Metabolic health

The metabolic continuum behind your BMI.

Type 2 diabetes, prediabetes, insulin resistance, dyslipidemia. The conditions BMI signals — and the conditions GLP-1 medications were originally developed for.

Who this is for

Adults with HbA1c >5.7, family history of T2D, or metabolic syndrome markers (waist circumference, triglycerides, blood pressure). Anyone with BMI ≥27 should screen.

What's covered

Specific treatments. Honest details.

Semaglutide (Ozempic) for T2D
Originally developed for T2D management. Now widely prescribed for both diabetes and weight management. Strong A1C reduction in trials.
Tirzepatide (Mounjaro) for T2D
Dual GIP/GLP-1 agonist. Strongest A1C reduction in head-to-head trials with semaglutide.
Lifestyle protocols (DPP framework)
For prediabetes specifically, the Diabetes Prevention Program reduced progression to T2D by ~58% in trials — better than most medications. Sisu coaches the DPP framework.
Continuous glucose monitor pairing
CGMs are increasingly used by non-diabetic users for behavior insight. Sisu integrates the glucose data into daily coaching.
Sisu's role

Metabolic health is the longest game in the wellness stack. Sisu doesn't diagnose — your provider does that with lab work. But it does coach the daily inputs (carb timing, fiber, walking after meals, sleep) that move A1C over 90 days. Boring is the strategy.

Licensed partner clinics

Who handles the prescribing.

Sisu doesn't prescribe medications. When this is the right path for you, we route to US-licensed telehealth providers.

Yucca Health — GLP-1 for T2D
Eden Health — GLP-1 + MIC+B12
Strut Health — Semaglutide, Tirzepatide

💡 Affiliate disclosure: We may earn a commission when you sign up. This doesn't affect what you pay or our recommendations. Sisu routes based on your state, profile, and provider fit — not commission size.

Common questions

What people ask about metabolic health.

Can I reverse prediabetes?+

For many people, yes — through sustained weight loss (5–7% of body weight) and increased physical activity. The Diabetes Prevention Program is the most rigorous evidence we have. Sisu coaches the same framework.

Do I need a diagnosis to use Sisu for metabolic health?+

No. Sisu helps you screen risk and build habits. Diagnosis requires lab work from a licensed provider — usually HbA1c or fasting glucose. Sisu helps you prepare for and act on those labs.

What about lipids and blood pressure?+

Both connect to metabolic syndrome. Sisu tracks blood pressure if you log it and flags concerning patterns — but doesn't prescribe or replace your cardiology team.

Related categories

What often connects to this.

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Metabolic Health Coaching — Prediabetes, Type 2 Diabetes, Insulin Resistance | mybmi.ai