Young, active and healthy with prediabetes??

[Medb]

(this is a bit rant-y, TW brief mention of eating disorder and unhelpful doctors)

Hello,
I was diagnosed with insulin resistance/prediabetes afew years ago and frankly I'm confused as to what caused it and was wondering if anyone would have any insight.
Backstory: I've had symptoms of insulin resistance since I was a kid (like 10) but was diagnosed when I was 16. Initially pcos was suspected but after many bloodtests and 5 ultrasounds since I was 13 they finally gave up on that theory and i was sent to a specialist who ran many tests and concluded insulin resistance was to blame. I was put on metformin to prevent it from progressing into diabetes and was told under my circumstances, its just a matter of time before it would progress if left alone so it would be advisable to stay on the medication for the rest of my life unless the insulin resistance was reversed (but idk what caused it ). I'm a 20yo female, healthy weight, waist measurement well under the 34" guideline, I excerise (pole fitness, pilates, yoga), I've been vegan for 8 years (and eat healthy) and have been to multiple dieticians who were happy with my diet and lifestyle. I'm frustrated because doctors in the same senctance will say 'you're a healthy weight' but 'ehhh just lose weight that would help', while Dieticians tell me not to lose weight and not to change anything because it would be 'trying to fix something that's not broken'. I have a family history of type 2 diebetes and Alzheimer's. I'm struggling because I don't know why I have prediabetes and doctors seem to just suggest I did it to myself and that I should just exercise even more and under-eat. Its very triggering considering my eating disorder past. Does anyone have any science around the cause for insulin resistance in seemingly healthy individuals or any suggestions of something I might be missing that caused it and is causing it to persist now?

 

[Lamont D]

I followed a healthy diet for over a decade and it was killing me!
when you have a predisposition for diabetes and familial ties with diabetes, you could be destined to become diabetic.
However, you could always find knowledge on how to arrest the slide into it.
That knowledge is on this site.
Diet and diabetes are something that confused so many people.
Because what the textbooks tell doctors, dsns and dieticians, is that it gets worse from now on!
But it doesn't, you see, you just have to find the right balance of foods for you. Designed by you for you.
you see, not everything they advise, is basically not really healthy for prediabetics, who want to be healthier.
They obsess about calories, about healthy carbs, about healthy eating, living lifestyle.
But until you actually know why you are getting prediabetic hba1c levels, your going to be wondering what to do.

I have had huge success, as many have on here by reducing their carb intake, increasing protein, using natural fats. Keeping a food diary, using a glucometer or cgm, to track which foods spike you. Spikes over time constantly will have a bearing on your blood glucose levels. Control over your blood glucose levels is a big part of getting your hba1c levels down into normal levels again.
Be careful of starchy vegetables, rice, pasta, grains, breads, cereals.
Exercise is important, and with a lower carb diet, you may experience weight loss, depending on how your approach to the dietary regime change effects you.

Keep asking.

Best wishes