LEVELS – A Whole New Level

#284 - Glucose metabolism explained: HbA1c, insulin resistance, and strategies for better energy | Dr. Ben Bikman & Mike Haney

41 snips
Oct 23, 2025
Dr. Ben Bikman, a metabolic scientist and author, joins Mike Haney to delve into glucose metabolism and insulin resistance. They explore how insulin plays a crucial role in energy regulation and why understanding HbA1c is essential. Dr. Bikman discusses early signs of insulin resistance and practical lifestyle strategies to lower insulin levels naturally. He emphasizes that chronic high insulin can lead to weight gain and fatigue, and highlights the protective role of muscle tissue against metabolic dysfunction.
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INSIGHT

Hyperinsulinemia Drives, Then Masks Diabetes

  • In type 2 diabetes insulin often rises long before glucose does; hyperinsulinemia is both cause and compensation.
  • Treating high glucose by adding insulin can worsen outcomes because excess insulin drives harm.
ADVICE

Ask For Fasting Insulin Testing

  • Push clinicians and labs to include fasting insulin in routine panels; it's an early metabolic canary.
  • The test cost is low and the information prevents delayed diagnosis of metabolic disease.
ADVICE

How To Read A Fasting Insulin Result

  • Interpret fasting insulin: ≤6 µU/mL is good, 7–mid-teens is a warning zone, high teens+ indicates likely insulin resistance.
  • Check triglyceride/HDL ratio ≤1.5 as a stable supporting marker for insulin sensitivity.
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