Articles #insulin resistance

In the past two decades of practice, if I were to name one single factor that silently disturbs sleep, weight, mood, digestion, immunity, memory — and often goes unnoticed in our usual investigations — I would say it is this: Cortisol.

In every consultation room, I meet two kinds of people when it comes to sugar: those who fear it and those who ignore it. But the real story of sugar is not just about what we eat — it’s about a silent, tireless worker inside us called insulin.

Over the years in clinical practice, I have learned that the skin is often a silent storyteller of a patient’s internal health. While most people focus on its cosmetic appearance, as physicians, we know that the skin can act as a window to systemic diseases, nutritional deficiencies, hormonal imbalances, and immune disorders.

As physicians, we often remind patients that sleep is not simply a pause in daily activity—it is an active, restorative process that keeps the body and mind functioning at their best. Sleep is as vital as food, water, and oxygen, yet it remains one of the most undervalued elements of health. Modern lifestyles have pushed sleep into the background, often treated as optional, when in reality, it is the time during which the body performs its deepest and most necessary repairs.

Longevity is not just about adding years to life, but adding life to years. As physicians, we recognize that the journey toward healthy aging is built on daily habits, preventive health measures, and timely medical care.

Diabetes mellitus is not a single disease—it is a family of metabolic disorders characterized by high blood sugar due to problems with insulin. It is one of the leading global health concerns, affecting millions of people across all age groups.

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia — an abnormally high level of glucose in the blood. It results either from: • Deficient insulin secretion (the pancreas does not make enough insulin), • Impaired insulin action (cells do not respond properly to insulin), • Or a combination of both.