The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
if you get a fasting glucose an a1c and a fasting insulin now calculate something called a home I are you're gonna see if your insulin resistant pretty well a lot of people don't need an insulin tolerance they don't need an oral glucose tolerance test they don't need those more invasive tests to really prove that your insulin resistance
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the oral glucose-tolerance test with frequent sampling is our best tool because long before glucose levels get out of whack you're going to see in appropriate amounts of hyperinsulinemia early on
if you knew where to look you would see hyperinsulinemia now sometimes that doesn't occur at fasting sometimes that's in a postprandial State and that for us is typically the the true Canary in the coal mine is it's a postprandial challenged glucose response where glucose is normal but insulin is distorted insulin is elevated
you also look at a different test which is an ogt test which is something that someone can do which maybe is that Canary in the coal mine you just want to let people maybe know a little bit about that ogtt in case anyone's wondering to themselves like look based on my blood work I know I don't have type 2 diabetes but now I'm kind of curious what my insulin level is and if this is something I should be worried about how do I find out more to learn my current state