HOMA-IR

[Mr_Pot]

I totally agree, I just think there is not much point in taking the test if you know what the result is bound to be.

 

[Goonergal]

I totally agree, I just think there is not much point in taking the test if you know what the result is bound to be.

Don’t wish to derail, but a bit like BG, an unexpected rise could be an early warning sign of something going amiss. Helps with motivation too. Horses for courses, I expect.

 

[HSSS]

Does HOMA-IR produce meaningful results if you are on a very low carb diet? If you eat a "normal" diet and your bg is normal because you are producing large amounts of insulin to overcome the insulin resistance then a HOMA-IR test will reveal it. If you do not produce much insulin because you are not eating any carbs then it is not surprising that HOMA-IR is low.

Isn’t this confirming low carb reduces insulin resistance? Albeit as a result of diet intervention, that should you cease then the benefits it gives would likely also cease - same as drug intervention and agreed as management/remission etc not cure

 

[Mr_Pot]

Isn’t this confirming low carb reduces insulin resistance? Albeit as a result of diet intervention, that should you cease then the benefits it gives would likely also cease - same as drug intervention and agreed as management/remission etc not cure

My point is, can you actually exhibit insulin resistance when there is no excess glucose that needs insulin to remove it? If that is the case then I don't see the value of the HOMA-IR test except, as @Goonergal says, as motivation to continue with the diet.

 

[Mbaker]

Does HOMA-IR produce meaningful results if you are on a very low carb diet? If you eat a "normal" diet and your bg is normal because you are producing large amounts of insulin to overcome the insulin resistance then a HOMA-IR test will reveal it. If you do not produce much insulin because you are not eating any carbs then it is not surprising that HOMA-IR is low.

In this case "normal" needs to be defined. I have been studying even more than ever what the Hadza, Maasai eat, with the first hand accounts of Paul Saladino, Brian Sanders and Mary Ruddick within the last few weeks. I would say with a huge generalisation that the normal of all ancestral eating patterns is 10's of food choices compared to over 600, 000 in the West.

One of the "normals" always correlates with minimal metabolic syndrome (with very small outliers), the other "normal" correlates with circa 80% metabolic syndrome.

Taking a common sense approach, I would say the best "normal" in the last 70 years or so was the "meat and 2 veg" period, where there were some treats (occasionally), but there was correlationary less non-communicable disease, people were visibly slimmer, guidelines, apps, WW, Slimmers World and the like were not needed.

"Normal" for me is not defined by the modern desire to have "sweet" or "carbs" with everything (not saying this is your meaning), but this is what is usually what is the end result of "normal" eating. The same goes for definitions such as "I was eating healthy" - this again can be interpreted.

 

[NicoleC1971]

What are the refference? I did the calculation but didn’t understand the values or in which value does it show your have high or low insulin resistance.
This is my result

View attachment 48815

I also input my husband's values having translated the UK figures into US ones.
Having higher trigs to glucose ratio implies your body is taking in more carbs than it can handle hence the liver creating triglycerides that circulate but are then taken back to the liver by your HDL Later on in a disease process I think these trigs become low density lipoproteiens (vldl) and it is these which may cause arterial damage and the inflammatory process that accompanies it.
Your result is interpreted as your body storing trigs in the liver (fatty liver) and would be the first clinical stage of excess insulin in your body also known as the 'long silent scream of the liver'. I think the only way to know this is to get an ultrasound of your liver that looks for fat deposits throughout.
In my husband's case it wasn't conclusive either; he is morbidly obese but as low ldl, low blood pressure and an hba1c of 38 plus greater hdl than trigs (another ratio to check).