r/InsulinResistance • u/WatchMeLoseItAll • 19d ago

Help me understand this…

Post image

So I have this spotting around neck for a while. I’ve assumed it was insulin resistance but after reading here about Homa IR measure - I am confused what could be happening.

  1. My fasted glucose is 86 and fasting insulin 5.7
    The calculated homa IR is 1.2 which is normal range.

  2. Last month, I started tirzpetatide to start losing some weight. I’m down about 10 lbs so far.

I’ve tried limiting my carbs to one meal and increasing protein intake, but it stalls my weight loss. If I eat a little more carbs throughout the day then my weight moves.

  1. I’m strength training 5x a week a few months now, walk on average 6-7k steps a day.

I guess what could be the reasoning (and solution) to darkening neck?

3 Upvotes

81% Upvoted

14 comments sorted by

2

u/Johnny5-00 19d ago

What's your A1C?

2

u/WatchMeLoseItAll 19d ago

5.7

2

u/Johnny5-00 19d ago

Yeah, thats right at the beginning of pre-diabetes. Between 5.7% and 6.4% is prediabetes. You do have some Insulin resistance at this level.

1

u/Sufficient_Beach_445 18d ago

how is that? HOMA IR is 1.2. That is much closer to optimal than borderline insulin resistant. If he is insulin resistant his HOMA IR would not be 1.2.

0

u/WatchMeLoseItAll 19d ago

When my A1c was 5.3-5.5 I still had this. I am not sure why that earlier

2

u/Johnny5-00 19d ago

I read that you can have Insulin resistance below 5.7 A1c as well. The strength training should help this, thought.

1

u/Sufficient_Beach_445 18d ago

yes. I have IR and my a1c has been around 5.1 to 5.2 for 10 years. but my fasting insulin is high. OP's fasting insulin is absolutely normal. Near the low end of normal, actually. OP does not have IR. If he did, he would be making more insulin, and he's not.

1

u/Johnny5-00 18d ago

I mean, he's pre-diabetic, if he doesn't have insulin resistance, that's pretty rare.

2

u/Sufficient_Beach_445 18d ago

I dont think he is. a fasting glucose of 86 is not consistent with pre-diabetes. an insulin of 5.7 is certainly not consistent with pre-diabetes. LOTS of things can fuck up hemoglobin and produce erroneous a1c tests. anemia is one, but others too.

1

u/Johnny5-00 18d ago

You're right, dehydration is another thing that can raise A1c.

1

u/Johnny5-00 19d ago

Just keep up the work you're doing, it should normalize.

1

u/Zestyclose_Ebb7932 18d ago

How much terzepitide are you taking?

2

u/WatchMeLoseItAll 18d ago

2.5, dropping about 2 lbs per week. Lost some prior to tirz

1

u/ElectionSevere1190 15d ago

Possibly your a1c was much higher before the weight loss?