Insulin 30, blood sugar normal.?

People can get their insulin and/or cpeptide levels measured (cpeptide approximates insulin levels) to determine how much insulin they are producing. That is most commonly done when somebody has diabetes and the doctor wants to know if the diabetes is being caused by the person not making much insulin, or by the person's body not using insulin efficiently.

People with type 1 diabetes generally have very low or nonexistant insulin levels, although some are diagnosed early enough in the disease that they still have low normal levels (which are expected to drop if it's truly type 1).

People with type 2 diabetes, when they are first diagnosed, usually have above normal insulin levels because their bodies are making as much insulin as they possibly can to counteract the high insulin needs that people with type 2 diabetes have. Usually type 2 diabetes develops after a person has had high insulin levels for many years- either the insulin needs increase past what their pancreas can make (if you have a BMI of 50, there's no way your pancreas will be able to keep up with your body's needs), or the pancreas gets worn out and starts producing less.

So insulin levels that are high despite normal blood sugar levels indicate that a person is at high risk of developing type 2 diabetes, although they do not yet have it. It's a good reason for a lifestyle change if possible, and possibly taking the medication metformin, which seems to delay onset of type 2 diabets by a few years in people who are prediabetic.

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The normal insulin levels are 5-20 mcU/ml during fasting (mcU/ml refers to micro unit per milliLiter). Therefore your friend's level of 30 mcU/ml is higher than normal. This probably indicates that she has a degree of insulin resistance, which means that her body's cells are resistant to the effects of the insulin that her pancreas produces, requiring more insulin than normal to be produced.

Elevated insulin levels are seen with:

Acromegaly

Cushing's syndrome

Use of drugs such as corticosteroids, levodopa, oral contraceptives

Fructose or galactose intolerance

Insulinomas

Obesity

Insulin resistance, such as appears in type 2 diabetes and metabolic syndrome