Insulin is a hormone secreted by the beta cells of the pancreas.
The job of insulin is to help the body use glucose for energy.
If there is no special condition, the pancreas secretes insulin equivalent to the food we eat.
WHAT IS THE FUNCTION OF INSULIN?
The foods we eat are digested and come to the door of the cell in the form of glucose through the blood, and insulin acts like a key here.
Only one insulin is responsible for the opening of each door, and if the insulin is working effectively, it opens the door like a key and glucose is allowed to pass into the cell.
In this way, glucose in the blood is used as energy in the cell.
Insulin, which allows glucose to pass from the blood to the cells, thus lowers blood sugar.
WHAT IS INSULIN RESISTANCE?
The inability of cells to respond to insulin and not follow insulin’s commands is called insulin resistance.
Blood glucose comes to the door of the cell, but because insulin cannot do its job, that is, it cannot open the door, glucose cannot enter the cell and glucose begins to rise in the blood.
The pancreas, on the other hand, begins to secrete more insulin to keep blood glucose at a normal level.
Both blood sugar and insulin levels are high, but the body still cannot spend energy. This condition no longer causes insulin resistance.
Insulin resistance is the first stop before Type 2 diabetes.
WHAT ARE THE CAUSES OF INSULIN RESISTANCE?
Increased waist circumference (>102 in men,>88 in women)
High triglyceride levels (can be both cause and effect for ID)
polycystic ovary syndrome
be over 45 years old
WHAT ARE THE DIAGNOSIS AND SYMPTOMS OF INSULIN RESISTANCE?
Insulin resistance can be diagnosed if the HOMA-IR value calculated with a formulation by looking at your fasting blood sugar and insulin levels is 2.5 and above.
Although the best way to detect insulin resistance is to have blood glucose levels checked, the body begins to show some symptoms beforehand.
• Rapid weight gain
• Inability to lose weight despite dieting
• Constant hunger
• Fatigue, weakness after meals
• sleep flush
• Having episodes of hunger during the day
• Increased cravings for sweets despite eating sweets
• Desire for dessert after the meal
• Sweating, frequent urination
• Concentration disorder
• Disorders in blood fats
• Acanthosis nigricans, a skin disease. (It is the condition of darkening of the skin and softening of its texture like velvet due to the increase in the pigment that gives color to the skin. It occurs especially in the neck, armpits, groin and inner parts of the joints.)
INSULIN RESISTANCE TREATMENT AND NUTRITIONAL RECOMMENDATIONS
Although there are some drugs used in the treatment of insulin resistance, informing the person about the subject and making permanent changes in his lifestyle is the definitive solution because drug treatment alone is not enough anyway.
Of course, it is possible to overcome insulin resistance without the need for any medication. But an endocrinologist will make the best decision on this subject.
• The first realistic goal in treatment should be to lose weight, even to lose 10% of body weight in 6 months if we are overweight.
• Dietary recommendations for insulin resistance are completely based on the principle of healthy eating.
• Reducing carbohydrate intake and consuming foods with low glycemic index are key points for blood sugar regulation.
• You should stay away from sugar and all foods containing sugar.
• You should consume fruits instead of squeezing their juice, because fruits also contain fiber and thus increase blood sugar more slowly.
• Consuming fruit in the right portion makes it easier for you to control your blood sugar.
• You should prefer whole wheat, whole rye bread instead of white bread, and bulgur instead of rice.
• You should add probiotic foods such as yogurt, kefir, beetroot to your diet.
• Make sure to add green tea, turmeric, ginger and cinnamon to your diet.
• Increase your omega-3 intake.
• Increasing vitamin D intake is very important to break insulin resistance because low vitamin D level increases the risk of insulin resistance and type 2 diabetes.
• Exercising regularly and leading a more active life are essential for overcoming insulin resistance.
• You should have a quality sleep and learn stress management.
• You should drink a minimum of 2 liters of water per day.