Great post. I especially appreciate how you’ve outlined the subtle physical cues of insulin resistance. Something we’re seeing increasingly often in primary care. It’s remarkable how much can be gleaned from observation and a good history before even reaching for the lab form.
@noahzarc1 There are a few such metrics out there and each have been verified to be a proxy for excess visceral fat which collects around organs, specifically in the abdominal area. It's measured as a waist to height ratio, so 34"/68" for us Americans would be 0.5 and above that it might indicate some visceral fat.
It's important to note that if someone is rather fit, has a good diet, and they can see their ab muscle outline, the chance of any visceral fat is already really low. But for those who are well-muscled these crude metrics like the ratios and BMIs aren't effective. Instead it's good to pay attention to other markers like muscle definition (lean people will rarely have much visceral fat except for heavy alcohol drinkers or extremely sedentary people) and DEXA scans.
Great post. I especially appreciate how you’ve outlined the subtle physical cues of insulin resistance. Something we’re seeing increasingly often in primary care. It’s remarkable how much can be gleaned from observation and a good history before even reaching for the lab form.
Very nicely written.
❤️
@noahzarc1 There are a few such metrics out there and each have been verified to be a proxy for excess visceral fat which collects around organs, specifically in the abdominal area. It's measured as a waist to height ratio, so 34"/68" for us Americans would be 0.5 and above that it might indicate some visceral fat.
It's important to note that if someone is rather fit, has a good diet, and they can see their ab muscle outline, the chance of any visceral fat is already really low. But for those who are well-muscled these crude metrics like the ratios and BMIs aren't effective. Instead it's good to pay attention to other markers like muscle definition (lean people will rarely have much visceral fat except for heavy alcohol drinkers or extremely sedentary people) and DEXA scans.