Exame de insulina em jejum, vale a pena? (Diabetes tipo2)

Link to join the 60-DAY REVERSAL CHALLENGE right now! https://pay.hotmart.com/W102684378F?o... 🎥 Fasting insulin in type 2 diabetes: when it's really worth ordering and when it doesn't make sense If you have type 2 diabetes or monitor diabetic patients, you've probably heard about fasting insulin testing to assess insulin resistance. But the truth is that, according to current guidelines, this test is NOT routinely recommended for monitoring type 2 diabetes. In this video, I clearly explain when fasting insulin can be useful, which parameters really matter in clinical practice, and why tests like HOMA-IR have important limitations. 🔍 What you will learn in this video 1️⃣ When fasting insulin really makes sense Fasting insulin measurement is not a routine test in type 2 diabetes. • Greater usefulness in research contexts • Investigation of hypoglycemia unrelated to diabetes (such as insulinoma) • Differentiation between type 1 and type 2 diabetes in specific cases • C-peptide is often preferable in some situations The goal is to understand when the test adds value and when it only generates confusion. 2️⃣ Which markers are most useful in clinical practice Guidelines prioritize simple parameters that are truly applicable in monitoring. • BMI and abdominal circumference • Fasting blood glucose and glycated hemoglobin (HbA1c) • Lipid profile • Blood pressure • Presence of metabolic syndrome Instead of looking for an isolated marker of insulin resistance, the focus should be on the complete clinical context. 3️⃣ HOMA-IR: why it has limitations Although it is very well known, HOMA-IR is used more in research than in clinical practice. • Lack of standardization between laboratories • Difference between plasma and serum alters the results • Cut-off points vary between populations • Lower accuracy in lean patients or those with altered pancreatic beta function The problem is not the calculation itself, but the inadequate clinical interpretation. 📈 Why this is important in type 2 diabetes • Avoids ordering tests that don't change management • Improves the true assessment of insulin resistance • Directs monitoring towards more useful markers • Helps control glycated hemoglobin and cardiovascular risk • Reduces decisions based on poorly standardized tests 🎯 Final message In type 2 diabetes, ordering more tests doesn't always mean better care. 👉 The most important thing isn't fasting insulin 👉 It's understanding the complete clinical picture 👉 Assessing metabolic syndrome and risk factors 👉 Prioritizing markers that truly change management This is what really improves glycemic control and patient outcomes. Watch the video and understand when fasting insulin makes sense — and when it doesn't add value to treatment. Chapters: 00:00 Is a fasting insulin test worthwhile? 00:50 Analyzing the Evidence 02:26 When is an insulin test useful? 05:02 Why can this test sabotage you? 08:30 Markers that help you know if your diabetes is improving. 10:52 What is important for the patient to know 17:10 Find out if you have a chance of reversing type 2 diabetes 18:27 Join the challenge! 👉 Subscribe to the channel for more practical content about type 2 diabetes, nutrition, and blood glucose control. 📞 Phone number to schedule an appointment for type 2 diabetes treatment: 034 99164 2707 or click this link to talk directly on WhatsApp: https://wa.me/5534991642707 📲 Join the WhatsApp channel and receive all the materials that will greatly help you control your glucose! https://whatsapp.com/channel/0029Vb5m... 👍 Like, share and subscribe so you don't miss the next videos about health, nutrition and prevention! Dr. Victor Miranda Sports and Exercise Physician at the Hospital do Servidor Público Estadual de São Paulo. CRM SP 179240 RQE 87992 CRM MG 67670 RQE 87992 🌐 Website: https://www.tipo2.com.br/