On his podcast, Raj Shamani posed a pressing question to author and researcher Karan Sarin: “How do I know that I am insulin resistant?” Sarin highlighted several visible signs, including skin tags around the neck, expanding waistlines, high blood pressure, erectile dysfunction (ED) in men, and Polycystic Ovary Syndrome (PCOS) in women, as potential indicators of insulin resistance. To delve deeper into the accuracy of these signs, we consulted Dr. Himika Chawla, Senior Consultant in Endocrinology and Diabetology at PSRI Hospital in Delhi.
Dr. Chawla confirms that skin tags and increased waist circumference can be early warning signs of insulin resistance, especially in cases where fat is concentrated around the abdomen. She explains that elevated insulin levels may stimulate skin cell growth, resulting in skin tags. Additionally, central obesity is closely associated with metabolic dysfunction. However, Dr. Chawla warns against self-diagnosis based solely on these signs; some individuals might have skin tags without metabolic issues while others could exhibit insulin resistance without any apparent symptoms. Dr. Chawla emphasizes that reliable diagnosis requires blood tests such as fasting glucose, fasting insulin, and the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR).
The relationship between insulin resistance and conditions like ED and PCOS is significant, according to Dr. Chawla. She notes that insulin resistance can adversely affect vascular health and hormonal balance in men, impacting blood vessel function and increasing the likelihood of erectile dysfunction. For women, insulin resistance is a critical factor in PCOS, leading to the production of excess androgens, which can cause irregular menstrual cycles, acne, weight gain, and fertility issues. While not every case of ED or PCOS stems from insulin resistance, it remains a crucial contributing factor for many affected individuals.
Accurate diagnostic measures are essential for determining insulin resistance. Dr. Chawla recommends blood tests, including fasting glucose, insulin levels, and HOMA-IR calculations. An Oral Glucose Tolerance Test (OGTT) can further evaluate how effectively the body processes sugar. Although the hyperinsulinemic-euglycemic clamp is the gold standard for research, Dr. Chawla stresses that no single test provides a complete picture-an effective assessment combines clinical evaluations with lab investigations.
Fortunately, insulin resistance can often be improved, and in some cases, reversed, particularly when addressed early. Dr. Chawla emphasizes the importance of lifestyle changes: even a modest weight loss of 5–10% can make a significant difference. She suggests regular physical activity, a balanced diet rich in protein and fiber, sufficient sleep, and stress management as key pillars for improvement. However, for advanced cases where insulin resistance has progressed to prediabetes, type 2 diabetes, or severe PCOS, medical support may be necessary. Medications like metformin might be required alongside lifestyle modifications, and early action is vital for effective management.
As we continue to unravel the implications of insulin resistance, staying informed is essential. Always consult healthcare professionals before initiating any routine involving significant lifestyle changes.
This article synthesizes insights from expert opinions and publicly available information. For personalized health advice, it’s crucial to consult your healthcare provider.
Original Source: https://indianexpress.com/article/lifestyle/health/how-do-i-know-i-am-insulin-resistant-10543115/
Category :
Tags:
Publish Date: 2026-03-07 06:00:00
