Dr. Ben Bikman

Yeah, and I wish that there were firm consensus with regards to fasting insulin like we have with so many other markers. There isn't. And the ranges will vary almost from lab to lab. Someone could, if they convince their clinician to get their fasting insulin measured, it's entirely possible that the lab will say anything under 15 microunits per mil is normal. And I blanch at that idea.

Yeah, and I wish that there were firm consensus with regards to fasting insulin like we have with so many other markers. There isn't. And the ranges will vary almost from lab to lab. Someone could, if they convince their clinician to get their fasting insulin measured, it's entirely possible that the lab will say anything under 15 microunits per mil is normal. And I blanch at that idea.

Yeah, and I wish that there were firm consensus with regards to fasting insulin like we have with so many other markers. There isn't. And the ranges will vary almost from lab to lab. Someone could, if they convince their clinician to get their fasting insulin measured, it's entirely possible that the lab will say anything under 15 microunits per mil is normal. And I blanch at that idea.

I think that's way too high. So with a little bit of scrutiny in the evidence,

I think that's way too high. So with a little bit of scrutiny in the evidence,

I think that's way too high. So with a little bit of scrutiny in the evidence,

Digging through the evidence my conclusion is that if someone has a fasting insulin of six micro units per mil or less It's a very very good sign that the body is insulin sensitive in other words You only need a modest amount of insulin to get the job done You know whatever insulin needs to do and insulin does a lot of things because as a reminder to the audience literally every single cell of the body

Digging through the evidence my conclusion is that if someone has a fasting insulin of six micro units per mil or less It's a very very good sign that the body is insulin sensitive in other words You only need a modest amount of insulin to get the job done You know whatever insulin needs to do and insulin does a lot of things because as a reminder to the audience literally every single cell of the body

Digging through the evidence my conclusion is that if someone has a fasting insulin of six micro units per mil or less It's a very very good sign that the body is insulin sensitive in other words You only need a modest amount of insulin to get the job done You know whatever insulin needs to do and insulin does a lot of things because as a reminder to the audience literally every single cell of the body

is responsive to insulin, or to say that another way, every cell has insulin receptors, these little docking sites for insulin to come and dock onto the cell and then tell the cell to do something. And there are all kinds of somethings that insulin will tell the cell to do, depending on the cell. So measure the fasting insulin, hopefully less than six microunits per mil.

is responsive to insulin, or to say that another way, every cell has insulin receptors, these little docking sites for insulin to come and dock onto the cell and then tell the cell to do something. And there are all kinds of somethings that insulin will tell the cell to do, depending on the cell. So measure the fasting insulin, hopefully less than six microunits per mil.

is responsive to insulin, or to say that another way, every cell has insulin receptors, these little docking sites for insulin to come and dock onto the cell and then tell the cell to do something. And there are all kinds of somethings that insulin will tell the cell to do, depending on the cell. So measure the fasting insulin, hopefully less than six microunits per mil.

That to me is a very, very good sign. if it's um up if it's above if it's around say 7 to 17 or so that's a warning and i know that's a bit of a big range but it's just hard to know in that range whether you are consistently at say 15 or whether you are consistently at five and you just happen to have a peak in your insulin at that moment when you measured.

That to me is a very, very good sign. if it's um up if it's above if it's around say 7 to 17 or so that's a warning and i know that's a bit of a big range but it's just hard to know in that range whether you are consistently at say 15 or whether you are consistently at five and you just happen to have a peak in your insulin at that moment when you measured.

That to me is a very, very good sign. if it's um up if it's above if it's around say 7 to 17 or so that's a warning and i know that's a bit of a big range but it's just hard to know in that range whether you are consistently at say 15 or whether you are consistently at five and you just happen to have a peak in your insulin at that moment when you measured.

And then anything above the high teens in insulin I would say is almost guaranteed to be a problem. But in that kind of middle range to the mid to low teens, It might be a problem, but again, it might be that you just caught the peak of insulin's natural circadian rhythm.

And then anything above the high teens in insulin I would say is almost guaranteed to be a problem. But in that kind of middle range to the mid to low teens, It might be a problem, but again, it might be that you just caught the peak of insulin's natural circadian rhythm.

And then anything above the high teens in insulin I would say is almost guaranteed to be a problem. But in that kind of middle range to the mid to low teens, It might be a problem, but again, it might be that you just caught the peak of insulin's natural circadian rhythm.

And that's why, as much as I am a great advocate of measuring insulin, I also don't ever mean to imply that it's the only marker, that I think there are other scores like, for example, the triglyceride to HDL ratio. Take triglycerides fasted, divide by HDL fasted, and that number It varies a little bit across ethnicities, but the average point appears to be around 1.5.

And that's why, as much as I am a great advocate of measuring insulin, I also don't ever mean to imply that it's the only marker, that I think there are other scores like, for example, the triglyceride to HDL ratio. Take triglycerides fasted, divide by HDL fasted, and that number It varies a little bit across ethnicities, but the average point appears to be around 1.5.