darkness around neck

The situation you’re describing does sound concerning, especially with the pigmentation you mentioned having around your neck, which resembles acanthosis nigricans. This condition is often associated with insulin resistance, and it’s linked to higher insulin levels, which align with your blood test results. Insulin resistance means your body’s cells don’t respond properly to insulin, which can lead to increased insulin production and at times might progress to conditions like Type 2 diabetes if not addressed early. It’s encouraging that you’re already on the right track by seeking medical advice and having those tests done. High insulin levels with the skin changes you described can indeed be related; however, it’s not something that should cause immediate alarm if managed properly. Addressing this typically involves lifestyle modifications. Given the fatigue and craving you mentioned, it’s a good idea to look into a diet that’s low in refined sugars and high in whole foods like fruits, vegetables, lean proteins, and whole grains to help balance your energy levels and curb those sugar cravings. Incorporating physical activity into your routine can also help improve insulin sensitivity. Start with something manageable based on your preference — even a daily walk can make a difference. It’s also important to follow up with your healthcare provider regularly to monitor your condition. They may suggest further work-ups or adjustments to your management plan. If you notice any other changes or it worsens, inform your doctor. While it’s understandable to feel anxious, know that with appropriate lifestyle changes, you can manage and possibly reverse the insulin resistance.