Richard Amerling @dramerling · 02 Sep 2026
This is a perfect example of clinical reasoning based on an understanding of pathophysiology. Many years ago Dr. Joseph Kraft studied the insulin response to a glucose tolerance test and identified a subset with an excessive insulin spike as being insulin-resistant; i.e.
517Views
6Likes
2Reposts
1Replies
0Quotes
2Bookmarks
Is that a lot?
0.08×vs this author's median6 478 views is typical
33Percentile for this authorof 9 recent posts
0.15×vs 10K–100K median3 383 views is typical
3.09%Reachviews ÷ followers
1.74%Engagement rateof viewers reacted