Key Takeaways
- Insulin is a hormone that helps stabilize blood sugar levels. However, it can become resistant, leading to rising blood sugar levels and other metabolic changes.
- Insulin resistance can make it harder to lose weight, but there are evidence-based practices you can follow to get better results.
- A registered dietitian specializing in weight loss can offer personalized nutrition and lifestyle changes to help you achieve your goals
Insulin is a hormone that helps stabilize blood glucose (sugar) levels after eating.
However, it can become resistant, and blood sugar levels can rise.
Over time, this can increase the risk of developing prediabetes or type 2 diabetes and may impact your ability to lose weight.
Research suggests that people can improve insulin sensitivity by completing more daily physical activity, including vigorous exercise and reducing sedentary behavior.
These behaviors also help with weight loss and have additional benefits, such as making people feel stronger and more energetic.
Keep reading to learn about five strategies to help you lose weight while managing insulin resistance.
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What’s the Fastest Way to Lose Weight With Insulin Resistance?
A healthy weight loss can be 0.5-2 pounds per week (or four to eight pounds per month).
This may not be as fast as you want, but the Centers for Disease Control (CDC) affirms you’re more likely to have sustainable weight loss results at this pace.
Behaviors that can help you lose weight include:
- Reducing your daily caloric intake—under the guidance of a registered dietitian.
- Increasing your level of physical activity.
- Choosing high-quality, nutritious foods most often.
- Ensuring you get good sleep every night.
- Managing stress levels.
Although it sounds simple, losing weight takes dedication and perseverance.
Some days will feel aligned and easy, while others can feel more challenging, and motivation can wane.
These experiences are normal parts of the weight loss journey, and using various resources can help you stay motivated.
Some helpful resources we recommend are consulting with a registered dietitian specializing in weight loss, an accountability network comprising friends and family, and an app to digitally track your progress (optional).
Top 5 Strategies to Lose Weight With Insulin Resistance
Here are five strategies that could help you lose weight with insulin resistance.
1. Work with a Dietitian to Create a Healthy Eating Plan
A registered dietitian works with you to create a fully customized eating plan to help you achieve your goals.
Dietitians are trained in nutrition and metabolic health and can suggest delicious meals, snacks, and beverages to help you lose weight while managing insulin resistance.
You may benefit from a Mediterranean-style eating pattern, which can help optimize blood sugar control and insulin sensitivity.
Foods in the Mediterranean diet include:
- Fruits: apples, peaches, pears, plums, grapes, etc.
- Vegetables: peppers, tomatoes, onions, garlic, carrots, celery, spinach, kale, etc.
- Whole grains: quinoa, teff, wheat berries, millet, oats, etc.
- Lean proteins—especially fish, eggs, and poultry. Beans and legumes should be eaten, too.
- Healthy fats include olive oil, nuts, seeds, avocados, and omega-3s.
A sustainable, healthy eating plan also includes dishes celebrating your culture, occasional sweets, and other high-calorie items (like French fries).
A registered dietitian can teach you how to practice moderation so that you can enjoy these foods while you focus on your health.
2. Increase Your Fiber and Fluid Intake
Fiber is an indigestible carbohydrate with several health benefits. It helps you:
- Stay regular.
- Promotes better blood sugar control.
- Decreases cholesterol.
- Reduces your risk of digestive illnesses and different types of cancer.
- Supports weight loss because it helps you feel full after eating.
Most adults need 28-35g of fiber daily, and it may be easier to reach this goal by spreading your intake across several meals and snacks.
Fiber-rich foods include fruits, vegetables, nuts, seeds, whole grains, and legumes.
Add these items to salads, soups, and sandwiches, and try to drink more water to keep foods moving through the intestines and prevent constipation.
3. Focus on Creating Sustainable Habits
A good way to gauge whether your weight loss plan is sustainable is to ask yourself, “Can I see myself doing this five years from now?” If the answer is no, you may benefit from modifying your plan so that it’s easier to maintain in the long term.
Here are examples of goals that might not be sustainable:
- I will never eat cookies again.
- I will never eat takeout again.
- I will go to the gym every day.
We’ve modified the goals below to be more sustainable (these are just examples—they can be further tailored to your needs):
Original Goal
More Sustainable Options
I will never eat cookies again
- I will eat a cookie with my afternoon coffee every other day.
- I will make cookies from scratch with ingredients that align with my health goals.
I will never eat takeout again.
- I will eat takeout at lunch once a week instead of three times. On other days, I will bring food from home.
- I will buy smaller takeout portions and have a salad or roasted vegetables on the side.
I will go to the gym every day.
- I will do vigorous exercises three days a week.
- To start, I will go to the gym on Monday and Thursday and rest on Tuesday and Wednesday.
4. Tweak Your Exercise Regimen Until You Find What Works
Exercise and physical activity should be fun! So, if you dread going to the gym—try finding something else to do instead.
There are many online and in-person classes that you can experiment with until you find something that works.
Here are some ideas:
- Rock climbing.
- Dance classes.
- Aqua-fitness classes.
- Stand-up paddle board.
- Pilates.
- High-intensity interval training.
There are also many benefits of walking—an activity that doesn’t require equipment (outside of good walking shoes), gym memberships, or specialized gear.
You can keep walks interesting by bringing friends along or challenging yourself to explore more nearby trails.
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5. Celebrate Short and Long-Term Wins
You will make progress if you consistently show up to work on your goals.
These moments should be celebrated—even if the number on the scale doesn’t change.
Completing something new is a big deal, and patting yourself on the back feels good.
It might even be nice to document these moments with a photo or a journal entry that you can look back on when you have a bad day.
These small tokens can be a great reminder of what you’re capable of and show you how much you’ve accomplished.
How Does Insulin Resistance Affect Weight Loss?
Insulin resistance can make it harder for some people to lose weight.
Decreased insulin sensitivity can lead to excess sugars in the blood, which will be stored as glycogen or fat if not used as fuel.
This can make it harder to lose weight.
Increasing physical activity and following a nutritionally balanced diet are good first steps to improving insulin sensitivity.
These changes complement weight loss recommendations and should help you achieve your goals.
Depending on your overall health, your healthcare provider may also suggest medications that can improve insulin sensitivity.
Ask them about these drugs if you want to learn more.
How Do I Know If I Have Insulin Resistance?
Insulin resistance is a precursor for prediabetes and type 2 diabetes, so if you have been diagnosed with either of those conditions, it’s implied that your body’s insulin sensitivity has declined.
Your care team will consider this when recommending lifestyle and pharmacological treatments.
If your blood sugars are stable and you haven’t been diagnosed with diabetes, you can ask your doctor to measure insulin function through a HOMA-IR blood test.
Knowing your results could help you better understand if insulin dysfunction is impacting your ability to lose weight.
When Should I Consider Weight Loss Medication for Insulin Resistance?
Weight loss medications, specifically GLP-1 receptor agonists, can also improve metabolic health and insulin function.
If you satisfy the body mass index (BMI) criteria, you may be eligible to start Wegovy or Zepbound.
The BMI cutoffs for both medications are:
- People managing obesity with a BMI ≥ 30
- People with a BMI ≥ 27 and weight-related medical problems.
Your healthcare provider can review medications to help you decide whether they benefit your health goals.
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Takeaway
You can lose weight while managing insulin resistance.
Try to be physically active, eat a nutritionally balanced diet, and ask your doctor if you’re a good candidate for weight loss medications.
How a Dietitian Can Help
You should work with a registered dietitian if you’re trying to optimize your health and lose weight.
They’re nutrition experts and licensed healthcare professionals who are qualified and eager to help you achieve your goals.
You may not know what to ask if you’ve never met with a dietitian before. Here are popular questions others have asked:
- How can I treat insulin resistance naturally?
- What supplements can I take for insulin resistance?
- Are there any foods I should avoid for insulin resistance?
- What are some healthy snacks for weight loss?
Find a dietitian who accepts insurance through Nourish.
See a Registered Dietitian with Nourish
- Covered by insurance
- Virtual sessions
- Personalized care
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Frequently Asked Questions
It’s important to try and lose weight gradually to create sustainable results.
If you want to see weight loss changes, it’s recommended that you work closely with your dietitian to develop a personalized weight loss plan, which may include dietary changes and physical activity.
The right time to start making lifestyle changes is hugely personal, and when you’re ready—you’ll know.
If you’re still contemplating losing weight, talk to your dietitian about your concerns.
It’s impossible to target fat loss in your body, but following your weight loss plan will give you the best chance of losing weight.
If you’re unhappy with your physical appearance, raise your concerns to your dietitian, who can support and help you improve your body image