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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 over 3 months ago

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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