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Dietary choices that support insulin sensitivity include non-starchy vegetables, whole grains, and citrus fruits. At the same time, a high intake of sugary drinks and highly processed foods may make it worse.
Insulin is a hormone that helps the body absorb glucose and keeps blood sugar levels balanced. Insulin resistance makes it harder for the body’s cells to take in glucose.
Insulin resistance occurs when the cells in the body cannot use insulin effectively. Over time, insulin resistance can cause a range of health problems, including damage to the organs, muscles, limbs, and eyes.
Insulin resistance
insulin
can cause
People with insulin resistance may receive a diagnosis of prediabetes, which can progress to type 2 diabetes. A person who has insulin resistance may need routine checkups with a doctor to ensure that they do not develop type 2 diabetes.
prediabetes
type 2 diabetes
Certain diet and lifestyle habits can affect the risks related to insulin resistance. In fact, eating or limiting certain foods can improve insulin sensitivity, reduce insulin resistance, and decrease a person’s risk of developing type 2 diabetes.
can improve
This article will explore the dietary and lifestyle changes a person can make to increase their body’s sensitivity to insulin.
Foods to eat
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Many people do not consume enough magnesium, calcium, fiber, and potassium, all of which are essential for regulating blood sugar levels. Therefore, it is important for people with insulin resistance to include plenty of foods rich in these nutrients in their diet.
magnesium
calcium
potassium
are essential
Additionally, although people with insulin resistance do not need to eliminate any foods from their diet, it is important to understand how certain foods may affect blood sugar levels.
The following foods may support insulin sensitivity and reduce the risk of developing diabetes in general:
support
non-starchy vegetables such as broccoli, dark leafy greens, tomatoes, and peppers
vegetables
citrus fruits such as lemons, oranges, and limes
high fiber foods, including beans, lentils, nuts, and seeds
whole grains such as oats, quinoa, and barley
quinoa
protein-rich foods, including lean meats, fish, soy, legumes, and nuts
fish with high omega-3 fatty acid content, such as salmon, sardines, and herring
omega-3
foods that contain antioxidants, such as berries
antioxidants
water, especially as a substitute for sweetened drinks
unsweetened teas
unsweetened yogurt
Foods to limit
Certain foods are more likely to raise blood sugar. Regularly eating foods that are high in added sugar or carbohydrates can overload the body’s ability to produce enough insulin.
added sugar
Over time, this can also lead to high amounts of insulin in the blood, which can cause cells to become more resistant to insulin’s effects.
can also lead
When this happens, the glucose remains in the blood, contributing to the health concerns that accompany consistently raised blood sugar, such as damage to the kidneys (nephropathy) or the limbs (neuropathy).
accompany
neuropathy
Limiting the following foods may help moderate blood sugar levels:
may help
sweetened beverages, including fruit juices, soda, and fountain drinks
alcohol, especially in large quantities
highly processed snacks, convenience meals, and boxed foods
highly processed snacks
sugary sweets such as cupcakes, ice cream, and chocolate bars
refined grains such as white bread, rice, pasta, and flour-based foods, which are lower in fiber than whole grain versions
refined grains
fried foods
foods high in saturated fats, including chocolate, butter, and red meat
saturated fats
People can still eat foods on this list occasionally without negatively affecting long-term insulin sensitivity. The key is to limit these foods and replace them with more nutritious options when possible.
By sticking to a nutritious, high fiber diet that is low in added sugars, a person can steadily improve their insulin sensitivity.
high fiber diet
Regular physical activity can also be helpful. Taking walks regularly or staying active throughout the day can significantly improve blood sugar regulation.
improve
Additionally, some people may be able to reduce their risk of developing type 2 diabetes by losing 5–7% of their body weight.
5–7%
These changes can also reduce a person’s risk of heart disease and other health conditions.
For more science-backed resources on nutrition, visit our dedicated hub.
dedicated hub
Diet tips
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Following a balanced diet plan that includes foods from a variety of cultures can improve insulin sensitivity.
For example, the Mediterranean diet is a diet plan inspired by a specific culture that involves eating lots of seasonal, plant-based foods, such as fruits and vegetables, and using olive oil as the primary source of fat. People following this diet eat fish, lean meats, legumes, and nuts as main protein sources and enjoy dairy products in moderation.
Mediterranean diet
involves
People following the Mediterranean diet also limit their intake of red meat and may consume red wine in moderation during meals.
In a large 2018 study, researchers found that women who followed the Mediterranean diet had about a 25% reduced risk of cardiovascular health conditions, including factors such as insulin resistance.
25% reduced risk
However, the Mediterranean diet is just one option for healthy eating. Other diet plans, such as the DASH (Dietary Approaches to Stop Hypertension) diet, may also help improve insulin resistance.
help improve
This DASH diet provides daily and weekly nutritional goals and specifies the amounts of certain food groups a person should aim for each day, including fruits, vegetables, whole grains, low fat dairy, fats and oils, and meat, fish, or poultry.
provides
These diets can work well when a person combines them with other healthy lifestyle practices, such as stress management, adequate sleep of 7–9 hours per night, and regular physical activity.
stress
Glycemic index
One way to manage blood sugar levels and reduce insulin resistance is to eat foods with a low glycemic index (GI) and glycemic load (GL).
glycemic index (GI)
The GI lists carbohydrate-containing foods according to how quickly they increase the glucose levels in a person’s blood. GL accounts for both the GI of a food and the serving size.
lists
accounts for
Carbohydrate foods with a high GI and GL can cause blood sugar spikes and put more demand on the body to produce insulin. Conversely, the digestive system processes foods with a low GI and GL slowly, which reduces blood sugar spikes.
Carbohydrate foods
Eating foods with a low GI and GL is an excellent way to maintain balanced blood sugar levels and preserve insulin sensitivity. This category includes many fruits and vegetables, whole grains, and legumes.
Understanding insulin resistance
The body needs glucose for energy. However, many cells cannot absorb glucose without assistance.
The pancreas releases insulin into the bloodstream. The insulin then helps the glucose travel to the body’s cells, which use it for energy.
releases
Insulin allows cells to absorb glucose, making sure that blood sugar levels remain at a safe level and that the cells in muscle, fat, liver, and other areas can get energy
When a person has insulin resistance, their cells are less sensitive to insulin. This means the pancreas has to produce more insulin to keep blood sugar levels stable.
If the pancreas cannot keep up with the increased demand for insulin, blood sugar levels rise. If the cells cannot use all the excess glucose in the blood, a person will have high blood sugar levels. Over time, this could lead to type 2 diabetes and various other health concerns.
Causes
Genetic factors may increase the risk of insulin resistance. However, lifestyle factors also make a difference.
may increase
Certain daily habits can decrease insulin resistance and the risk of diabetes.
Diet affects insulin resistance in at least two major ways.
First, consuming too many calories can trigger weight gain. According to one study in middle-aged adults, weight gain increases the risk of insulin resistance. However, regular physical activity can counteract these effects.
calories
increases
can counteract
Second, various types of foods may have different effects on insulin resistance and blood sugar levels.
A person should follow a balanced diet and prioritize foods high in fiber, protein, and heart-healthy fats. A doctor or dietitian may provide advice on which foods to eat to maintain steady blood sugar levels.
prioritize
heart-healthy fats
Though a person can develop insulin resistance at any weight, having overweight or obesity may increase the chances of insulin resistance.
can develop
People with excess fat around their waist and abdomen, in particular, are at a higher risk of developing insulin resistance. Though the mechanism is not entirely clear, some researchers believe that fat cells secrete hormones and other substances that may interfere with insulin’s effectiveness.
believe
Excess fat around the waist might also relate to chronic inflammation. This can trigger a wide range of health problems, including insulin resistance.
inflammation
can trigger
However, body weight is just one factor that may contribute to insulin resistance. Having overweight or obesity does not mean that a person will develop insulin resistance.
A person can work with a doctor or dietitian for personalized guidance on whether diet and lifestyle changes may be beneficial.
Not getting enough exercise can affect the way insulin regulates blood sugar levels. According to the American Diabetes Association, physical activity plays a vital role in keeping blood sugar levels steady.
American Diabetes Association
Aim for around 30 minutes of exercise per day, at least 5 days per week. A person can also add more activity to their daily routine by taking the elevator instead of the stairs, going for a walk during their lunch break, or using a standing desk.
30 minutes
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Other lifestyle factors that can affect insulin resistance include:
Smoking: This can impair insulin sensitivity and insulin production.
can impair
Sleep issues: Losing just 1–3 hours of sleep per night can increase insulin resistance.
1–3 hours
Age: People aged 45 or older might have a higher risk of insulin resistance.
aged 45 or older
Use of steroids: Taking this type of drug can increase insulin resistance by 60–80%, depending on dose.
60–80%
Underlying health conditions: High blood pressure, previous episodes of stroke or heart disease, and polycystic ovary syndrome can all increase a person’s risk of developing insulin resistance.
stroke
heart disease
Hormonal disorders: Disorders that affect hormone production, such as Cushing’s syndrome and acromegaly, can disrupt insulin sensitivity.
Cushing’s syndrome
Race: People of African American, Hispanic, Native Alaskan, American Indian, Native Hawaiian, and Pacific Islander descent have a higher risk of insulin resistance.
Summary
Insulin resistance means that the body’s cells become less effective at absorbing glucose from the blood. It is common in prediabetes, a condition that can progress to type 2 diabetes.
Diet plays an essential role in preventing insulin resistance. Following a balanced diet and increasing physical activity can reduce a person’s risk. Adding more foods that are high in fiber, protein, and heart-healthy fats to the diet can be beneficial.
Managing underlying health conditions, getting plenty of sleep, and managing stress levels can also help promote overall health and improve insulin resistance.
stress levels
Does prediabetes always turn into diabetes?
A diagnosis of prediabetes does not mean that you will definitely advance to diabetes, though it is a high risk factor.
The good news is that prediabetes is reversible. Evidence shows that there is up to a 58% reduction in the risk of developing diabetes when a person makes and sustains healthy lifestyle changes.
These include reducing total carbohydrate intake; switching from processed carbs to high fiber, low GI carbs; losing weight; doing daily exercise; getting good quality sleep for 7–9 hours a night; and managing stress.