how likely is it that i have insulin resistance, if my random blood glucose levels are normal?
i have to wait a few weeks for an ovarian scan to rule out PCOS as the cause of my irregular, infrequent menstrual cycle, & i heard insulin resistance can cause this. i have had many blood tests done before, one a few weeks back, and my glucose levels are always normal. is it likely i could have insulin resistance despite this? i am BMI of 20.5.
1337 is a bit off. You CAN have insulin resistance and still have normal glucose levels, but you cannot know without a doctor giving you a blood test.
Ask for an Insulin Levels or a C-Peptide test — this will tell you how much insulin you have in your blood. If your glucose is normal and you have an elevated Insulin or C-Peptide level, then you likely have some insulin resistance.
As to how likely? I’m not sure, I hope someone else can help you. I would guess that it would be hard to tell without more information, but going on your BMI, I’d say that it’s not too likely.
5 responses so far

if your blood sugar levels are normal then you have no insulin resistance.
Insulin resistance is seen in Type 2 diabetes, which would have been revealed with blood tests.
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1337 is a bit off. You CAN have insulin resistance and still have normal glucose levels, but you cannot know without a doctor giving you a blood test.
Ask for an Insulin Levels or a C-Peptide test — this will tell you how much insulin you have in your blood. If your glucose is normal and you have an elevated Insulin or C-Peptide level, then you likely have some insulin resistance.
As to how likely? I’m not sure, I hope someone else can help you. I would guess that it would be hard to tell without more information, but going on your BMI, I’d say that it’s not too likely.
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There ARE other causes for PCOS besides insulin resistance. Insulin resistance is only ONE of a number of possible causes.
It is quite probable that you are NOT insulin resistant– but the doctor may very well start you on Metformin, which can be used to treat insulin resistant diabetes AND PCOS.
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Generally being overweight causes insulin resistance and pcos (although pcos can also occur due to different reasons and so also in smaller women) You may insulin resistance it but its unlikely since you are a normal weight. You could always ask your doctor if a GTT (glucose tolerance test) is worth it.
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Yes its possible but unlikely.
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