How to manage obesity and high insulin?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

My sister is obese and her doctor said she had PCOD(polycystic ovarian disease), so she did some insulin resistance panel tests. She had high insulin but her glucose levels seemed fine. She also feels giddy after eating sometimes. The doctor did not explain well, and now I wonder if her weight gain is also from insulin. Please tell me,

  1. Is it normal for high insulin to cause giddiness like that?
  2. What does insulin have to do with it, and does it mean she has Type 2 diabetes or is at risk of getting it?
  3. Can she develop diabetes because of this?

Please help.

Answered by Bhanushali Sonali Suresh Tara

Education:

Diploma in Dieticians and Applied Sciences

Professional Bio:

Miss Bhanushali Sonali Suresh Tara is an experienced Dietitian and Fitness Specialist with eleven years of clinical experience. She holds a Diplomate in Dietetics and Applied Sciences from The University of Mumbai. Currently, she practices at Bhanushali Clinic, a well-known healthcare facility located in Pune, Maharashtra. Miss Bhanushali specializes in providing personalized diet plans tailored to meet the unique nutritional needs and medical conditions of her patients. With her expertise in dietetics and applied sciences, she offers valuable guidance and support to individuals seeking to improve their overall health and well-being through proper nutrition and fitness. Her diet charts are designed to ensure that patients receive the necessary nutrients while taking into account their specific dietary requirements and health goals. Miss Bhanushali is dedicated to helping her patients achieve optimal health through balanced nutrition and a healthy lifestyle.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

You need to understand that insulin resistance can be due to PCOD also and yes it leads to weight gain too and becomes like a cycle as high weight triggers PCODand other medical conditions and due to this condition weight gain happens.

We need to make lifestyle changes along with dietary changes as this kind of insulin resistance is reversible with the right treatment.

So, let us understand as your physician did not explain to you. Insulin resistance is a condition where the body's cells become less responsive to insulin, a hormone produced by the pancreas that regulates blood sugar levels. Here are some key points about insulin resistance:

Causes:

1. Genetics

2. Obesity

3. Physical inactivity

4. Poor diet (high sugar, refined carbs)

5. Stress

6. Sleep apnea

7. Certain medications (steroids, certain antidepressants)

8. Hormonal imbalances (e.g., Cushing's syndrome)

Symptoms:

1. Weight gain, particularly around the midsection

2. Fatigue

3. Brain fog

4. Memory problems

5. Mood swings

6. Increased hunger and cravings for carbohydrates

7. Blood sugar swings

8. Skin issues (acne, darkened skin patches)

Risk factors:

1. Type 2 diabetes (yes she can develop as you ask)

2. Cardiovascular disease

3. Stroke

4. High blood pressure

5. High cholesterol

6. Polycystic ovary syndrome (PCOS)

Dietary changes to manage insulin resistance:

1. Eat whole, unprocessed foods

2. Increase fiber intake

3. Choose complex carbohydrates ( whole grains)

4. Include healthy fats (omega-3, avocado or nuts)

5. Limit sugary drinks and refined carbs

6. Drink plenty of water

I hope this helps.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 28, 2024
Reviewed At May 19, 2026

Education:

Diploma in Dieticians and Applied Sciences

Professional Bio:

Miss Bhanushali Sonali Suresh Tara is an experienced Dietitian and Fitness Specialist with eleven years of clinical experience. She holds a Diplomate in Dietetics and Applied Sciences from The University of Mumbai. Currently, she practices at Bhanushali Clinic, a well-known healthcare facility located in Pune, Maharashtra. Miss Bhanushali specializes in providing personalized diet plans tailored to meet the unique nutritional needs and medical conditions of her patients. With her expertise in dietetics and applied sciences, she offers valuable guidance and support to individuals seeking to improve their overall health and well-being through proper nutrition and fitness. Her diet charts are designed to ensure that patients receive the necessary nutrients while taking into account their specific dietary requirements and health goals. Miss Bhanushali is dedicated to helping her patients achieve optimal health through balanced nutrition and a healthy lifestyle.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Diploma in Dieticians and Applied Sciences

Professional Bio:

Miss Bhanushali Sonali Suresh Tara is an experienced Dietitian and Fitness Specialist with eleven years of clinical experience. She holds a Diplomate in Dietetics and Applied Sciences from The University of Mumbai. Currently, she practices at Bhanushali Clinic, a well-known healthcare facility located in Pune, Maharashtra. Miss Bhanushali specializes in providing personalized diet plans tailored to meet the unique nutritional needs and medical conditions of her patients. With her expertise in dietetics and applied sciences, she offers valuable guidance and support to individuals seeking to improve their overall health and well-being through proper nutrition and fitness. Her diet charts are designed to ensure that patients receive the necessary nutrients while taking into account their specific dietary requirements and health goals. Miss Bhanushali is dedicated to helping her patients achieve optimal health through balanced nutrition and a healthy lifestyle.

This doctor is not available for online consultations on the platform anymore.

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