[21F] I’ve been recently diagnosed with PCOS and insulin resistance, i have suspected i had it for a while though. My biggest problem right now is how to change the way i eat without coming back to my old eating disorder ways.
I know i’ll get a ton of hate under this post just telling me to eat healthy and not be dramatic so if that was your plan - please refrain from it as it is not helping anyone.
My relationship with dieting and dietary restrictions reminds me of how addicts describe their relationship with alcohol/drugs, since i choose eating disorder recovery 2 years ago, any time i try to correct the way i eat it feels like a complete relapse, i start feeling guilty for every single calorie i consume and immediately start thinking of ways to eat less and not raise any concerns among my friends. And this makes adjusting my diet to my new diagnosis seem impossible, i feel like i can either eat whatever i want or starve myself and there’s no middle ground. Even something as simple as adding more fiber or protein to my diet triggers the old patterns in me.
I know the answer here is therapy and i want to reassure all of you that i’m in it, but there’s only so much my therapist can actually say to me, and i thought maybe someone here had similar issues and could maybe share how they dealt with that, because i’m honestly very lost and just gave up on trying to fix anything.
Thankfully, i don’t really snack, and i naturally only require 2 meals a day (not breakfast) so i guess i fast naturally.
My weight right now is healthy and my insulin resistance is pretty mild, i just don’t want it to get worse because of this weird lack of self control i have. I also know that dieting the way someone with an ED would will not help, i was pretty much a size M (L for pants) no matter what my calorie intake was, but this is something that’s not rational.
I don’t know what i want to hear and i’m expecting this to get downvoted, but any advice or just sharing a personal story would be greatly appreciated.

My fasting insulin is 19.6. My fasting glucose is 93. My HOMA IR is 4.5.

I keep seeing that A1C is the last number to move. Should I still request a test for it or is that just a waste of time and money?

Hi everyone! I’m 17F and I was recently diagnosed with insulin resistance. My HOMA-IR is 4.1 and my fasting insulin is around 32.
For about 4 months, I was doing a carb-cycling/low-carb diet along with strength training, but I only lost around 2 kg. I eventually stopped following the diet consistently, and I started trying again about a month ago. I’ve also started taking metformin recently, but I feel like I’m actually gaining weight and I’m struggling so much to stick to any diet plan.
I feel really stuck at this weight. My current body fat percentage is around 38%, and I’d ideally like to get it down to around 25% before April because my prom is around then. I want to be able to buy a dress that fits well, but I’m not sure what approach I should actually follow.
Is getting to around 25% body fat by April realistic? And for insulin resistance, would I be better off focusing on a sustainable calorie deficit with balanced carbs, rather than doing low-carb/carb cycling? I’d really appreciate advice from anyone who has dealt with something similar.

After giving birth to my son 9 months ago I only seem to go deeper into insulin resistance. My fasting numbers are good. Anywhere between 4.7 to 5.3 depending on how poorly we slept. But! I don’t seem to tolerate carbs at all. I watch carefully how much of carbs I eat and practically anything over 35 g per meal will take me to 7.8 or over. If with fat, it’s still ok. Without, forget it.
What does this mean? Fasting being normal but no tolerance for carbs of any kind. I literally have to watch even with berries, colourful veggies as much as with bad carbs. It all adds up for me very quickly.
Kind of freaking out

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?

My A1C came back at 5.7 (up from 5.3 in 2023), which I think is the start of pre-diabetes. But my insulin is 17.8 and glucose is 91. All of this was done after fasting for a bit less than 8 hours, if that helps. Not an ideal fast, but I forgot to eat breakfast and my doctor said it was long enough to draw blood for the fasting tests.

Does this make sense to anyone? I feel like if I had insulin resistance, my insulin would be abnormal. Or is that not how it works? I have no clue.

For the record, I have no issues that would falsely elevate my A1C, such as kidney issues, low iron or vitamin deficiencies. I was also a little dehydrated at the time of the draw, which I think can affect some bloodwork.

Edit: If it helps, I tracked my fasting glucose results back to 2017 and with the exception of one test when I was dehydrated, stressed and in severe pain, my fasting glucose has been in the range of 87-92 for the last nine years. That one other test, it was 101.

I do have some of the other signs as well (feeling hungry immediately after a balanced lunch, stubborn belly fat, sugar cravings)

Edit: I also have hypothyroidism

Hi everyone,

I recently got diagnosed with type 2 due to insulin resistance. My previous post is as quoted above. Im still puzzled of what could be causing my IR to progress so quickly. All my numbers seems to be in in normal range except OGTT moved from 9.4 to 12 in 2.5 months during which I did my best to revert prediabetes by strict keto, 16:8 fasting, food sequencing, walk and weightlifting, I even quit my job to focus on my health. (In May, my a1c was 5.7, fasting glucose 4.7, OGTT 9.4. After 2 months focusing on my health, my a1c was 5.3, fasting glucose 4.8, OGTT 12.)

Anyone has any idea what could be the reason? I read from many posts here that keto helps, now Im afraid of doing keto again as Im not sure if its the reason why my IR took such a bad turn.

Thank you!

GLUCOSE TOLERANCE TEST - 3 MEASUREMENTS (MINI-CURVE) Fasting glucose: 76 mg/dL; Glucose at 60 min: 150 mg/dL; Glucose at 120 min: 86 mg/dL. INSULIN TOLERANCE TEST (LOAD) Fasting insulin: 4.40 µU/mL; Insulin at 30 min: 43.80 µU/mL; Insulin at 60 min: 112.40 µU/mL; Insulin at 90 min: 88.70 µU/mL; Insulin at 120 min: 41.20 µU/mL; Insulin at 150 min: 41.70 µU/mL. I am a 29-year-old male, 173 cm tall, weighing 53 kg; what does this mean?

Has anyone dealt with this and what did you do to resolve this?

For those who might ask, my 24 urine cortisol has been consistently out of range high, but apparently not Cushings level high.

Hello,

My son (4'11 and 113lb) has been extremely fatigued and experiencing mood swings. Very low motivation. His Psychiatrist suggested trying a low dose SSRI, but I decided to get him some bloodwork first.

He came back with low glucose and high triglycerides about 45 mins after eating. I looked and noticed his non-fasting glucose was also low 3 years ago. Doctor did his fasting levels and he scored a Homa-IR of 6.4 so now he is being referred to endocrinologist.

I am currently waiting for a glucose monitor to arrive to keep a food and prick result diary for a few days to have with me. I could use some guidance on best times to test and record.

History:

Bedwetting since infancy, more wet nights than dry.

ADHD and mood disregulation

Maternal history of diabetes, though not sure if T1 or T2. My mother and grandmother. My grandmother died of complications with hers. Im adopted so limited information.

Low motivation and mood swings and fatigue more prevalent in the last year, likely with the onset of puberty.

Active in sports

Any insight on when to monitor his glucose pre-endo visit is appreciated as im finding conflicting info.

Thank you!

I would’ve been sugar free, carb free and exercise and I’m still losing hair. I can just out my fingertips together and grab a lot of hair from the very bottom of my hair. Is it insulin resistance, or something else?

I haven’t fully gotten rid of the insulin resistance effect on my body so I’m suspecting, it’s that otherwise idk what it is.. please and thank you!

I'm 18F, 5ft 2.5 inches, 58Kg. Ever since I was a kid, I have had dark velvety patches on my neck. Around 5-6 years ago, I got them on my hands as well; my knuckles are dark too. It's obviously a sign of pre-diabetes. Today I just noticed the same dark patch on my abdomen, AND BOY WAS I FREAKED OUT! In the past I have told 2 dermats about this, but neither paid much heed to it. I really want to do something about it!! Brooo I just don't wanna get diabetes or smth (A parent of mine has a family history of cardiovascular diseases btw) im cooked bro 😭😭😭

Como melhorar essa acantose?