I don't know if my story could help. I'm not a doc.
Do you have any signs of acanothosis nigricans?
Because I test great for IR -- but I have the brown patches on my elbows, ankle, and neck telling the hidden story. Extra insulin is spilling out on my skin. Maybe you are insulin resistant and have compensating hyperinsulenemia?
So back on the Metformin I went. Sigh.
I hope this isn't you too -- but if it IS... get it checked out well.
Sometimes you have to be your own patient advocate and ask lots
of questions. Kinda pester them. At the end of the day, doc goes home. At the end of the day? You are the one having to LIVE this reality. YKWIM? Speak up.
I had to change endocs because when I asked "If my labs are so great, how come I have AN still?" and she was like "I dunno." And she wasn't helping me find out why -- like not interested at all in helping.
I like my new endoc better -- she actually wants to help me understand what's going on and WHY this AN still hangs around.