Your question is very insightful! You are correct that the reduction of weight and abdominal fat has been shown to decrease insulin resistance and improve levels of hemoglobin A1C. Unfortunately, the fat that influences blood sugar and insulin release is the intra-abdominal fat, the fat that is under the abdominal muscles and around your internal abdominal organs. CoolSculpting can only treat the fat layer just beneath the skin, subcutaneous fat. CoolSculpitng is not intended for weight loss, it is intended to shape and sculpt the body Good luck!