Insulin resistance is a widespread metabolic disorder that often goes unnoticed, yet in the long run it can lead to serious conditions such as type 2 diabetes . The good news: With a customized diet and targeted lifestyle changes, you can achieve a lot. In this article, you'll learn how to optimize your diet, which foods you should prioritize, and what you should avoid to improve your insulin sensitivity .
The most important things in brief
Insulin resistance means that cells are less sensitive to insulin, which can lead to elevated blood sugar – a precursor to type 2 diabetes.
A Mediterranean diet rich in vegetables, whole grains, healthy fats, and low in sugar helps improve insulin sensitivity.
Weight reduction, regular exercise and avoiding foods with a high glycemic index help improve insulin resistance.
What is insulin resistance?
Insulin resistance is a reduced response of the cells of the liver, muscles and fat tissue to the hormone insulin.
Insulin performs a variety of functions in the human body. Perhaps its most well-known function is lowering blood sugar levels . Insulin transports sugar into our cells—primarily the liver and muscles. There, our cells use the sugar, also called glucose, to produce energy in the form of adenosine triphosphate (ATP) . Excess energy in the form of carbohydrates is converted into glycogen (carbohydrate storage) and fat .
Insulin is produced in the pancreas by the beta cells of the islets of Langerhans. Blood sugar levels are constantly monitored.
How does insulin resistance manifest itself?
Symptoms of insulin resistance:
- Dry skin
- Visual disturbances
- impaired wound healing
- Tiredness, exhaustion
- Muscle weakness
- Difficulty concentrating
- dizziness

How do you determine insulin resistance?
Hyperinsulinemic-euglycemic glucose clamp technique
There is no general test for insulin resistance. The gold standard for measuring insulin resistance is the hyperinsulinemic-euglycemic glucose clamp technique. This measures how well an individual metabolizes glucose and how sensitive they are to insulin. The plasma insulin concentration is acutely increased and maintained at 100 μU/ml by a continuous infusion of insulin . Meanwhile, the plasma glucose concentration is kept constant by a glucose infusion . This allows the insulin sensitivity of the cells to be determined.
Oral glucose tolerance test
In practice, however, an oral glucose tolerance test is often used. This involves first administering 75 grams of glucose (grape sugar) . One and two hours later, blood sugar and insulin concentrations are measured. The higher the insulin level in the blood, the greater the insulin resistance . The oral glucose tolerance test can usually be performed by your family doctor or a nutritionist. Medical supervision is required to ensure the test is carried out correctly. The test has been part of the maternity guidelines since 2012. This means that the oral glucose tolerance test is a service covered by statutory health insurance.
How does insulin resistance occur?
Insulin resistance is often caused by a diet high in sugar and foods with a high glycemic index, as these permanently increase insulin levels. At the same time , obesity, lack of exercise, and genetic factors, such as family history or conditions like PCOS , can increase the risk. Low levels of omega-3 fatty acids and fiber, as well as high levels of fructose and unhealthy fats in the diet, also promote the development of insulin resistance. Despite these known connections, the exact molecular causes are still being researched (1).
What are the consequences of insulin resistance?
Impaired uptake of glucose into cells can lead to hyperglycemia . The primary consequence of insulin resistance is type 2 diabetes mellitus . Insulin resistance is thought to be present 10 to 15 years before the onset of diabetes . In addition, it can lead to high blood pressure, dyslipidemia, visceral abdominal fat, and elevated uric acid and inflammation levels . Progressive insulin resistance also leads to the development of metabolic syndrome and fatty liver disease. (2)
What is the difference between insulin resistance and diabetes? Diabetes and insulin are often confused or equated. However, diabetes is more a consequence of insulin resistance. Insulin resistance itself is therefore a precursor to diabetes. This means that insulin resistance does not necessarily mean diabetes. However, diabetes usually involves insulin resistance.

How should I change my diet if I have insulin resistance?
Mediterranean diet for weight loss
For many insulin-resistant people, weight loss can be helpful. Ideally, this should be achieved through a Mediterranean diet. This diet is rich in fruits, vegetables, nuts, whole grains, healthy fats, and high-quality protein . This automatically ensures that we consume fiber and complex carbohydrates, which have a positive effect on our blood sugar levels. This diet also keeps us full for longer, eliminating the need for constant snacking due to a lack of satiety.
Regular meals
You should also make sure you eat regular meals. Constant snacking causes your blood sugar level to rise slightly and triggers the release of insulin . To stabilize your blood sugar level, you should eat regular meals . Furthermore, when you snack, make sure you choose healthy alternatives. These include foods with a low glycemic index, such as a handful of nuts, a cucumber, or tomatoes.
Examples of food
-
oatmeal
Oatmeal allows blood sugar levels to rise slowly and evenly, preventing a rapid spike in the bloodstream because the glucose molecules must first be broken down. In oatmeal, these molecules are present in the form of complex carbohydrates. Oatmeal is also rich in fiber, which also has a beneficial effect on the intestinal flora. It's an ideal food as part of a balanced diet.
-
Blueberries
A perfect complement to your morning oatmeal: a handful of blueberries. Not only do they have a low glycemic index, they're also rich in polyphenols and other secondary plant compounds. Their lower fructose content makes them an ideal snack between meals or as an ingredient in smoothies or porridge.
-
Bitter gourd
A study from the University of Giessen found that fasting blood sugar levels were lowered in subjects with pre-diabetes. The blood sugar-lowering properties and compounds of bitter gourd are now being further researched. The study authors conclude that bitter gourd could be a natural means of lowering blood sugar levels, especially in poorer countries where access to medication is unavailable. (3)
-
Legumes
Peas, lentils, and beans are legumes. They contain a lot of fiber and therefore keep you full for longer without causing blood sugar levels to spike. Legumes should be eaten daily as part of a balanced diet.
-
Teas and water
Instead of sugary drinks, opt for calorie-free beverages. These don't affect your blood sugar levels and also provide you with sufficient fluids.
In general, eat plenty of low-carb vegetables like zucchini, broccoli , kale, Brussels sprouts, mushrooms, spinach, arugula, and eggplant. Eat high-sugar fruits in moderation. Be careful with dates, raisins, and other dried fruits. These are very high in sugar. Blueberries, watermelon, and papaya, however, are good alternatives.
Which foods should you avoid if you have insulin resistance?
Overall, we should avoid all foods with a high glycemic index , meaning foods that cause blood sugar levels to rise quickly.
- Sweetened drinks such as cola or fruit juices
- White flour products such as rolls and pasta
- Dried fruits such as raisins and dates (very high in sugar)
We often eat unhealthy foods out of habit or when stressed, which have a negative impact on our blood sugar levels. Cravings, in particular, can lead to us eating far too much of these foods uncontrollably .

How can you avoid cravings?
A food craving often occurs after eating foods with a high glycemic index, as these cause blood sugar levels to rise very rapidly . Eating these foods provides the body with energy very quickly in the form of glucose. High-sugar foods and white flour products, in particular, can be broken down into their smaller molecules in the digestive tract in a short time. The glucose is absorbed into the cells by insulin , causing blood sugar levels to drop again. What happens?
The body signals that blood sugar levels are low again and releases appetite-stimulating hormones that encourage you to eat. This triggers what's known as cravings. Therefore, it's better to eat fiber-rich foods with complex carbohydrates , which the body needs more time to digest.
Instead, the body receives a constant supply of glucose over a longer period of time. The advantages: You stay full longer and there are no cravings . This prevents the body from being overwhelmed and releasing large amounts of insulin all at once. Furthermore, these healthier foods, such as fiber-rich vegetables and complex carbohydrates from whole grains, contain more minerals and vitamins than white flour products and sugary foods.
What else can I do if I have insulin resistance?
Exercise and sport, in addition to a change in diet, can help improve insulin resistance. Physical activity improves numerous metabolic parameters associated with insulin resistance. Furthermore, a generally healthy lifestyle has a positive effect on physical health. It's best to incorporate walks into your daily routine. Your choice of transportation to work can also positively impact your exercise intensity.
Practical tips: For example, take a bike instead of the car, or the stairs instead of the elevator. Sports, whether in a club or on your own, can also contribute to physical activity. Whether it's jogging, rowing, climbing, or volleyball—the important thing is that you do something you enjoy and that gets you moving.

Conclusion
Insulin resistance is defined as a reduced uptake of the hormone insulin by the cells of the liver, muscles, and fatty tissue. Dietary changes and exercise can help reduce existing insulin resistance. Weight loss is especially important for those who are overweight. A low-carbohydrate diet with plenty of vegetables, low-sugar fruits, nuts, whole grain products, and high-quality protein sources can help make the cells more susceptible to insulin as part of a planned weight loss program.
Leave a comment
This site is protected by hCaptcha and the hCaptcha Privacy Policy and Terms of Service apply.