Insulin is a hormone that helps move glucose from the blood into muscles and fat for energy, and it helps the liver store or limit sugar. With insulin resistance, cells do not “hear” insulin as well, so glucose stays higher.
To cope, your pancreas releases more insulin. Over time, this extra work can strain the pancreas, raising the risk of prediabetes and type 2 diabetes. The liver may also produce more glucose, worsening the problem.
Your gut microbiome can influence these steps. Certain microbes affect short-chain fatty acids, inflammation signals, and gut barrier health. When balance shifts, inflammation and insulin signaling can worsen, making insulin resistance easier to develop or harder to reverse.