Though insulin resistance and diabetes are not the same, they are related, and one can influence the other. Treatment may depend on what’s causing insulin resistance and if you’ve been diagnosed with diabetes.

Insulin resistance and diabetes are closely related. But not everyone who is insulin resistant has diabetes, and not all people with diabetes are insulin resistant.

However, insulin resistance increases your chances of developing both prediabetes and type 2 diabetes, in particular.

This article explains the similarities and differences between insulin resistance and diabetes.

Though interconnected, they are quite different.

Both are tied to your body’s ability to make or use insulin, a key hormone that allows glucose to enter the body’s cells from the bloodstream to be used for energy. When someone has prediabetes or diabetes or is developing insulin resistance, their body cannot correctly create or use insulin as it naturally would.

If your body has to secrete more insulin than usual to manage blood sugar levels adequately, then you have insulin resistance.

Many people are insulin resistant but do not have diabetes.

Over time, insulin resistance can lead to prediabetes and, if not reversed, can lead to type 2 diabetes.

The development of prediabetes and type 2 diabetes occurs when the body is so insulin resistant that the pancreas can no longer make enough insulin to maintain usual blood sugar levels, and your cells are not responding to the insulin your body is secreting.

People with diabetes need to manage their blood sugar levels with diet, exercise, and sometimes prescription medications like metformin or insulin.

Insulin resistance does not lead to type 1 diabetes. In this autoimmune condition, the body’s immune system has destroyed the insulin-making beta cells of the pancreas, and thus no insulin is being made in the body. But people with T1D can become insulin resistant over time, which makes managing blood sugar levels more difficult.

The symptoms of insulin resistance can go undetected for years and are not as evident as those experienced when someone has developed diabetes.

You may be developing insulin resistance if you experience the following:

However, some symptoms of insulin resistance may also include:

  • males with a waistline of more than 40 inches and females more than 35 inches
  • skin tags or patches of skin that are darker and thicker than usual (acanthosis nigricans)
  • blood pressure of 130/80 or higher
  • the 3-month average glucose test (A1C) between 5.7%-6.3%
  • HDL cholesterol levels below 40 mg/dL in males or below 50 mg/dL in females

Insulin resistance can make managing your blood sugar levels much harder and keep them within a healthy range. It can also lead to chronically high blood sugar and A1C levels, increasing your risk for long-term diabetes complications.

Insulin resistance will require you to take more insulin (if you take exogenous insulin) or your body to secrete more insulin for the foods you eat daily.

This can also lead to weight gain, complicating aspects of your diabetes management, including exercise and maintaining healthy blood pressure and cholesterol levels.

Excess body fat in the form of obesity, especially in the abdomen and around the organs (also known as visceral fat), is the leading cause of insulin resistance.

Losing excess body weight and being active are the best ways to reduce insulin resistance and lower your chances of developing prediabetes and type 2 diabetes.

Yes, you can.

A 2021 study found that 40% of adults in the United States have insulin resistance. Many of those people also had either prediabetes or type 2 diabetes.

Many people experience insulin resistance for years before developing prediabetes or type 2 diabetes; some may never develop those later conditions.

Being insulin resistant, however, is the primary cause of prediabetes and type 2 diabetes.

If you are insulin resistant, you should consult your doctor about ways to reverse it to prevent health complications later in life.

The primary ways to reverse insulin resistance include losing excess body weight, eating a diet as recommended by a doctor, and becoming physically active.

Talk with your doctor about developing a meal plan that can meet your health goals and ways to incorporate more physical activity.

The Centers for Disease Control and Prevention (CDC) recommends that most adults get at least 150 minutes of moderate activity per week, or at least 30 minutes per day most days of the week, along with at least two days per week of strength training exercises.

When to seek medical attention

If you’re feeling unwell, contact your doctor. If you’re experiencing the following symptoms (symptoms of diabetes), seek medical attention immediately:

  • excessive thirst
  • frequent urination
  • fruity-smelling breath
  • slow-healing wounds or infections
  • unexplained weight loss
  • blurry vision or changes to your vision
  • fatigue or lethargy
Was this helpful?

Insulin resistance and diabetes are closely related, but they are not the same. Insulin resistance is a broader term meaning that your body has to secrete more insulin than usual to manage blood sugar levels.

A diagnosis of diabetes is when your blood sugar levels reach a high enough threshold due to the body’s inability to produce enough insulin. Many people are insulin resistant but do not have diabetes, but being insulin resistant can lead to prediabetes and type 2 diabetes.

You may want to consult your doctor or healthcare team if you’re experiencing the signs and symptoms of insulin resistance. This can be important to help treat before a diabetes diagnosis.