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What to do if you're feeling off — but your A1C is “normal”

Low energy, weight gain, or sugar crashes with normal labs? Here’s how we explore early signs of insulin resistance.

Updated this week

If your A1C is “normal” but you still feel foggy, tired, or off — we take that seriously.

These are often the first signs of metabolic stress. And catching them early can make all the difference.


🔍 Common early symptoms:

Do any of these sound familiar?

  • Afternoon energy crashes or brain fog

  • Strong sugar or carb cravings

  • Belly weight gain despite the same habits

  • Feeling sleepy or “crashy” after meals

  • Mood swings, irritability, or low motivation

  • “Normal labs” but something just doesn’t feel right

If yes to two or more, it’s worth exploring further.


🚩 Red flag symptoms (please alert us if any apply):

  • Rapid weight changes

  • Vision changes or blurred vision

  • Tingling or numbness in hands or feet

  • Excessive thirst or urination

  • Skin darkening around neck or armpits

These may indicate advanced insulin resistance or diabetes and need prompt follow-up.


🧠 What we’ll ask (or what you can share now):

  • When did symptoms begin?

  • What’s your eating/sleep/movement routine like?

  • Have you ever had insulin or HOMA-IR tested?

  • Any history of PCOS, gestational diabetes, or family history of metabolic issues?

  • Are you on any medications that affect metabolism?

  • Have you ever used a CGM or tracked glucose before?


✅ What we might recommend:

Depending on what you share, we may suggest:

  • Lab tests (glucose, insulin, HOMA-IR, lipids, inflammation markers)

  • CGM tracking to look at real-world trends

  • Nutritional strategies tailored to your body’s insulin response

  • Stress and sleep support to reduce metabolic strain

  • Supplements or medication support (if needed)


This is something we work on regularly with patients — not because it’s scary, but because it’s changeable.

Tell us what’s been going on, and we’ll help you figure out the next best step. No shame, no guessing — just clear, data-informed care.

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