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Thanks for the review regarding the Homa-IR test. My hubby has a high A1c and will retest in June. I will ask him to get this test. He has a low BMI 21.5 AND only eats WHOLE foods.. 50% which we grow....If I purchase anything with an ingredient label....I read it and understand the contents...Let’s hope his A1C is low like mine 4.5..
@@Loriejean54 Hi, please be aware that the "A1C" test is an individualistic test. That is to say, the Hb-A1C/glaciation (A1C) level of the Hemoglobin ("Hb") your red blood cells(RBCs) is highly dependent upon your own personal turn-over of red blood cells, such that for one person a certain specific actual blood glucose average over a a period of time (x) with a average blood glucose level of y, but with a high turn over of RBCs... this person will have a markedly lower A1c than another person who hasthe exact same average blood glucose level over the same time but who has instead a relatively low turn-over of RBCs, as the "A1C" test is a measure of the degree of glycation (by the glucose in the blood). if the RBCs have a short life span and are therefore renewed/replaced by the body at a higher rate therefore, then they will have an "artificially" low level of glycation comparatively, so your A1C level is a personal thing and one should be careful of comparing your A1C level to the level that other people have. For example, there is a genetic component to the rate of RBC turnover, and also, the rate of turnover is largely impacted by whether one is menstruating (M or F? Younger Female pubesent female/ menopausal female etc) and how heavy/low much blood loss there is typically for the individual, and if there is any other acute or chronic source of blood loss or RBC damage (for example some folks have a spleen that is a higher rate of destruction of RBCs than others - this can be either a natural process/phenomenen , or it can be due to either acute or chronic changes in the splenic activity or structure. Then there is the genertic conditions such as the thalacemias and the hemophilias and the degree to which the carrier/suffer of these is impacted by them... and so on and so on with so many other impactors on the RBC turnover rate.. So, to summarize, the A1C test - be careful in comparing ones result with reference ranges which are used to indicate a particular degree of Blood glucose derangement and therefore treatment. You might discuss with your doctor whether you would be better of with a continuous glucose monitor (CGM), which you check the calibration of with a finger prick test once a month or whatever you are advised by the manufacturer of the CGM. This will give you a more accurtae and trustworthy view of where you Blod glucose level is at on an ongoing basis (every 5 minutes automaically is not uncommon) - you can then have real time fedback on what the effect of different food stuffs on your actual realtime blood glucose level is - and you are then armed to avoid, or alter the portion of certain foods in favour of other foods, and you will be able to see the realtime effect of exercise, and sleep , and meditation and other lifestyle components on your blood glucose. Really, A1c is believed by many to be old technology - a bit like how we used to have to phone the speaking clock on the landline in order to know exactly what time is it now, except with the A1C, it is not evn that that you are getting. Anyway chat to your doctor. CGMs are in the region of 40 or so dollars / euros per month nowadays, so not wild expensive for what you are getting. Sorry about the spelling inaccuracies above - in a bit of a hurry :) Tehre is a good "pubmed" article on it there at this link... www.ncbi.nlm.nih.gov/pmc/articles/PMC3912281/ ... or if the link does not work, just go to pubmed and search for article number PMC3912281. Good luck to the hubby, and yourself.
Mine didn't yell, she just told me "We don't test insulin". I used to get a full lipid panel and the original lab actually measured LDL. Then they changed labs and the new one calculated LDL. Then they changed again and used an el cheapo analyser which didn't report triglycerides. I queried this with my the GP and she told me "We don't test trigs as we don't have a drug for them". I've since heard this from numerous other parts of the country. Strange, because I used the trigs/HDL ratio as an indicator of insulin resistance. The numbers are on my other computer but I doubled my HDL and reduced my trigs to between a fifth and a tenth of what they were through diet. Eventually I was offered metformin but by then there was no reason to take it. She was dead against my low carb/paleo/keto diet but did admit after ten years "By now we would have expected you to be on two or three diabetes medications".
Never knew about this and thanks for the information. I am not a diabetic now but when I was told I am likely to get diabetes and given medication to improve my insulin levels, I asked for a test to measure insulin levels and I was shocked when the Dr said no one does it and symptoms suggested that my insulin levels were low. I did insist and got a insulin test and my levels were just fine. Fortunately an alternative medical Dr asked me to improve my metabolism rather than trying to increase insulin levels. Thank you Dr and can confirm from my personal experience that diabetes is REVERSIBLE
Thank you so much. I usually have to request specific tests, otherwise I just get a "once over" by my internist. You mentioned smoking. I remember when I quit smoking, it was an hour by hour STRUGGLE for me to quit and 7 months after quitting, I still craved it, but I never gave in. It's been 24 years and I never gave in so recovering from any unhealthy habit is possible. I am going to look into this HOMA-IR test. Thank you for all your advice.
Imagine if the public health regulatory agencies actually cared this much about our actual health and wellbeing instead of profits for corporations and the billionaires that ultimately own the corps and our politicians. Drs. like Dhand, Berg, Syed, Osborne, Merik, Campbell, etc. are the ethical roadmap for how our public health should be run. Instead, they are run by corporate revolving door toadies. So sad.
When I first heard another doctor on youtube saying about how common Insulin Resistance is, I remember thinking "I'm glad I'm not one of those poor folks with Insulin Resistance." Wow, I was clueless. Now dealing with it.
A great presentation. I have educated myself because of Doctors like you and three others from US that have the same view about type 2 diabetes. I forced my GP to include Fasting Insulin Serum test for last three 6 monthly tests and my last test had a fasting glucose of 7.8 mmol/L and an insulin level of 2.7 mU/L. I also had an HbA1C of 6.5. Based on the above my HOMA-IR is 7.8x2.7/22.5 = 0.94, which shows I am insulin sensitive I was on Diabetes medication for almost 20 years and I decided not to take medication, changed my life style, eat a Keto Diet with OMAD. I do not take any medications. My GP says and insists I take medication because my fasting glucose is way above the 5.8 and my HbA1c is greater than 5.8. I am 65 years old and since the day I changed my entire life style, never has any diseases for last 5 years. I see how ignorant my GP and many other GP's of my friends. In simple terms, I might consider myself as a borderline diabetes case, but insulin sensitive. I have told my GP, I will not take any medication for diabetes. Also just for the record, I don't take any medication at all and have had good health for last 5 years since I changed my diet, lifestyle and exercise regimes.
I have TD1 and get bloodwork every 3 months or so. I've never heard of this test, but I will check my blood results. If not done, will make sure I get it. Going in about 6 weeks. Thank you so much!
I ordered my own blood test and my results for HOMA-IR are 2.3. I am insulin sensitive! I have heard of it for over 15 years, but I never had a problem with weight until my mid 40s and into my 50s and always exercised and aware of my food. But food in the US is horrible and underlying stress is out of control. I made many changes in the last year and will add now a special diet to lower my insulin sensitive condition. Thanks for all your insights!!
Benjamin Bikman wrote about this in his book Why We Get Sick. He mentions "glucose is the typical blood marker we use to diagnose and monitor diabetes, but we really should be paying attention to insulin levels first." Anyone, it appears, can have insulin resistance with normal blood glucose levels so the confounding variable would be insulin.
It's amazing how most Dr's have no clue what this test is. The last few Dr's said they didn't know about it and it wouldn't be covered by insurance. Ridiculous
Insulin resistance is at the root all metobolic dysfunction. Hyperinsulinemia and Insulin resistance always go hand in hand. You must control your carb intake
I thank God for the gift of you. My heartfealt gratitude for what you are doing and advocating re lifestyle and diet intervention to reverse diabetes rather than swallowing pill after pill. A great help. This intervention is normally not the usual default of most doctors nowadays. Again, thank you. May the Lord Jesus bless you more abundantly.
I asked for a fasting insulin test when I had blood work checked but was refused - saying it was not necessary...Good luck everyone...It seems we do have to go to outside sources and pay out of pocket.... Thank you for bringging this to our attention.....
I paid for many tests to find out what's wrong with me for a few years already. Anxiety, stress for no reason, POTS, extreme fatigue, low endurance... you know the drill. I was surprised to find out my insulin and glucose are both OK but HOMA-IR is 3.11 - insulin resistance for me. I am going to ask my GP what it means and I'm curious if she knows anything about it. But together with my increased LDL, low HDL and increased triglycerides - it points to metabolic syndrome. I am not fat, have enough exercise, and just 37 years old. Surprised to find out that I am insulin resistant.
I find PCPs generally "Reactionary" that is they are happy to hear your problem and prescribe a medication most of the time. I wish my PCP would have talked about diet when my fasting BS/A1c labs started going up. Instead I was told I was IR and given Ozempic. When I complained it would cost me $10K a year we finally agreeded on Metformin/Jardiance which Medicare mostly covered. Eventually I found some great RU-vid vids [like yours] that helped me understand that diet and exercise was most helpful in controlling BS and A1c. Had a struggle to get my PCP to order a Fasting Insullin test, which was 2.7, so my HOMA-IR is 0.6. Medicare now provides CGMs for free so I can experiment with diet, exercise and medication. Thanks for the HOMA-IR tip, hadn't heard of it before now.
Well....for myself....i make a huge salad daily, dividing it into 2....one for am, and one for pm. I chop up apple, avocado, jalapeño, onion, many spices, including nutritional yeast and blu/green algae, ground flax seeds, sometimes dry, Unsweetened coconut...I then add as much cut cabbage as possible, I use big bowls, and splash on extra-virgin olive oil and vinegar, either acv, balsamic or red wine vinegar.....mix and enjoy!! Sometimes I add nuts like walnuts, Brazil nuts or pecans. Chill the other half for later, and I enjoy fresh food every day!! It's really delicious, but, it is time consuming, but I think it's Very worth it. ...I Make the time to prepare my nutritional cabbage salads! ❤️🥗❤️🥗❤️
Dr Suneel Dhand thank you so much for sharing this insightful and valuable analysis covering various aspects of diabetes management, especially the importance of HOMA IR profile. It is really an objective and scientific test.My physicians didn't like me getting this test done. Nevertheless I got this test done.It is a real time valuable test.🎉❤🎉❤
Currently getting all the info and help from you to try to get my prediabetes level down. Found out about it via a private blood test for general health things , not the NHS, and am finding the NHS cant help as its prediabetes levels not actual diabetes! So between you and Michael Mosely God bless his soul, I am doing it myself, but it is hard!
One problem is now they are putting some kind of chemical substance, Apeel, on even organic foods supposedly to limit food waste but the chemical content is worrying.
Stop eating plants. Problem solved. Meat, eggs, butter/ghee, salt, water: has everything you need. You might want to supplement with iodine because most soils that are not near oceans have been depleted of it. Vitamin D3 + K2 is also recommended for anyone not at the equator.
Thank you for this information and for all your videos. You are a true hero fighting for public health. 👍❤ As I'm not English speaking I have to listen carefully to understand and I wish there wasn't music playing in the background. It makes it harder. Sorry.
I started Keto 4 years ago. Lost 46 pounds in 9 months. Kept most off for a while. Certainly didn’t stay super strict but probably eat 10% of carbs most Americans eat. Started gaining weight. Tried hardcore Keto again and nothing. Insulin level just hit 101. My calculated Homa IR 28, yes 28. 2 weeks into Metformin. We shall see. My point is, not always super easy to reverse. I’m 54.
Persevere, possibly look into intermittent fasting, OMAD (one meal a day), berberine (plant extracts) can also help for fasting and controlling blood sugar levels, carbs should be below 50grams/day
Gratitude Dr. Suneel i think i have insulin resistance because if i eat high carbohidrate i have neuropathy in my feet, doctor send me to do fasting glucose but it didnt show nothing, my family are diabetic
I have a similar situation and am 58. To keep from prediabetes and insulin resistance as I am aging, the recommendations Dr. Dhand lists are crucial: exercise, low-carb diet, stress management, and good sleep.
Try and persuade your doctor to order this test and then try and get your insurance company to pay for it. Unless you have Type 1 or Type 2 diabetes, good luck.
@@HopefulEmpathThere are no options. If the medical profession had the public’s interest in mind, and they don’t, this test would have been ordered in a heartbeat if the patient had or was bordering on obesity. In regards to this this video, it’s about 5 years too late. And the avalanche of diabetes is well on its way. Nothing is slowing it down. The insanity of poisoning our food is irreversible. Make food at the cheapest price to maximize profit. Big Pharma is loving this. If I were you, I would find out the companies that are developing synthetic insulin and invest heavily in them.
I have been on Carnivore for over 19 months. My HOMA-IR is 0.9 : Fasting Glucose is 78 and Fasting Insulin is 4.7. Unfortunately, my Hba1c is 6.1. Dr. Paul Mason has suggested in interviews that this could be the result of having longer-lived RBC, so to determine that, I will have a test for the number of reticulocytes in my blood next month (a reticulocyte count). If it is low, this could indicate that the majority of my RBC are living longer and therefore older, which would mean that they are also more glycated, skewing the results. Thank you for the video!
Oh yes, great point! I've known a few people whose A1c was significantly different from what spot blood readings would suggest. Either higher or lower.
Maddening the confusion in nutrition advice! Low carb versus whole food plant based, ugh! I tried WFPB for 6 months and became prediabetic and my triglycerides doubled, having always been in the low 70s! Just got my Kaiser blood results with a fasting glucose of 79 and insulin of 3. This is what my doc ordered to determine insulin resistance. Those numbers are in the normal range but my A1C is 5.8 still. Are they meaningless! Not a peep from my doc about any of the results. So where can I get this HOMA-IR test without a doctor’s order? Thanks for keeping us in the know. New to your channel.
You have the numbers. With a FG of 79 and Insulin of 3 your HOMA-IR is 0.59 (I used an online calculator), so probably not Insulin Resistant. Something else could be raising your BG. Stress or other illness, as well as diet. You need to check everything. Remember it takes a minimum of 3 months to see a noticable change in your HbA1C, not much point in testing more frequently.
My drugstore food section would pretty much dry up without shiny packages of food. Maybe they can sell athletic attire or local activity center memberships.
Choosing to eat natural foods like fruit and vegetables and other non processed foods can get us back on the healthy choice, away from insulin resistance with or without the blood tests. Sounds good to me.
Modern fruit varieties have much higher levels of sugar than previous ones, I think fruit needs to be consumed in moderation. I mostly avoid it. The vaccine left me very sensitive to anti-nutrients in plants, so now I can only tolerate a few vegetables.
Brilliant dr. Suneel I can attest my dr. Did not want me to have this test, I had to pressure another dr. To get my fasting insulin test so I could then work out my home-if number
Hi Dr. Dhand. I learnt of the HOMA-IR on my own but my Dr. said New York state does not pay for it.. i went to india and had a teat at Tata labs and paid Rs 900 for it. Mine was .9. But nobody explained what it meant. Am I insulan resistant. Thank you. You are a great doctor.ñ
I asked my, former, primary care physician to please place an order for me to have a Homa-IR test done. I also told her if my insurance didn't cover the cost I would gladly pay out of pocket. She said she could not order it and to check with my pharmacist. The pharmacist said she never heard of the test but if they had one it would be with the pregnancy and paternity tests. PATHETIC
I admire your courage and honestly in helping us! I'm a T2 Diabetic and have to take 2 tabs a day... would the HOMA-IR test be useful to me and would the drugs not distort the results?
Does insulin resistance have anything to do with tinnitus? I notice if I eat a lot of sugar my hearing is affected. This is an excellent video. Thank you.
Dr Dhand, Thanks for all you do to keep us educated during this insane times. Where can one go to get this blood test done(US residents)if your PCP don't order this for you? Thanks!!
My HbA1C rose to 6% despite eating a low carb diet, working out regularly, and staying at 12% body fat. Yesterday I asked my doctor about having my HOMA-IR tested, she had no idea what I was talking about 😒
Get a new doctor. Buy the Fasting Insulin test yourself if necessary. Figure out your own Glucose figure yourself, then look up the mathematical formula for HOMA-IR. Done.
Hi Dr. Dhand. I have type 2 diabetes but I'm "under"weight. I have type 2 diabetes for over 10+ years. Back in 2013, I weigh between 113lbs-115lbs. Now I weigh about 93lbs -95lbs. Does it means I'm insulin sensitive/insulin resistant? Do I need to get this HOMA-IR test? I'm so frustrated dealing with my type 2 diabetes. Your response will be greatly appreciated. Thanks, Melanie.
First I have a question. Sugar makes me happy. If my depression starts to get bad, if I have a large serving of cake or cookies, I feel happy and it lasts many days. Yes, I have had psychotherapy and still take an SSRI. I have suffered depression since childhood, which is due to the situation I grew up in. Tapering off the SSRI causes me to crash and burn.' I don't want to use sugar,, or sleep deprivation. I do have hobbies and social activities. Any physiological guidance would be much appreciated. Note, I am no spring chicken 😁 On another and happy note, I have nearly cut out all flour products, and my joint aches and pains have gone away. I allow myself a slice of bread a day because I love breads so much and this keeps me from feeling deprived. I rarely have sugar. I rarely eat between meals. I made this transition a couple years ago. My typical meal consists of a protein and vegetables.
I will be asking my complementary therapist about HOMA-IR at my next appointment. It is a real shame that big pharma and big food, are cashing in with products that addict the masses, to become affected by so many chronic lifestyle illnesses, that, someone has to be affluent, elite, or a well known celebrity in order to be heard, that it is not a privilege , to free from the the influence and lifestyle illnesses produced by big pharma and big food.
I'm a dietitian, and let me tell you about my experience here. Sugar doesn't cause health problems, if... IF!!!! the fat in the diet is kept very low (
Requested my doctor in the UK to do this test, they refused, stating it’s of no significance, but offered a blood sugar test instead...walked out and never returned....
I just done this test, because I am not eating much. but don't loose much weight. I am not obese but still wanna lose weight. my homa index is 1.98 so almost 2.. so I need to change some things I guess... thank you
Agree. They were just doing IGT tests and no Doctor got my insulin levels checked. I got it done overseas and even that Dr was suggesting that no one gets Insulin levels checked but medication is decided on Fasting results as well as IGT
Is a C peptide test alongside blood glucose test equally good or better? If so, what ratio of fasting blood sugar ( mg/dl) to c peptide (ng/ml) indicates high insulin resistance?
Valuable test. Question: one can lose weight and once you lose enough reverse insulin resistance (perhaps by reversing pancreatic infiltration by fat) but you can lose the weight by plant based (even the extreme potato diet) or by eating keto or just animal protein with veggies and fruit (skipping grains). Thoughts?
First do the homa test and get a number. Choose the intervention you feel like and stick to it. Redo the test after six month. See the number and adjust or stick to the method if it works for another six month. Repeat the test. Any of the three diet can work. I have potato every day for the last 20 years and homa-ir = 0.5 Good luck.
Dr. Dhand. I’m in the UK and my Doctor will not order the tests that I want, even though I offered to pay for them. Do you know of a reputable company I and others can approach to have these tests carried out by? I am also searching for a good Functional Medicine doctor.
