Expert Q&A

Does this look like Insulin Resistance: what to track and how to measure progress

Recognizing the Signs of Insulin Resistance

I've worked with thousands in their 40s and 50s struggling with stubborn weight that won't budge despite dieting. Insulin resistance often hides in plain sight. Common markers include constant fatigue after meals, sugar cravings that hit mid-afternoon, belly fat that accumulates despite cutting calories, skin tags or dark velvety patches (acanthosis nigricans), and blood pressure or fasting glucose creeping upward. If you've failed every diet before, this metabolic shift—driven by hormonal changes in perimenopause or andropause—explains why. My approach in The CFP Reset Method starts by confirming these patterns rather than guessing.

What to Track Daily for Accurate Insights

Don't rely on guesswork. Track these four non-negotiables using simple tools you already own. First, fasting blood glucose each morning with a $15 glucometer—aim under 95 mg/dL. Second, note post-meal energy crashes or cravings in a one-line journal. Third, measure waist circumference weekly at the navel; losing even 1-2 inches signals improving sensitivity. Fourth, log sleep quality and stress because poor rest elevates cortisol, worsening resistance. For those managing diabetes and blood pressure, add home A1C tests every 90 days. This system fits busy schedules—no complex meal plans required. Focus on real foods that stabilize blood sugar: 30g protein at breakfast, fiber-rich vegetables, and healthy fats while cutting refined carbs to under 100g daily.

How to Measure Progress Without Insurance Coverage

Progress isn't just the scale—insurance rarely covers programs, so we make self-tracking powerful. In the first 30 days of the CFP Reset, most see fasting glucose drop 10-15 points and report 50% fewer cravings. By week 8, joint pain often eases as inflammation falls, making movement possible again. Track ketone levels with affordable urine strips if following a lower-carb version; consistent light pink indicates fat-burning mode. Weigh weekly but prioritize body measurements and how clothes fit. My clients embarrassed about obesity find confidence returning as energy climbs. Expect 5-10% body weight loss in 12 weeks when insulin sensitivity improves, far better than typical diet failure rates.

Creating Sustainable Change for Long-Term Success

Overwhelmed by conflicting advice? The CFP method simplifies: three balanced plates daily, 10-minute walks after meals to blunt glucose spikes, and strength moves twice weekly that respect joint pain. Reassess every 30 days—if fasting glucose isn't trending down, tweak carb timing, not calories. This builds trust after years of failed diets. Start today with a baseline reading and journal. Real metabolic repair takes 3-6 months, but the freedom from constant hunger and fatigue makes it worthwhile. Thousands have reversed their path using these exact tracking steps.

💬 What the Community Says

The community shows a mix of relief and frustration when discussing insulin resistance symptoms. Many in the 45-55 range describe finally connecting their constant fatigue, stubborn belly fat, and sugar cravings to metabolic issues after years of unsuccessful diets. Most practitioners appreciate simple tracking methods like morning glucose checks and waist measurements, finding them more motivating than scale weight alone. A vocal minority debates the reliability of home glucometers versus lab work, especially when insurance denies coverage. Lived experiences often highlight how joint pain and hormonal shifts complicated exercise, with many sharing small wins like reduced cravings after cutting refined carbs. Beginners frequently express embarrassment asking doctors for help but report feeling empowered once they start logging patterns. Overall sentiment leans positive toward practical, low-cost monitoring that fits real life, though some remain skeptical about long-term progress without medical supervision.
Clark, R. (2026). Does this look like Insulin Resistance: what to track and how to measure progres. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/does-this-look-like-insulin-resistance-what-to-track-and-how-to-measure-progress
Russell Clark, 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.

Have a follow-up question?
More Questions 200 answered
Zone 2 running is absurdly slow (slower than walking) — am I doing this right while doing intermittent fasting What tissues show the biggest metabolic remodeling in z2: best practices and common mistakes to avoid Anyone have recipes or grocery lists — how a functional medicine approach differs Do I need a dose change — how a functional medicine approach differs How it looks when you lose 170 lbs. but are still a fat man — what do certified weight loss coaches recommend? Has Gundry ever explained why he thinks APOE4 carriers love cheese so much while doing intermittent fasting Should i really be aiming for 45 zone 2 minutes per day for fat loss and the role of cortisol and stress hormones 📖 Gut Microbiome Repair — The restoration of healthy intestinal bacteria through the removal of lectins and grains, essential for long-term weight… Can I get an upvote for the true enemy of diabetes while doing intermittent fasting Is a woman having a small tummy a big turn off? How often can I eat in season fruits while doing intermittent fasting 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Insomnia while taking oral minoxidril while doing intermittent fasting For those that struggled with side effects, have you been able to space out your doses successfully — what do certified weight loss coaches recommend? Do I need a dose change and the role of cortisol and stress hormones 📖 Diabetes Reversal — The clinical goal of restoring normal blood sugar levels and insulin function, as seen in patients like John who no long… Anyone stretching out to 3 weeks between shots: best practices and common mistakes to avoid What would be the cause of insulin resistance: best practices and common mistakes to avoid When people ask how I can tell my sugar's low and the role of cortisol and stress hormones Anyone skip a week when sick while doing intermittent fasting 📖 Ketogenic Foundation — Using low-carbohydrate principles to keep insulin low, allowing the tirzepatide to work more effectively at lower doses. How to BOOST metabolism and BURN fat-- VERY EASY AND QUICK — what most people get wrong about this Anyone else with hashimoto's AND adhd in here during the weight loss plateau phase 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Has anyone used Willow while doing intermittent fasting 📖 Satiety Signal — The biological 'off switch' for hunger that our protocol restores by healing the gut and balancing blood sugar levels. Eyelid myokymia/twitching caused by oral progesterone — how a functional medicine approach differs What a month of paleo has done for me: what to track and how to measure progress When feeling down, remember that PCOS is what helped our ancestors survive and the role of cortisol and stress hormones When the clock starts over for those with hypothyroidism or Hashimoto's Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general and the role of cortisol and stress hormones DO NOT TAKE INOSITOL IF YOU'RE NOT INSULIN RESISTANT when you have PCOS or hormonal imbalances 📖 Refined Carbohydrates — Processed sugars and flours that strip the body of nutrients while driving the hormonal chaos responsible for the modern… So if you're spacing out your shots - what are y'all doing with extra injectors: what to track and how to measure progress Can’t stand avocados or guacamole. Help when you have PCOS or hormonal imbalances 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Do you avoid socialising or seeing family because of how tired you are and how much effort it is to be in company while doing intermittent fasting Does anyone have ant literature or knowledge on autophagy and loose skin and the role of cortisol and stress hormones Has anyone here been diagnosed with endometriosis later in life while doing intermittent fasting Would doing this 2-3x a week help increase my Vo2 max specifically for women over 40 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… How I feel every time I go grocery shopping for long-term maintenance (not just short-term) Sometimes after I take my Mounjaro shot I see this at the spot I gave the shot. Anyone know why for people with insulin resistance Anyone had improvement in symptoms after already eating a clean plant based diet — how a functional medicine approach differs What has autophagy cured/made better in you: how to talk to your doctor about this Anyone in Maintenance w/ 15mg during the weight loss plateau phase 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Would doing this 2-3x a week help increase my Vo2 max — how a functional medicine approach differs Is the idea of the kitchen timer to eventually get to the point where someone has an orgasm just from hearing the ding? Pavlov's orgasm while doing intermittent fasting 📖 Nutrient Density — Prioritizing foods that provide maximum vitamins and minerals per calorie to satisfy the brain and end the cycle of hidd… Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect — how a functional medicine approach differs Does anyone else just....not thermoregulate and how it connects to gut health and inflammation Anyone have experience switching from compound injection to pill — how a functional medicine approach differs Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect while doing intermittent fasting How I feel when tempted to get fast food during finals week — evidence-based answer for CFP patients 📖 Modern Wheat Dangers — The hidden threat in hybridized grains that causes gut inflammation and spikes blood sugar more aggressively than pure t… So if you're spacing out your shots - what are y'all doing with extra injectors and the role of cortisol and stress hormones Opened monjuaro pen is it safe to use — how a functional medicine approach differs Has anyone tried this lectin free lifestyle living with PCOS — how a functional medicine approach differs 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → When men recognize symptoms for those with hypothyroidism or Hashimoto's How do you know you are in meno if you take continuous bc — how a functional medicine approach differs Hitting protein goals. How do you do it — how a functional medicine approach differs