margie,
hmmm, all that i know about insulin resistance........
exercise is key....excess glucose is in the blood stream because the insulin isn't moving it into your cells for use by the body....to improve that, you need exercise to deplete what is stored in the cells so they will open back up and accept glucose. unfortunately some cells may never open up again
testing:
initially a morning fasting glucose will determine if your glucose is too high. while lab values are usually 70 (i think) up to 125, for "normal" the american diabetes assn issued new guidelines, last yr.
110-125 is now considered "pre-diabetes" (insulin resistance) and it should be approached as if patient is diabetic with diabetic counseling & diet. mine jumped from 112 to 129 after starting thyroid meds...which the ADA states is one of the meds that will elevate your glucose. i am not on any meds...just try to control w/diet. so far my 3 mo average went from 6.8 down to 6.6
if fasting glucose is elevated, dr should order a fasting glucose tolerance test (GTT) and a test that checks what your glucose has been for the previous 3 mos. (sorry can never remember it's exact name...it's like "Habc1 or Hbac1"). if your GTT shows a certain response (as mine did...i still make insulin) and the 3 mo ave is over 6% but below 7%, you are considered insulin resistant. <6% is normal, 7%> is diabetic
my diet was designed to be 1500-1600 cals per day hoever, after the inital loss of about 10 lbs weight loss stopped....i suspect that my diet's carb intake is much higher than it should be...and that is why i am here!
found this site as a link from Dr Bernstein's Diabetic Solution.
prior to going on thyroid meds my glucose tested 106...yr later 115, then just 3 wks before i had it retested, i went on the Carbohydrate Addicts Diet and it tested at 112....so i am also reconsidering that diet....i have high cholesterol so am leery of the high protein/fat & low carb (or the nearly no carb like atkins & bernstein)....after i started thyroid meds it was 129! 112 to 129 in 4 mos!
on a diabetic diet, the new way is not "exchanges" but by carb choices. you are allowed to deduct fiber gms from carb gms...each carbohydrate "choice"= 15 gms of carbs. milk products are a carb choice now, instead of a fat choice. if you are interested, i might could find the site that has a listing. also, you should try to have a fiber intake of 25-25 gms....it helps "sweep" the glucose out.
i'm sure ther is more that i have forgotten to tell you
...please ask if you have any questions