Doctor straight up refuses to do a fasting insulin on me… I know I can get it done on my own, it just pisses me off

She has a metabolic panel with a fasting glucose and A1C scheduled, but I specifically went out of my way to ask for a fasting INSULIN test and offered to pay out of pocket even if the insurance won’t cover it because I’m interested in it for my own knowledge, and she responds saying that she has a fasting glucose scheduled which will be sufficient.

Not that it’s anything new, but it really just aggravates me that the “not medically necessary” and fear of being culpable rule so many doctor’s minds to the point that it’s impossible to get the information you need when you present as a knowledgeable patient without striking out on your own.

I live in a rural area and it was nearly impossible to get in as a new patient with my doctor anyway, there are none taking new people in the area, and I can’t even get what I need to best keep track of my health through the one person I’m supposed to go to. It’s not anything surprising, I’m just sick of being reminded of how closed minded the system is whenever I do have to engage with it.