Your Labs Came Back Normal. You Still Don't Feel Normal.
You are not imagining it. Insulin resistance can build quietly for years before it shows up on the tests most people get once a year. This free self-check from a nurse shows you what to notice, what to ask for, and what to do with the answer.
Does any of this sound like you?
None of these prove anything on their own. Every one of them has other possible explanations. But when several show up together in the same person, that is worth a closer look rather than another year of wondering.
- Belly weight that stays put even when you are eating less
- Sugar cravings that feel louder than actual hunger
- Tired within an hour of eating, especially after carbs
- Brain fog that lifts and comes back
- Hungry again soon after a meal you thought was plenty
- An afternoon crash you plan your day around
What is inside
8 signs you can notice yourself
Things you can observe without a lab. Check the boxes that sound like you, then take the count with you. "I have six of these eight things" is a more useful sentence in an appointment than "I just feel off."
6 labs to ask about
Including the one that is not on most routine panels, why it matters, and the exact words to use when you ask for it. Plus the HOMA-IR formula so you can run it yourself.
Your metabolic snapshot
A one-page worksheet you print and hand across the desk. Your signs, your conditions, your numbers, and the three questions to ask when you bring it back.
What this is not
This is not a diagnosis. Nobody can tell you what you have from a PDF, and I am not going to pretend otherwise.
There is no HOMA-IR cutoff in this guide, and that is deliberate. There is no single agreed-on threshold, and what your number means depends on your medications, your history, and the rest of your picture. That read belongs to your clinician, not to a download.
What this does is help you walk into the appointment knowing what to ask for.
Who is behind this
I am Sonya. I am a Registered Nurse and a Director of Nursing with close to 20 years in healthcare, 15 of them spent with older adults. I have watched what metabolic disease actually does to people over decades, not over a 12-week challenge.
I also lost a significant amount of weight on a GLP-1 starting in December 2022, then lost coverage, and had to figure out the metabolic side of this without the medication holding the line for me. That is why I teach what I teach. Not because I read about it.
Yes. No card, no trial. You give me an email address and I send you the guide.
No. Most of the guide is about what to notice and what to ask for. If you already have results, there is a page to write them down and a formula to run.
No, and I would be careful with anyone who says otherwise. It helps you see whether the pattern is worth exploring and gives you the questions to bring to your clinician.
Eventually I will mention my 90-day program, because it exists and some people want it. The guide is complete on its own and does not require it.
You are welcome to read it. Talk with your clinician before changing anything about how or when you eat. That goes for everyone, and doubly for you.
Get the Self-Check
8 signs. 6 labs. One page you can hand to your clinician.
Educational only. Not medical advice, diagnosis, or treatment. This does not establish a nurse-patient relationship and does not replace care from your own licensed clinician. Always consult your clinician before making changes to your diet, medications, supplements, fasting routine, or health plan, and before drawing conclusions from any lab result. Individual results vary.
Sonya RN Metabolic Health · sonyarn.com · TikTok @sonyarnmetabolic