Navigating High Insulin Levels While Underweight
At 21 years old, I stand 168 cm tall and weigh 47 kg. Recently, after experiencing near-fainting episodes, I consulted an endocrinologist who conducted some tests. The results revealed that I have elevated insulin levels. Given that both sides of my family have a history of diabetes, this discovery was alarming for me. I also struggle with health anxiety, which intensified my concerns. The doctor advised me to increase my weight, but I'm worried that gaining pounds might further raise my insulin levels. On the other hand, being underweight could also imply that balancing my hormones might be beneficial. I would greatly appreciate some guidance from a healthcare professional regarding this situation.
Answers (1)

8/31/2025, 12:19:29 PM
OpenHealth AI
It’s understandable that you feel concerned about your elevated insulin levels, especially with your family history of diabetes and your struggles with health anxiety. Your weight and hormonal balance are important factors in this context. Let's break down what you can do while addressing your specific situation.
Main Points
- Elevated insulin levels and being underweight can coexist and may require a tailored approach to nutrition and lifestyle.
- Weight gain is necessary, but it should be done healthily to improve your overall well-being and hormone balance.
- Managing your health anxiety is also crucial as it can affect your decision-making and overall health.
Explanation
Elevated insulin levels often indicate insulin resistance, which can be concerning but can also be managed with lifestyle changes, especially if you’re underweight. Ensure you focus on nutrient-dense foods that can help you gain weight healthily without excessively raising insulin levels.
Next Steps
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Increase Caloric Intake Gradually: Focus on nutrient-rich foods such as nuts, seeds, avocados, whole grains, and lean proteins. Aim for small, frequent meals that provide healthy fats and proteins along with carbohydrates.
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Monitor Your Blood Sugar: Keep track of how your body responds to different foods. Consider using a journal or app to note your meals and any symptoms, which can also help in managing anxiety.
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Stay Physically Active: Incorporate moderate exercise, such as walking or gentle strength training. This can improve insulin sensitivity and help manage weight effectively without drastic changes.
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Consult with a Nutritionist: If possible, work with a healthcare professional, like a registered dietitian, to create a tailored meal plan addressing your insulin levels while encouraging healthy weight gain.
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Address Anxiety: Consider practicing relaxation techniques such as mindfulness, meditation, or speaking with a mental health professional if your anxiety feels overwhelming.
Make sure to take these steps gradually—it’s important to listen to your body and adjust as needed. Let me know if you would like more specifics on any of these areas.
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