What should be done if someone has pre-diabetes / borderline type 2 diabetes, but doesn’t need to lose weight (BMI 24)? I have read that being too thin may be harmful for the elderly. Does keto diet and / or time-restricted eating automatically lead to losing weight?
In modern America, being too thin is so rare as to be an insignificant outlier.
I have read about extra weight possibly being a benefit while in later years, but if your inflammation levels are not low, at least based on blood indications—one of which could likely be your higher glucose/insulin levels from your pre-diabetes, you need to eat healthier and/or lose fat.
Fat creates low-level inflammation. You have plenty of that, at a BMI of 24, unfortunately. The more you have, the ever more chronic inflammation you get across your whole body.
Other blood indicators you can easily find include:
• Hs-CRP
• HbAIC
• Fasting Insulin
• Serum Ferritin
• Red Blood Cell Width
• Homocysteine
• ESR and Platelets
• Lactate Dehydrogenase (LDH)
• Neutrophil to Lymphocyte Ratio (NLR)
• Liver Enzymes
• Lipid Panel
• Vitamin D3
https://drjockers.com/inflammatory-lab-markers/
Also:
Procalcitonin, Calprotectin, and Fibrinogen
https://www.verywellhealth.com/inflammatory-biomarkers-5205270