The One Number That Predicts Weight Regain (And How to Fix It)

Join Kate Fuse, PA-C, Bariatric Physician Assistant and founder of Banana Bariatrics, for an empowering discussion about metabolic health, insulin resistance, and the lab tests that can help you take control of your weight loss journey—whether you've had bariatric surgery or are managing your weight through other means. Kate breaks down complex metabolic concepts into actionable steps you can take today, including how to calculate your own insulin resistance using a simple formula and what lifestyle changes make the biggest impact on your metabolic health. What You'll Learn: ✓ Why lab tests matter after bariatric surgery (and which ones to request) ✓ How insulin and glucose work together in your body ✓ What insulin resistance is and how it contributes to weight gain, cravings, and fatigue ✓ The HOMA-IR Calculator: How to calculate your insulin resistance score using fasting glucose and insulin levels ✓ Goal ranges for fasting glucose (less than 100), fasting insulin (less than 10), and HbA1c (less than 5.7) ✓ How to interpret your HOMA-IR score (under 1 = optimal, 1-3 = pre-insulin resistance, 3+ = insulin resistance) ✓ Why your doctor might not be ordering fasting insulin levels (and how to request it) ✓ Behavioral modifications that improve insulin sensitivity: whole foods, protein first, strength training, hydration ✓ The importance of building muscle mass for blood sugar control ✓ How GLP-1 medications can improve metabolic health ✓ Why eating order matters: protein and veggies first, then starches ✓ The connection between sleep, stress, and insulin resistance ✓ Book recommendation: "Good Energy" by Casey Means HOMA-IR Formula: (Fasting Insulin × Fasting Glucose) ÷ 405 = HOMA-IR Score Key Takeaways: High insulin = fat storage mode; Low insulin = fat burning mode Insulin resistance is completely reversible with lifestyle changes Building muscle is the biggest bang for your buck—muscle is the largest consumer of blood sugar Shop the perimeter of the grocery store; avoid ultra-processed foods in bags and boxes Your bariatric team is there to support you, not judge you—stay connected!