Insulin Resistance Specialist in London
Insulin resistance can affect far more than blood sugar alone. It may show up as weight gain that feels unusually stubborn, strong cravings, energy crashes, abdominal weight gain, fatigue after meals, hormone disruption, or the sense that something in your metabolism is no longer working as it should.
It often develops quietly, long before type 2 diabetes is diagnosed, which is one reason it can be missed or not fully explained.
I am a private GP and functional medicine doctor, and I help patients assess insulin resistance more carefully, understand how it may be affecting their health, and build a treatment plan that fits their wider clinical picture.
Face-to-face consultations are available at Charterhouse Clinic, 98 Crawford Street, London W1H 2HL, and I also offer video appointments for patients across the UK.
When insulin resistance may be part of the picture
Insulin resistance can present in different ways, but common patterns include:
- weight gain or difficulty losing weight
- sugar cravings or feeling hungry again soon after eating
- energy dips, especially after meals
- abdominal weight gain
- fatigue or brain fog
- hormone disruption
- PMOS / PCOS-related patterns
- skin changes such as acne or skin tags in some people
Sometimes these symptoms develop gradually, which is why people often sense that something is off before they ever receive a clear explanation.
Insulin resistance is often recognised later than it should be
Insulin resistance can be present for years before someone is told they have prediabetes or type 2 diabetes.
That matters because its effects can already be showing up in energy, appetite, weight regulation, hormone balance, PMOS / PCOS patterns, and longer-term metabolic risk.
I see many patients who have been told to watch their diet or exercise more, but have not had the pattern properly interpreted. A more careful assessment can help us understand whether insulin resistance is playing a role and what may be contributing to it in your case.
Patterns that often sit alongside insulin resistance
- fatigue
- cravings
- central weight gain
- hormonal imbalance
- irregular cycles
- PMOS / PCOS overlap
- low mood or low resilience
- difficulty making progress despite healthy efforts
My approach to insulin resistance
First, I look at the full story
I begin with a detailed consultation, looking at your symptoms, weight pattern, appetite, cravings, energy, sleep, cycle history where relevant, family history, and the wider metabolic and hormonal context.
Then I investigate carefully
Where appropriate, I may recommend relevant blood tests or other assessment to understand whether insulin resistance is likely to be part of the picture and how it is affecting your wider health.
Then we build a plan around what we find
Depending on your symptoms and results, this may include dietary changes, lifestyle support, targeted supplementation, further medical review, or a broader functional medicine plan.
Ongoing review matters
Insulin resistance does not improve through one conversation alone. I review progress carefully and adapt the plan according to how your body is responding over time.
What I may look at during a deeper insulin resistance assessment
- symptom pattern and appetite regulation
- weight and metabolic history
- fasting glucose and HbA1c
- fasting insulin and HOMA-IR where appropriate
- lipid profile
- thyroid function
- hormone overlap, including PMOS / PCOS where relevant
- inflammation or other metabolic contributors
Insulin resistance, hormones, and the wider metabolic picture
Insulin resistance rarely exists in isolation.
It may overlap with hormone imbalance, PMOS / PCOS, disrupted appetite regulation, poor sleep, chronic stress, or changes in body composition that do not fit the wider picture of how you are eating and living.
That is why it often needs to be assessed through a broader metabolic and hormonal lens, rather than being reduced to a conversation about willpower or simple weight loss advice.
Why work with a private GP and functional medicine doctor for insulin resistance
This approach allows me to look at insulin resistance in a more joined-up way.
I work from a GP foundation, so I can think clinically about symptoms, diagnosis, testing, medication, referrals, and longer-term health risk, while also using a functional medicine perspective to explore why the pattern may be developing in the first place.
London clinic location and video appointments
Face-to-face consultations are available at Charterhouse Clinic, 98 Crawford Street, London W1H 2HL, and I also offer video appointments for patients across the UK.
Get in touch
London clinic location
Charterhouse Clinic
98 Crawford Street
London W1H 2HL
info@drtatyana.co.uk
0208 050 2421
Frequently asked questions
Can insulin resistance be present before diabetes?
What symptoms can insulin resistance cause?
What tests may be helpful?
Can insulin resistance affect hormones?
Do you offer insulin resistance consultations in London and online?
Book an insulin resistance consultation
If you suspect insulin resistance may be affecting your energy, weight, hormones, or long-term health, a more detailed review can help us understand what needs attention next.
For face-to-face consultations, you can also email info@drtatyana.co.uk.