Insulin resistance is suddenly everywhere: in conversations about glucose monitors, weight management, energy, cravings and metabolic health. It can sound like the hidden explanation for almost anything.
But feeling tired after lunch, craving something sweet or carrying more weight around your waist does not prove that you have insulin resistance. Those experiences can have many possible causes.
So, could you have insulin resistance without knowing? Yes. It often has no clear symptoms. But that is exactly why it should be understood through your health history and appropriate testing, not diagnosed from a social-media checklist.
What does insulin actually do?
When you eat, your body breaks carbohydrate-containing foods down into glucose. That glucose enters your bloodstream and can be used as energy.
Insulin is a hormone made by the pancreas. One of its important jobs is helping glucose move from the bloodstream into cells, including muscle and fat cells. It also helps regulate how the liver handles glucose.
Think of insulin less like an enemy and more like part of the body’s normal delivery system. You need it. A rise in insulin after eating is not automatically a problem.
What is insulin resistance?
Insulin resistance means that cells in the muscles, fat and liver do not respond to insulin as effectively as they should. The pancreas may compensate by producing more insulin to help keep blood glucose within an appropriate range.
This compensation can continue for some time. That is one reason a person may feel well and not realise that their glucose regulation is changing. If the pancreas can no longer keep up, blood glucose may rise into the prediabetes or type 2 diabetes range.
Insulin resistance and prediabetes are closely connected, but they are not interchangeable labels. Prediabetes refers to blood glucose or A1C results that are above the normal range but below the diagnostic range for diabetes.
Why is everyone talking about it now?
Metabolic health has moved into everyday wellness conversations. Continuous glucose monitors, GLP-1 medicines and viral videos about glucose spikes have made terms such as insulin resistance familiar far beyond the clinic.
Greater awareness can encourage useful conversations. The problem begins when a complex process is reduced to a list of vague signs or blamed on one food.
You may see posts suggesting that afternoon fatigue, stubborn weight, skin changes, cravings or difficulty losing weight reveal insulin resistance. Some conditions and physical findings can be associated with metabolic risk, but none of these experiences can confirm insulin resistance on their own.
Sleep loss, stress, menopause, medications, meal patterns, medical conditions and everyday workload can overlap with many of the same complaints. A confident online diagnosis may therefore create more anxiety than clarity.
Can you tell from the way you feel?
Usually, no. The US National Institute of Diabetes and Digestive and Kidney Diseases states that people with insulin resistance and prediabetes usually have no symptoms.
That does not mean you should ignore your health. It means symptoms are the wrong tool for reaching a conclusion.
Risk can be influenced by factors including family history, age, physical activity, body composition, a history of gestational diabetes, polycystic ovary syndrome and some medicines. People can also have insulin resistance without fitting a particular body shape. Risk assessment should be personal rather than based on appearance.
If you are concerned, speak with a qualified healthcare professional. They can consider your history and decide whether testing is appropriate.
How is prediabetes checked?
Healthcare professionals may use established blood tests such as:
- A1C, which reflects average blood glucose over roughly the previous two to three months;
- fasting plasma glucose, measured after a period without caloric intake; or
- an oral glucose tolerance test, which measures the response to a standard glucose drink.
Direct testing for insulin resistance is mainly used in research and is not routinely required in everyday clinical care. The American Diabetes Association also states that there is currently insufficient evidence to use continuous glucose monitoring to screen for or diagnose prediabetes or diabetes.
A home device, single glucose reading or online quiz may provide a reason to ask a question, but it should not be treated as a diagnosis.
What can you do before chasing another test or hack?
You do not need to fear every carbohydrate or attempt to keep your glucose perfectly flat. Start with habits that support broader metabolic health.
1. Build meals rather than banning foods
Instead of labelling rice, bread, noodles or fruit as bad, look at the whole meal. Include a suitable source of protein, fibre-rich plant foods and an amount of carbohydrate that fits your needs and activity.
Tuesday’s article will look more closely at why the same carbohydrate can produce a different response depending on its portion, processing and what you eat with it.
2. Let your muscles participate
Muscle tissue is an important user of glucose. Regular movement and resistance exercise can support insulin sensitivity as well as strength, mobility and healthy ageing.
This does not require punishing workouts. A short walk, breaking up long sitting periods and gradually building a realistic strength routine can be practical starting points.
3. Treat sleep as part of the picture
Sleep does not replace medical care or nutrition, but it affects how manageable your food choices, movement and energy feel. If your routine repeatedly sacrifices sleep, improving that pattern may support several health behaviours at once.
4. Check your actual risk
If you have a family history of type 2 diabetes, previous gestational diabetes, polycystic ovary syndrome or other concerns, ask a healthcare professional whether blood testing is appropriate. Clear information is more useful than guessing from a list of symptoms.
The takeaway
Insulin resistance is real, but it is not a catch-all explanation for every craving, energy dip or change in weight.
It describes a reduced response to insulin that can exist before obvious symptoms appear. The sensible response is not panic, self-diagnosis or removing every carbohydrate. It is to understand your personal risk, use appropriate testing when indicated and build habits you can repeat.
If you want a simple place to begin with your food, movement and daily routine, download Vern Lai’s free 7-Day Metabolic Reset Guide at https://vernlai.com/reset.
This article provides general wellness education and is not a diagnosis or a substitute for individual medical advice.
- National Institute of Diabetes and Digestive and Kidney Diseases. “Insulin Resistance & Prediabetes.” https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance
- American Diabetes Association. “Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026.” Diabetes Care, 2026. https://diabetesjournals.org/care/article/49/Supplement_1/S27/163926/2-Diagnosis-and-Classification-of-Diabetes
- Centers for Disease Control and Prevention. “About Insulin Resistance and Type 2 Diabetes.” https://www.cdc.gov/diabetes/about/insulin-resistance-type-2-diabetes.html