Labeling insulin resistance as a "risk factor" is correct only in a narrow, technical sense. That's not helpful for patients and clinicians who need to make treatment decisions in the real world. The terminology is irrelevant. Instead of getting hung up on semantics you need to spend some time learning the basics of human metabolism and the endocrine system.
Insulin resistance is a risk factor in the same way that a growing malignant tumor is a risk factor: unless you expect to die soon from something else you should take urgent measures to fix it. While a HbA1c test isn't perfect, it's pretty good as a cheap and easy initial screening for insulin resistance. If you want to believe that it's some kind of "scam" then I don't know how to help you.
The average US person today has at least some level of metabolic problems. Playing games with statistics won't change that reality or the negative long-term outcomes.
Insulin resistance is a risk factor in the same way that a growing malignant tumor is a risk factor: unless you expect to die soon from something else you should take urgent measures to fix it. While a HbA1c test isn't perfect, it's pretty good as a cheap and easy initial screening for insulin resistance. If you want to believe that it's some kind of "scam" then I don't know how to help you.
The average US person today has at least some level of metabolic problems. Playing games with statistics won't change that reality or the negative long-term outcomes.