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Metabolic Health and Diabetes

Why can tests stay normal while the disease develops?

Insulin resistance, hepatic fat, glycaemic variability, and the long compensation that precedes a diagnosis.

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crystals dissolving into warm fluid, macroNewest · Metabolic Health and DiabetesWhat a normal fasting insulin actually isA fasting insulin inside the laboratory range can still describe a system working hard to look normal, and it moves years before glucose does.4 min read · 20 September 2026
Two crystal forms dissolving at different rates in clear waterMetabolic Health and DiabetesWhy one glucose reading describes a moment, not a personTwo people eat the same lunch, from the same pot, at the same hour. One curve is back where it…6 min read · 26 August 2026Thick amber liquid pooling slowly under low lightMetabolic Health and DiabetesWhere HbA1c misleads, and what to read beside itTwo people hand over the same HbA1c of 5.7%. One spends almost the whole day inside a narrow band of…5 min read · 26 August 2026A viscous amber thread drawn slowly downward in darknessMetabolic Health and DiabetesWhy type 2 diabetes often begins in the liverA fasting glucose goes 5.4, then 5.8, then 6.1 across three annual checks while the after-meal readings stay respectable. The…6 min read · 26 August 2026Faceted crystal structures softening into cool waterMetabolic Health and DiabetesMuscle is your largest glucose organTwo people, both 48, both with a BMI of 24. One has glucose readings that behave; the other is quietly…4 min read · 25 August 2026Crystalline forms dissolving at the edge into clear liquidMetabolic Health and DiabetesWhy fasting glucose is the last number to moveFasting glucose 92, HbA1c 5.5, everything inside range or close enough that nobody remarks. Six years later it reads 131.…6 min read · 23 August 2026
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Metabolic Health and Diabetes: FoundationsWhy a fasting glucose can read normal for a decade while the system holding it there…Foundations40 min
Deep Dives

Where this subject goes deeper

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Deep DiveReading a glucose curve: what continuous monitoring actually showsLearn to read a continuous glucose trace rather than react to it: what the sensor physically measures, which summary numbers are borrowed from a population they were not built for, which shapes are artefacts, and why two identical curves can represent very different metabolic work.Deep DiveFasting insulin: what it tells you, and when it liesHow to read a fasting insulin and a HOMA-IR properly: the units that make results absurd, what the arithmetic actually means, why the thresholds are conventions rather than cutoffs, the four traps that make an accurate value mislead, and the honest limits of what follows from a raised result.
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Macro photograph of warm golden light drawn into a cool teal currentMetabolic Health and Diabetes · with a verifiable certificateDiabetes RewiredA functional medicine approach to type 2 diabetes remission and long-term metabolic health, open to clinicians and to anyone who wants the reasoning behind it.8 hr 35 min4.95(384)View the programme →
Also on this subject

Heard, read and said elsewhere

From the podcastThe Truth About Fasting No One Told You About18 Sep 2025 · 26 min
Keep following the question

Why can tests stay normal while the disease develops?

The seven fields share the same five ideas. Move to a neighbouring field, or go back to the map.

Cellular Health and MitochondriaGut and ImmunityHormones
Programmes in Metabolic Health and Diabetes →All seven fieldsThe Thread, by SOMA
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