Insulin resistance can be improved with exercise, diet

Dear Dietitian,

My doctor says I have insulin resistance, and I need to lose about 40 pounds. He gave me a sheet with diet information, but I need more help.

Signed,

Janet

Dear Janet,

Insulin resistance is a condition in which the pancreas secretes insulin, but it has difficulty reaching the cells where it is needed. As a result, glucose (blood sugar) levels rise, and the pancreas secretes more insulin to get blood sugar into the cells where it is needed for energy. Insulin resistance is also known as metabolic syndrome.

Researchers aren’t sure what causes insulin resistance, but genetics are likely a factor. The American Association of Clinical Endocrinologists (AACE) has established the following criteria for the diagnosis of insulin resistance:

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