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Hi there. Can you post your lab values? And what is your age?
Wow. Your labs are fantastic. On paper you look like an amazingly healthy 42 year-old. Do you get pap smears and mammograms on a regular basis?
I understand. Normal labs can be a mixed blessing. And it is certainly possible you are at increased risk for diabetes in the future with a high normal fasting insulin...but for now, your glucose level and HgA1c do not support the diagnosis. You may have a bit of insulin resistance due to the extra weight. If you got down to your optimal weight, there is a good chance your fasting insulin level would drop well into the normal range.
The one thing I noticed that is missing from your labs are inflammatory markers...CRP, ESR, RF, FANA etc.
Autoimmune or autoinflammatory conditions can create a host of non-specific and vague symptoms that do not add up otherwise...often delaying a diagnosis.
Fatigue is chief among the symptoms. Of course, there are many other causes of fatigue, including inadequate or poor quality sleep. Good sleep is like water, air or food. It is an essential element of good physical and mental health. Sometimes it can be hard to determine which came first, a medical condition interfering with sleep, or poor sleep contributing to a medical condition.
In order to complete the work up, I would request at least a C-reactive protein (CRP) which is a pretty good screening test for autoimmune or autoinflammatory conditions. In addition, you might want to ask your doctor for a referral to a rheumatologist. They are the ones specially trained at diagnosing and treating such conditions. Another consideration would be to see an allergist and be tested for food and environmental allergies, as they can similarly cause fatigue and other non-specific symptoms that can be almost disabling. Other than that, I would suggest you do whatever you can to protect and improve your sleep, as this is likely an exacerbating factor.
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