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How much sugar should someone with insulin resistance have? 

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Insulin resistance exists in diabetics, and hyperglycemia in these patients cannot result solely because of a lack of insulin.
No significant associations were found when insulin resistance was assessed as a continuous variable. The results of this cross-sectional study support the concept that diets with a higher GL are associated with an increased risk of insulin resistance.
These data show that even in a relatively healthy population, there are variations in insulin clearance, and individuals with decreased insulin clearance show moderate insulin resistance.
The authors conclude that in population studies, only the fasting insulin level should be used as a marker of insulin resistance, particularly in subjects with abnormal glucose tolerance.
Dietary intake of total sugar may play an adverse role and fibre may play a beneficial role in concurrent insulin resistance among girls but not boys.
Open accessJournal Article
141 Citations
Insulin resistance should be suspected in patients with a history of diabetes in first-degree relatives; patients with a personal history of gestational diabetes, polycystic ovary syndrome or impaired glucose tolerance; and obese patients, particularly those with abdominal obesity.
Sugar-sweetened beverage intake and physical activity levels are each independently associated with insulin resistance-associated metabolic parameters and anthropometric measurements in adolescents.
These data suggest that added sugar consumed at the median American intake level does not produce changes in measures of insulin sensitivity or glucose tolerance and that no sugar has more deleterious effects than others.
These results demonstrate that marked insulin resistance exists in adult onset diabetics with fasting hyperglycemia.
Insulin resistance worsens with increasing AN severity, and patients with Severe AN (AN score ≥3) are at increased risk of insulin resistance.

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