Insulin resistance is mainly measured by the insulin resistance index, which is calculated by multiplying fasting insulin by fasting blood glucose and dividing by 22.5, under normal circumstances, the insulin resistance index should not be more than 2.69. If it is greater than 2.69, it can be judged as insulin resistance.
Insulin resistance is mainly seen in overweight or obese patients, many of them have insulin resistance, but blood glucose can be compensated to regulate in the normal range. However, if insulin resistance persists without intervention, it may lead to elevated blood glucose or even diabetes.
An elevated insulin resistance index may indicate type 2 diabetes and an increased risk of developing type 2 diabetes in the future, which can be further diagnosed through close monitoring of blood glucose and refinement of the oral glucose tolerance test.
Insulin resistance is often combined with obesity, lipid metabolism disorders, atherosclerosis, coagulation disorders, hypertension, diabetes mellitus, hyperuricemia, and some patients are prone to preprandial hypoglycemia and acanthosis nigricans.
Some patients are prone to symptoms of preprandial hypoglycemia, such as panic, hand tremors, and extreme hunger, etc. It is possible that insulin resistance has occurred, and it is important to pay attention to further examination to detect the emergence of pre-diabetes or diabetes mellitus in a timely manner.
Interpretation of the insulin resistance report can be consulted with an endocrinologist to avoid misjudgment.