Insulin Resistanceenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_12_2.jpgInsulin resistance happens when the body does not respond properly to insulin. It can can raise a child's risk for type 2 diabetes and other health problems. Insulin resistance, insulin, type 2 diabetes, healthy weight, overweight, belly fat, BMI, blood sugar, fatty liver, PCOS, sleep apnea, obesity, weight loss surgery, polycystic ovary syndrome, obese, high blood pressure, hypertension, lipids, blood tests, weight management02/10/202002/12/202002/12/2020Chijioke Ikomi, MD02/10/2020bd10bb96-fad5-417d-a9c5-0af12541d4f8https://kidshealth.org/ws/RadyChildrens/en/parents/insulin-resistant.html/<h3>What Is Insulin Resistance?</h3> <p>Insulin resistance happens when the body doesn't respond to the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hormones.html/">hormone</a> insulin as it should, making it hard for glucose to get into cells. <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/glucose.html/">Glucose</a> comes from food and is the body's main source of energy. Normally, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/insulin.html/">insulin</a> helps glucose enter the cells.</p> <p>Insulin resistance can raise a child's risk for <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/type2.html/">type 2 diabetes</a> and other health problems. To help improve the body's response to insulin, doctors recommend that kids and teens:</p> <ul class="kh_longline_list"> <li>Get to and maintain a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/childs-weight.html/">healthy weight</a>.</li> <li>Eat a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/myplate.html/">balanced diet</a> rich in whole grains, fruits and vegetables, and lean protein.</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/exercise.html/">Exercise</a> regularly.</li> </ul> <h3>What Are the Signs &amp; Symptoms of Insulin Resistance?</h3> <p>People with insulin resistance may have:</p> <ul> <li>high <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/bmi-charts.html/">body mass index (BMI)</a> and waist circumference</li> <li>high fasting <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/track-blood-sugar.html/">blood sugar</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/acanthosis.html/">acanthosis nigricans</a>, a darkening of the skin in folds and creases, like the neck and armpits</li> </ul> <p>Other medical problems linked to insulin resistance and obesity include:</p> <ul> <li>fatty liver (extra fat in the liver)</li> <li>polycystic ovary syndrome (PCOS), when girls have heavy or irregular periods, or even no periods</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hypertension.html/">high blood pressure (hypertension)</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/apnea.html/">obstructive sleep apnea</a></li> </ul> <h3>Who Gets Insulin Resistance?</h3> <p>Insulin resistance is most common in people who are <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/overweight-obesity.html/">overweight</a> and have too much belly fat. Insulin resistance is also linked to some genetic syndromes, conditions that affect hormone levels and stress levels, and some medicines.</p> <p>Obesity and insulin resistance tends to run in families. Other things that put someone at risk for insulin resistance include:</p> <ul> <li>not being physically active</li> <li>a high-carbohydrate diet</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/smoking.html/">smoking</a></li> </ul> <h3>How Is Insulin Resistance Diagnosed?</h3> <p>Doctors might think it's insulin resistance if an overweight or obese person has acanthosis nigricans or a family history of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/center/diabetes-center.html/">diabetes</a> or heart disease. They may:</p> <ul> <li>check BMI and waist measurement</li> <li>take a blood pressure reading</li> <li>do blood tests, including: <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/test-glucose.html/">fasting glucose</a> and/or <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/blood-test-hba1c.html/">hemoglobin A1c</a></li> <li>fasting <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/test-insulin.html/">insulin</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/blood-test-lipid-panel.html/">lipid profile</a></li> </ul> </li> </ul> <p>Insulin resistance and obesity tend to go hand-in-hand. So doctors might order more tests to look for other weight-related problems, like fatty liver, PCOS, and <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/sleep-study.html/">sleep apnea</a>.</p> <h3>How Is Insulin Resistance Treated?</h3> <p>Insulin resistance is treated with positive lifestyle changes. Weight loss can bring big gains in blood sugar, lipids, and blood pressure. In kids who are still growing, slowing the rate of weight gain or keeping a healthy weight also will help.</p> <p>Families can work with their health care provider, a dietitian, or a weight management program to build healthy habits. These might include:</p> <ul> <li>limiting junk food and sugary beverages</li> <li>eating more fruit and vegetables</li> <li>choosing whole grains</li> <li>reducing <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/screentime-bigkids.html/">screen time</a></li> <li>getting more exercise</li> <li>not smoking</li> </ul> <h3>What Else Should I Know?</h3> <p>Sometimes, insulin resistance and other problems don't get better with lifestyle changes. Some kids may need medical treatment for things like high blood pressure. For some teens with insulin resistance and severe obesity, doctors may recommend <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/wlsurgery.html/">weight loss surgery</a>.</p>
5 Ways to Reach a Healthy WeightMost dieters regain the weight they lost by dieting when they go back to their old eating habits. Get our tips on the best ways to drop excess weight.https://kidshealth.org/ws/RadyChildrens/en/teens/weight-tips.html/63a232e0-0a78-424a-b211-edffe20e1177
About Overweight and ObesityWe use the words "oveweight" and "obese" a lot, but they actually have medical meanings. Find out how doctors diagnose these conditions and what they mean for a person's health.https://kidshealth.org/ws/RadyChildrens/en/teens/obesity-overweight.html/3db5b37c-b543-4171-bd34-d7d71e1a51eb
Acanthosis NigricansAcanthosis nigricans (AN) is a condition that causes the skin to thicken and darken in places. AN is not harmful or contagious, but can be a sign of certain other medical conditions.https://kidshealth.org/ws/RadyChildrens/en/parents/acanthosis.html/88676454-423c-49be-9213-28f35625f45e
Blood Test: InsulinThis test is often used to evaluate the cause of hypoglycemia (low blood sugar) or any other conditions related to abnormal insulin production.https://kidshealth.org/ws/RadyChildrens/en/parents/test-insulin.html/1afad925-c86b-4012-b6fb-886043f85af1
Keeping Track of Your Blood SugarChecking your blood sugar levels is a really important part of managing diabetes. Knowing those levels will help you keep your blood sugar under control - and that helps you feel good and keeps you healthy.https://kidshealth.org/ws/RadyChildrens/en/kids/track-blood-sugar.html/916cc0c6-db09-4e05-a43f-46ab8e0d9f25
Metabolic SyndromeMetabolic syndrome is a group of health problems that put kids at risk for heart disease and diabetes. With lifestyle changes, many kids improve their health and reduce their risk of disease.https://kidshealth.org/ws/RadyChildrens/en/parents/metabolic-syndrome.html/94bee442-7c12-4fe0-b2cb-4f9335c5424e
Motivating Kids to Be ActiveParents can help instill a love of activity and help kids make it a part of their everyday routine.https://kidshealth.org/ws/RadyChildrens/en/parents/active-kids.html/513cb6d3-1fe0-4441-af16-7ba23da84c2f
Motivating School-Age Kids to Be ActiveBeing active is a key component of good health for all school-age kids. So how do you get kids motivated to be active, especially those who aren't gifted athletes?https://kidshealth.org/ws/RadyChildrens/en/parents/schoolage-active.html/688bc175-ec60-4938-aa59-d6880cd75a7d
Overweight and ObesityPreventing kids from becoming overweight means making choices in the way your family eats and exercises, and how you spend time together.https://kidshealth.org/ws/RadyChildrens/en/parents/overweight-obesity.html/3984b1ff-ca0a-46aa-889c-9bb1fb8b4884
Polycystic Ovary Syndrome (PCOS)In polycystic ovary syndrome (PCOS), the ovaries produce higher than normal amounts of certain hormones, which can interfere with egg development and release. Learn how doctors diagnose and treat PCOS.https://kidshealth.org/ws/RadyChildrens/en/teens/pcos.html/79731239-b3c8-4c57-af59-55eb6eea7eaa
Treating Type 2 DiabetesKids who are diagnosed with type 2 diabetes will need a diabetes management plan to help them manage the condition and stay healthy and active.https://kidshealth.org/ws/RadyChildrens/en/parents/treating-type2.html/ab6e8644-fed9-4b2a-8fe6-18393da696cb
Type 2 Diabetes: How Is It Treated?Kids with type 2 diabetes have to take some important steps to feel good and stay healthy. Find out more about treating type 2 diabetes in this article for kids.https://kidshealth.org/ws/RadyChildrens/en/kids/treating-type2.html/9489e382-1286-4cff-bc87-d05abdb9b6f7
Type 2 Diabetes: What Is It?Learning what you can about type 2 diabetes will let you help your child manage and live with the disease. Here are the basics.https://kidshealth.org/ws/RadyChildrens/en/parents/type2.html/d2e1a712-f804-4e52-b4d5-4c7266b0c39a
Weight Loss SurgeryWeight loss surgery works. But it's serious stuff, both physically and emotionally. Find out about two weight loss surgery options for teens.https://kidshealth.org/ws/RadyChildrens/en/teens/bariatric.html/7fc66358-9504-4d6c-ab2a-92560014bdb7
Weight and DiabetesA balanced diet and an active lifestyle are important for kids with diabetes because weight can influence diabetes, and diabetes can influence weight.https://kidshealth.org/ws/RadyChildrens/en/parents/weight-diabetes.html/39ba5f7c-ecc6-4068-96ca-72fdd7690a54
When Being Overweight Is a Health ProblemA couple of pounds of extra body fat are not a health risk for most people. But when people are severely overweight, it can cause health problems.https://kidshealth.org/ws/RadyChildrens/en/teens/obesity.html/86e35f4d-c4b7-42bf-84a0-f23b54b1965a
When Blood Sugar Is Too HighFor people with diabetes, controlling blood sugar levels is important. Having a blood sugar level that's too high can make you feel lousy, and having high blood sugar levels a lot can be unhealthy.https://kidshealth.org/ws/RadyChildrens/en/teens/high-blood-sugar.html/76e71f3a-c621-4474-8266-4cde74bfc4f3
Who Can Get Weight Loss Surgery?Doctors may do weight loss surgery if someone who is very overweight has tried but failed to lose weight and faces serious medical problems. Find out what makes teens eligible for bariatric surgery.https://kidshealth.org/ws/RadyChildrens/en/teens/weight-loss-surgery.html/902fe658-a024-44cd-a006-d38a1cc36941
Why Exercise Is WiseGetting the right amount of exercise can rev up your energy levels and even help you to feel better emotionally. Find out why.https://kidshealth.org/ws/RadyChildrens/en/teens/exercise-wise.html/1533a4c6-6d86-4e3d-9163-7797e214e101
Word! Insulin ResistanceEven though the pancreas is still making insulin, the body doesn't let insulin do its job as well and it's harder for glucose to get into the cells. This is called insulin resistance.https://kidshealth.org/ws/RadyChildrens/en/kids/word-insulin-resistance.html/a622b1e5-1264-4efa-9485-c2fa5c03cc80
Your Child's Weight"What's the right weight for my child?" is one of the most common questions parents have. It seems like a simple one, but it's not always easy to answer.https://kidshealth.org/ws/RadyChildrens/en/parents/childs-weight.html/47c960bc-61c9-4a05-933d-50f57967c0a7
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-endocrinologykh:genre-articlekh:primaryClinicalDesignation-endocrinologyDiabetes Basicshttps://kidshealth.org/ws/RadyChildrens/en/parents/diabetes-center/diabetes-basics/e7c6c2d5-789f-475d-bead-54cfac997f23Endocrine Glands, Growth & Diabeteshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/endocrine/587da900-34e2-43e7-a2a4-5a4ed4bc7781