Reduce the insulin resistance

What worked is getting to a lower body/visceral fat percentage and weight.

I’m a firm believer in personal body fat (or liver fat) threshold hypothesis, because my own experience has been just that. Once I get to a certain body weight or body/visceral fat percentage, my fasting blood sugar stays around 70-88. My insulin resistance goes away. If I’m over my fat/weight threshold, I begin having fasting blood sugar of 100-110, along with other insulin resistance symptoms.

I consumed 500 calories less than my maintenance calories each day (consumed balanced macros, but prioritized protein because I love it), sometimes dabbled low carb, but generally felt safer and more sustainable in balanced macros), intermittent fasted 16/8, brisk walked or lightly jogged to maintain calories at deficit if I wanted to eat more (or felt like going for a light jog after work), lower caffeine intake (no more than 50mg for me because caffeine makes me transiently insulin resistant for hours say.. if I have a cup of coffee, followed by sugar crash once it wears off causing low blood sugar and insane cravings for carbs. This made it hard for me to stick to my calorie deficit), sleep 7-8 hours each night, avoid stressful situations.

If I was more overweight, or I just couldn’t muster through what I did, I probably would’ve opted to have Metformin to help me overcome insulin resistance and lose weight.. then maintain my weight indefinitely.