tag:blogger.com,1999:blog-4893234962600967689.post2944504883544608200..comments2023-09-02T06:44:22.702-07:00Comments on Wildly Fluctuating: Glucose Outside and Inside CellsGretchenhttp://www.blogger.com/profile/17019921800841883073noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-4893234962600967689.post-38696874976520847652018-05-12T04:53:59.013-07:002018-05-12T04:53:59.013-07:00Luis, here's something:
https://academic.oup....Luis, here's something:<br /><br />https://academic.oup.com/jcem/advance-article-abstract/doi/10.1210/jc.2017-02437/4956601?Gretchenhttps://www.blogger.com/profile/17019921800841883073noreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-69492715086766679322018-05-10T17:09:28.078-07:002018-05-10T17:09:28.078-07:00Thanks, Luis. There *is* a test to give a rough es...Thanks, Luis. There *is* a test to give a rough estimate of IR on the basis of fasting glucose and fasting insulin. It's called HOMA. It's not perfect, and the "gold standard" is the hyperinsulinemic-euglycemic insulin clamp study. I had it done at Joslin as part of a study, and two doctors were working to measure my BG levels and adjust insulin drip for several hours, so it's obviously not practical except in research. <br /><br />The HOMA test is used when testing large populations in clinical studies but may not be accurate for individuals. However, it gives you a rough estimate.Gretchenhttps://www.blogger.com/profile/17019921800841883073noreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-32554729426195675722018-05-10T16:57:06.532-07:002018-05-10T16:57:06.532-07:00Wanted to thank you for writing the book The First...Wanted to thank you for writing the book The First Year : Type 2 Diabetes. Reading it has been the best thing that has happened to me after being diagnosed diabetic last January. It is a pity that medical science has yet to fully understand insulin resistance. We should by now be able to go for a test of insulin resistance instead of the A1c. Or for a test to see, like others claim, if our cells are full of fat and there is no room for glucose. Maybe someday. Best regards.Anonymoushttps://www.blogger.com/profile/16030759083427396839noreply@blogger.com