Paul Saladino· MD
no no fasting insulin I think is the that is a dead clear metric of insulin sensitivity that is I mean you could use that well we don't always have it's inaccurate a fasting glucose doesn't give you a full representation of passing glucose gives you a very accurate most perennial glucose spikes you can look at a CG manual is very good no it's I've seen it over and over the people have a normal or only slightly elevated fasting glucose and they can have an elevated fasting insulin it's very we can leave that alone