Expert Q&A

Can we stop posting good glucose levels and pretending they are bad for people with insulin resistance

The Problem With Standard Glucose Readings in Insulin Resistance

When people post their fasting glucose at 85 mg/dL or post-meal levels under 140 mg/dL, they often celebrate. For those battling insulin resistance, these numbers can be misleading. Your pancreas may be overproducing insulin to force glucose into cells, keeping blood sugar artificially “normal” while the underlying resistance worsens. This hidden hyperinsulinemia drives fat storage, especially around the midsection, and explains why many in their 40s and 50s feel stuck despite “good labs.”

What Truly Indicates Metabolic Health

Look beyond glucose. A fasting insulin level above 10 μU/mL often signals trouble long before glucose rises. Triglycerides over 150 mg/dL paired with HDL below 50 mg/dL for women or 40 mg/dL for men creates a dangerous ratio. In my book The Metabolic Reset Protocol, I emphasize tracking HOMA-IR scores; anything above 2.0 deserves attention. For those managing diabetes and blood pressure, these markers matter more than a single glucose snapshot. Hormonal shifts in perimenopause amplify this—estrogen decline reduces insulin sensitivity by up to 30% in many women.

Practical Steps to Address Insulin Resistance Without Overwhelm

Start simple. Walk 15 minutes after meals to improve glucose uptake without joint pain. Focus on protein-first meals (25–35g per sitting) with non-starchy vegetables to blunt insulin spikes. Time-restricted eating within a 10–12 hour window helps reset circadian rhythms and lower insulin without complex meal plans. If past diets failed, it’s likely because they ignored insulin dynamics. My approach prioritizes reducing processed carbs gradually—aim to cut added sugars to under 25g daily while increasing fiber to 30g. This eases the burden on joints and supports steady energy, making movement feel possible again.

Reclaiming Control Despite Insurance and Time Barriers

Insurance rarely covers root-cause metabolic programs, so self-education becomes essential. Monitor waist circumference; a reading over 35 inches for women or 40 for men correlates strongly with insulin resistance. Combine this with morning fasting glucose-to-insulin ratios for affordable insights. Consistency beats perfection—small daily habits compound faster than restrictive plans that lead to rebound weight. Thousands have reversed their trajectory by focusing on insulin first, not just glucose. The result? Better blood pressure, reduced diabetes medication needs, and sustainable fat loss without embarrassment or overwhelm.

💬 What the Community Says

The community shows strong frustration with mainstream glucose targets that feel irrelevant for those with longstanding insulin resistance. Many in their late 40s and early 50s share stories of “perfect” A1C numbers while still gaining weight and facing joint pain that makes exercise daunting. Forums frequently debate fasting insulin tests versus standard panels, with users complaining doctors dismiss elevated insulin if glucose looks fine. A vocal group praises low-carb or time-restricted eating for finally breaking plateaus after years of failed diets, though some worry about sustainability on middle-class budgets without insurance support. Hormonal changes in midlife dominate conversations, with women noting perimenopause made everything harder despite following standard advice. Overall sentiment leans toward skepticism of generic “good number” posts, favoring deeper metabolic discussions and practical, low-time-commitment strategies that acknowledge real-life barriers like busy schedules and embarrassment around obesity.
Cite this answer
Clark, R. (2026). Can we stop posting good glucose levels and pretending they are bad for people w. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/can-we-stop-posting-good-glucose-levels-and-pretending-they-are-bad-for-people-with-insulin-resistance
Russell Clark, FNP-C, APRN, FNP-C, APRN
About the Author

Russell Clark, FNP-C, APRN, is the founder of CFP Weight Loss in Nashville and CFP Fit Now telehealth. Over 35 years in healthcare — Army Nurse Reserves, Level 1 trauma ER, hospitalist — he developed a 30-week protocol integrating real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 30–90 pounds. He and his wife Anne-Marie lost a combined 275 pounds using the same protocol.

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