Why Insulin Resistance Predicts Cancer Outcomes Better Than Staging (2026)
Cancer staging tells us where the tumor is. Insulin resistance tells us what kind of body the tumor is growing in. Modern oncology places enormous faith in staging systems. TNM categories, AJCC groupings, and increasingly granular molecular subtypes are used to estimate prognosis, guide treatment, and reassure patients. Yet clinicians and patients alike encounter a persistent paradox: Two patients. Same cancer. Same stage. Same treatment. Radically different outcomes. Staging explains part of the story — but not nearly enough. A growing body of evidence suggests that host metabolic health, particularly insulin resistance, often predicts outcomes more reliably than tumor stage alone. This is not an argument against staging. It is an argument that staging is incomplete. What Cancer Staging Measures — and What It Ignores Cancer staging excels at describing tumor geography : Tumor size Lymph node involvement Distant spread What it largely ignores: Insulin and glucose dynamics Inflamma...