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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Why is my fasting sugar more than postprandial?

Query: Hi doctor, My fasting sugar has been more than postprandial sugar levels consistently in the last few reports. The last four months values are 130 and 120, 125 and 113, 121 and 127, 118 and 99 respectively. With these data, I have not been given any medicines for diabetes. At present I am taking m...  Read Full »


Dr. Ankush Gupta

Criticalcare Physician, Family Physician, General Practitioner, Diabetologist

Answer: Hi, Welcome to icliniq.com. The decrease in postprandial blood sugar can be explained by stimulation of insulin release after food which will decrease the blood sugar. Increase in blood sugar in empty stomach is due to glucagon secretion which will increase the blood sugar level. You h...  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

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. 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 »

Why is my postprandial blood sugar 209?

Query: Dear Doctor, My blood sugar report says that I have readings of Fasting Blood Sugar: 145 and Postprandial Blood Sugar: 209. I am on insulin. Please advise me as early as possible.  Read Full »


Dr. Rohit Jain

Cardiologist, Criticalcare Physician, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Pulmonologist, Sexologist

Answer: Hi, Welcome to icliniq.com. You don't need to panic. This is not something serious. For a good effective treatment, I need to know what medicines you are taking along with insulin. Also, there are 100 kinds of insulin, which one are you currently taking and in what dose. It might be just cured with ...  Read Full »

I am pre-diabetic. Can I take malt-based drinks once a day?

Query: Hello doctor,I was diagnosed as pre-diabetic six years ago. I have avoided sugar completely since. I would like to know whether I can take malt-based beverages once a day.  Read Full »


Dr. Chandra Prakash Tanwar

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Prediabetes means you have impaired blood sugar levels. It can lead to full-blown diabetes over a few years. It is basically a component of metabolic syndrome in which insulin resistance is the central mechanism. So, it is good to avoid sugar. But, apart from ...  Read Full »

Can you tell the reason for fasting blood sugar level higher than postprandial?

Query: Hi doctor, My fasting blood sugar is 130 to 135 over last four years. My postprandial sugar is between 90 to 110. Yes, my postprandial is less than my fasting sugar level. Usually, the reading will be taken after 1 hour 45 minutes or 2 hours after eating breakfast. I am unable to bring down the fast...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. I would like to tell you that different mechanism of our body act to control our fasting and postprandial sugars. Firstly, you are doing well with your blood sugars. The fasting sugar is slightly higher, but no issues. Secondly, you should take your medicine Glycomet (...  Read Full »

Having PCOS, How to regularize the menstrual cycle?

Query: Hi doctor, I am 23 years old. I am really worried and fed up with my fat thighs and hips. As I am suffering from polycystic ovarian syndrome and I used to miss my menses. Now, my menstruation is regular. But, whenever I skip physical exercise I am sure that I will miss my menses. I think these all...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hi, Welcome to icliniq.com. As you are a case of PCOS (polycystic ovarian syndrome), which brings obesity and insulin resistance along with it. Consult a doctor for medical advice to lose weight and improve insulin resistance to allow regular menses to occur. Also it is important to maintain hea...  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

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. 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 5'10" and my current weight is 127 kg. Two years ago, I had sleeve gastrectomy and lost only 20 kg. The surgeon now advised me to get gastric bypass surgery. But I am not...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. 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, there is nothing needs to be done to increase testosterone. There are medications to increase testostero...  Read Full »

Is it fine to take coffee while having pcos problem?

Query: Hi doctor, I am 23 years old female. I have PCOS. I was a heavy coffee drinker before knowing this condition. But I have controlled it. I am taking black coffee once a week. Is it fine to have a coffee when having PCOS?  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Coffee is a substance that increases the insulin resistance immediately after consumption. In PCOD, the insulin resistance is high. But having one cup per day will not be very harmful. Usually, PCOD (polycystic ovarian syndrome) is associated with overweight and with a ...  Read Full »

I am not getting married because of my facial hair. Please help.

Query: Hello doctor, I am a 32 year old female. I have PCOD. My doctor prescribed me Fertiplus tablets containing Myo-inositol and D-chiro inositol. But, I cannot afford it. Please suggest me a low-cost treatment.  Read Full »


Dr. Deepika Joshi Khare

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. The easiest and cheapest way for you to get healthy is by lifestyle modification such as diet and exercise. Try losing weight. You need to lose 20 kg. Weight loss itself will improve the symptoms of PCOD (polycystic ovarian disease). Take Calcium tablet like She...  Read Full »

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