How to prevent insulin resistance?

Hello,

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I have read your query and your concern. Went through the reports (attachment removed to protect the patient's identity). Your HbA1c is fine. Blood sugar levels are clinically acceptable. Insulin resistance is high which is expected and is reflected in high plasma glucose levels at hour. Normally in my practice, I do not start medications for such situations. What is more important for you is to reduce weight. For your height, acceptable weight is between 165 to 176 pounds. The healthy way of reducing weight is by regular physical exercises and following a healthy diet. This itself will significantly reduce the insulin resistance or increase insulin sensitivity. Considering you are young and overweight I would strongly recommend you lose weight to bring your BMI (body mass index) within normal range which automatically brings down insulin resistance in natural ways. Although Metformin (Cellulose acetate and Hypromellose) increases insulin sensitivity, its response is best when combined with diet and physical exercise. As far as the duration of it is concerned, there is no fixed duration recommended. It all depends on the extent of sugar control achieved in diabetics. But in your case, you are not diabetic yet. So more than medicine what is required is diet and physical exercise to reduce weight. Hope this helps you.

Thank you.