to increase testosterone levels, ...  Read Full »

I recently observed an increase in my sugar levels after meals, despite maintaining a healthy lifestyle. Why?

Query: Hello doctor, I do not suffer from diabetes and maintain a healthy lifestyle. But my parents suffer from diabetes. So, to be on the safer side, I keep checking my sugar levels. However, recently I observed a sudden increase in my sugar levels after eating meals. Is this the beginning of insulin resi...  Read Full »

Dr. Santhanakumar

Answer: Hello, Welcome to I went through your query and understood your concern. It may be due to impaired glucose tolerance. It means your blood glucose is high but not enough to cause diabetes. It may be seen in patients with a family history of diabetes. So, I suggest you do the investigatio...  Read Full »

I have insulin resistance and I want to detox my body by going on a seven-day fruit fast. Will this be helpful?

Query: Hi doctor,I have insulin resistance and I want to detox my body by going on a seven-day fruit fast.Is the fast going to help lower my insulin resistance levels?Is it going to make it better?Is it a good idea to only eat fruits for seven days, since I am insulin resistant?  Read Full »

Dr. Vishal Patidar

Answer: Hi, Welcome to I understand your concern. I would advise you to not be on a complete fruit diet. As you are on insulin, there is more risk of hypoglycemia than just oral hypoglycemics. Please take small meals on regular basis and do regularly check blood sugar levels. Are you on an...  Read Full »

I was diagnosed with type 2 diabetes during screening at ten weeks of pregnancy. Kindly suggest insulin dosing to control sugar levels.

Query: Hello doctor, I am a 31-year-old woman pregnant with my first baby. I was diagnosed with type 2 diabetes during screening at ten weeks of pregnancy. I am on insulin, and my sugar levels have been fairly well controlled till now. I have completed 30 weeks now and taking the tablet of Novomix 30 in...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to You need to have strict monitoring (fetal as well as maternal) sugar level charting recurrently to adjust the dose recurrently. Gestational diabetes is diagnosed during pregnancy. It can be hazardous to the fetus as well as the mother. You need to have a diabetic die...  Read Full »

Is it safe to take Ovares Plus?

Query: Hi doctor, I am trying to conceive for the last four months. I have consulted my gynecologist and she found that I am having PCOS. She suggested me to take Ovares plus. Is it fine to take?  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to Ovares tablet is a multivitamin with few antioxidants. This is usually prescribed as an added adjuvant tablet along with other medication. Most of the infertility specialists will prescribe some or the other antioxidant and multivitamin tablets. These antioxidant...  Read Full »

Last week I had an episode of shaking, sweating, and weakness due to hypoglycemia. What to do?

Query: Hello doctor, I have had reactive hypoglycemia for one and a half years. I am taking the medication Synthroid 100 mcg, and I do not take any medication for hypoglycemia. I am usually pretty good at keeping it stable by eating small meals throughout the day. Last week I had an episode of shaking, swe...  Read Full »

Dr. Thiyagarajan. T

Answer: Hello, Welcome to Yes, it is possible. You probably have insulin resistance, and as a result, more insulin production after a meal leads to hypoglycemia. I would suggest the following: 1. Get your fasting and postprandial glucose and insulin levels checked. 2. Weight loss will help....  Read Full »

My glucose is normal, but my insulin seems too high. Is this of concern?

Query: Hello doctor, I recently did a glucose tolerance test, where insulin levels were measured at 0 minutes, 60 minutes, and 120 minutes. The results are: 0 Minute: Glucose 4.74 mmol/l, Insulin 11.2 uIU/ml. 60 Minure: Glucose 8.71 mmol/l, Insulin 104.3 uIU/ml. 120 Minute: Glucose 5.07 mmol/l, Insulin 1...  Read Full »

Dr. Wain

Answer: Hello, Welcome to I would like to see the image of your reports and would also like to know, if have you undergone the HbA1c test. How long have you been diabetic, have you been on oral antidiabetics?   Read Full »

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