Insulin resistance
Inflammation reduces the body’s sensitivity to the hormone insulin (12). Insulin regulates glucose levels in the blood, allowing cells to use it for energy. When inflammation interferes with insulin function, you can become insulin resistant. Insulin resistance is linked to diabetes, high metabolic syndrome, obesity, and poor cardiovascular health.
Read more: 4 Benefits of Insulin Sensitivity & How to Increase Yours
Skin symptoms
Atopic dermatitis (which literally means “inflammation of the skin”) is a chronic, inflammatory skin disease which results in widespread rashes and patches of itchy skin. It affects about 26.5 million adults in the U.S (13). In addition, conditions like psoriatic arthritis, acne, psoriasis, and eczema all stem from inflammation.
If you have a rash that doesn’t go away or red, itchy dry skin patches, you should consider this a red flag and check with your doctor.
Fatigue
Tiredness is very commonly associated with chronic inflammation. People who feel chronically tired or fatigued have higher markers for pro-inflammatory compounds. In fact, inflammation may be the missing link to solving chronic fatigue syndrome (CFS). One study showed that patients with CFS, also known as myalgic encephalomyelitis (ME) have variations in 17 cytokines which are connected with greater disease severity, suggesting that the condition is essentially an inflammatory disease (14).
Some CFS/ME patients also exhibit symptoms like sore throat, sensitive lymph nodes, pain, or digestive discomfort that are associated with inflammation (15).
Related: Adrenal Fatigue
Functional medicine tests to detect chronic inflammation
There are tests available to help detect acute and chronic inflammation. However, these tests can’t distinguish between acute inflammation (as a result of infection or injury), and chronic inflammation that may result from diabetes, rheumatoid arthritis, obesity, or an autoimmune disease.
- C-reactive protein (CRP), or hs-CRP. The liver releases CRP into your bloodstream in response to inflammation. A high-sensitivity C-reactive protein (hs-CRP) test is more sensitive than a standard CRP test, so it can detect more subtle changes. A normal value is less than 0.3 mg/dL in most healthy people. A value between 0.3 mg/dL and 1 mg/dL is considered minor elevation and can be seen in obesity, pregnancy, depression, diabetes, the common cold, sedentary lifestyle, and with cigarette smoking (16).
- Erythrocyte sedimentation rate (sed rate or ESR). ESR is based on how quickly red blood cells (RBCs) settle inside a test tube. Many factors can cause an abnormal ESR (including pregnancy, obesity, and use of NSAIDs), so an ESR test is typically used with other tests to diagnose and monitor inflammation. Ranges vary by lab test, but normal result is usually less than 20 mm/hr (17).
- Ferritin. This is a blood protein that reflects the amount of iron stored in the body. If there is too much iron in the body, ferritin levels may be high, and also rise when inflammation is present. The normal range is generally higher in men, but is 20 to 200 mcg/L.
- Fibrinogen. While this protein is most commonly measured to evaluate acute inflammation in the vascular system, it can be elevated in response to other conditions. Fibrinogen may help identify the extent of systemic inflammation associated with multiple sclerosis, Alzheimer’s disease, rheumatoid arthritis, bacterial infection, colitis, lung and kidney fibrosis, and several types of cancer. A normal fibrinogen level is 2.0 to 4.0 g/L (18).
Speak with a patient care coordinator about whether testing for chronic inflammation is right for you.
Should you test for chronic inflammation?
In conventional medicine it’s not routine to test for chronic inflammation. However, if you’re experiencing symptoms of chronic inflammation like described above, testing may help diagnose or manage an inflammatory condition, such as rheumatoid arthritis or a leaky gut.
Learn more about testing for chronic inflammation at CentreSpringMD.
What causes chronic inflammation?
Many factors associated with genetics, lifestyle, diet, and environmental exposures contribute to chronic inflammation, including (19):
- Underlying infections (i.e. Lyme disease) or intestinal dysbiosis
- Autoimmune disorders, where your immune system mistakenly attacks healthy tissue
- Exposure to heavy metals or environmental pollutants, like industrial chemicals or pesticides
A range of factors also contribute to chronic inflammation, like:
- Smoking
- Disturbed sleep
- Obesity
- Alcohol use
- Chronic stress and/or isolation
- Sedentary lifestyle
Left unchecked, chronic inflammation can wreak havoc on your health. Fortunately, by understanding the signs and symptoms of systemic inflammation, you can work with a functional medicine doctor to get to the root cause of the issue and heal your body from the inside out.
- Test, treat, and resolve chronic inflammation with help from a qualified functional provider. Learn more.
If you’re dealing with any of the issues mentioned in this article, don’t hesitate to reach out to a functional medicine provider at CentreSpringMD. We can help you identify the source of your chronic inflammation and develop a plan to address it so that you can live a healthy, happy life.
Resources
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3929010/
- https://www.nia.nih.gov/about/living-long-well-21st-century-strategic-directions-research-aging/inflammation-plays
- https://www.sciencedirect.com/science/article/pii/S0092867410001820
- https://jamanetwork.com/journals/jamaneurology/fullarticle/793256
- https://n.neurology.org/content/92/11/e1256
- https://www.frontiersin.org/articles/10.3389/fnins.2019.00384/full
- https://pubmed.ncbi.nlm.nih.gov/19079223/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638313/
- https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.119.315896
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6878926
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4281373/
- https://www.scientificamerican.com/article/inflammatory-clues/
- https://www.aafa.org/wp-content/uploads/2022/08/Atopic-Dermatitis-in-America-Study-Overview.pdf
- https://www.pnas.org/doi/10.1073/pnas.1710519114
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576849/
- https://www.ncbi.nlm.nih.gov/books/NBK441843/
- https://www.ncbi.nlm.nih.gov/books/NBK557485/
- https://pubmed.ncbi.nlm.nih.gov/22037947/
- https://www.nature.com/articles/s41591-019-0675-0