A test ,a which doctor would to do, but not done its insulin on an empty stomach , its forgetting test, but importance of which is true hard over,theoretically would must to be a such:

 as taking into account and other stats:On an empty stomach insulin 26.All  stats later are worsened, and  speech goes about a put pre-diabetes  and insulin resistance.

Approximately in 3-5  years we will see a same patient with obesity diagnosis and diabetes of second type, with a level of glucose in blood 7.3, glycated hemoglobin 6.7, and insulin on an empty stomach.

That curve looks as on picture 10/adapted from materials by professor Bikman. 

 A condition of insulin resistance, previous for diabetes   displaying of 2 nd type, and also accompanying his are staying for ten years till diabetes displaying.And,  here pre-diabetes staying not diagnosed.And,  on the picture is having, that glucose stats of blood in pre-diabetes staying in norm, and not lead till 7.0 mml on an emptiness.But,   a most importance  these are insulin levels /by orange colour/, which are beginning faster  rising with appearances of insulin resistance .But,  usually measure just glucose of blood ,thus doctor is not having ideas, which critical changes happening within many years with insulin level.

 And on the graphic is good visible, that level of glucose in blood is staying low/normal level within a many years, before a doctor finds diseases. A most importance to rate dynamic for glucose level with a time course, and also measure insulin! In this person sugar slowly raised, but kept in a limit for norm, offered by laboratory, within  ten years, misleading  for doctor and patient. And you can to see a big quantity of insulin is ability to keep level of sugar in limit for norm in human with insulin resistance. And in norm insulin quantity is must  to be proportionally for sugar level, and in our example a level of entered sugar as sweet porridge and tea staying stable, but sensitiveness   of cells to insulin is lowered, and pancreas  gland on answer manufacturing on ten times more insulin.

A base idea for example is consisting ,that a having in everyday arsenal by clinicians instruments for pre-diabetes diagnosis and diabetes are old, and not reflects a true picture for having and progressing metabolic destroyed, especially on early stages  within many years.  And in case with this person as intervention in kind of changing life mode is would be must have undertaken still on ten years ago , and earlier possible!