Insulin Resistance and your DBR explained
One of the most common things I hear when someone begins working with me is a long list of diagnoses.
Diabetes.
Arthritis.
PCOS.
Autoimmune disease.
Fatty liver.
Neuropathy.
Brain fog.
Seizures.
Anxiety.
Depression.
Dementia.
Cancer history.
Many people believe these labels explain why their health cannot improve. Some even assume their diagnosis is the reason nothing has worked before.
And I listen.
I let them talk. I let them list every symptom, every specialist, every medication.
But as a metabolic health coach trained in the Dr. Boz protocol, and Primal Health, I am listening for something deeper.
More often than not, what I hear underneath the labels is insulin resistance.
What Is Insulin Resistance?
Insulin resistance develops when the body has been exposed to elevated glucose levels for too long.
Glucose rises.
Insulin rises to manage it.
Cells gradually stop responding properly.
The body produces more insulin to compensate.
Over time, this cycle leads to chronic inflammation and metabolic dysfunction.
Insulin resistance is not just a diabetes issue. It is a full-body issue because insulin receptors exist in nearly every organ system — including the brain, liver, ovaries, immune cells, joints, and nerves.
When insulin resistance develops, inflammation follows.
And inflammation expresses differently depending on where it shows up in your body.
How Insulin Resistance Shows Up as Different Diagnoses
This is where many people miss the connection.
Too much glucose and inflammation in the brain may show up as:
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Brain fog
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Anxiety or depression
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Seizures
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Dementia
Chronic inflammation in the joints may present as arthritis.
Inflammation in the liver becomes fatty liver disease.
Long-term nerve damage from elevated glucose often leads to neuropathy.
Sustained high blood sugar results in diabetes.
Hormonal disruption driven by insulin resistance commonly manifests as PCOS.
Immune dysfunction fueled by chronic inflammation contributes to autoimmune conditions.
Different diagnoses.
Different specialists.
Different medications.
But often, the same root problem: insulin resistance and chronic inflammation.
If the cup is overflowing, we do not need a bigger cup.
We need to stop filling it up.
The Role of Inflammation in Insulin Resistance
Glucose is fuel. But too much glucose, for too long, creates oxidative stress and inflammation.
Chronic inflammation:
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Disrupts hormone signaling
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Impairs brain metabolism
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Damages blood vessels
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Stresses the liver
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Weakens nerve function
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Contributes to immune dysregulation
When inflammation becomes chronic, insulin resistance worsens. And when insulin resistance worsens, inflammation increases.
It becomes a cycle.
Breaking that cycle is where healing begins.
Can You Reverse Insulin Resistance?
The encouraging truth is this:
When glucose exposure decreases…
When insulin demand lowers…
When the body consistently shifts toward fat metabolism instead of sugar metabolism…
Insulin sensitivity can improve.
Inflammation often decreases.
Energy stabilizes.
Mental clarity improves.
Hormones begin to rebalance.
This is not magic.
It is physiology.
The Dr. Boz Ratio (DBR): A Data-Driven Way to Measure Insulin Resistance
Many people attempt to reverse insulin resistance by guessing.
They cut random foods.
They try extreme diets.
They follow trends without clear feedback.
Instead, I coach clients using the Dr. Boz Ratio (DBR), developed by Dr. Annette Bosworth.
The Dr. Boz Ratio is simple:
Blood Glucose ÷ Blood Ketones = DBR
This number provides real-time feedback about metabolic health.
The lower the DBR, the more your body is shifting toward fat metabolism and improved insulin sensitivity.
Instead of guessing what is working, we measure.
The Dr. Boz Ratio becomes your metabolic GPS. This is your data driven way to build health.
It allows you to see whether your efforts are truly reversing insulin resistance or simply maintaining the status quo.
Two people can eat the same meal and have completely different metabolic responses. The DBR shows you what is happening inside your body — not someone else’s.
The Tool That Makes the Dr. Boz Ratio Possible
If the Dr. Boz Ratio is the GPS, your glucose and ketone meter is the dashboard.
To calculate the DBR accurately, you must measure both:
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Blood glucose
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Blood ketones
This is why I recommend using a dual-function blood glucose and ketone meter, such as the Keto-Mojo meter — the one we personally use and recommend on our Journey to Healing.
This single device measures both glucose and ketones and allows for consistent, reliable at-home tracking.
When my clients use their meter, their readings can sync with my patient dashboard. That allows me to see trends, struggles, and wins in real time. You can order your Keto-Mojo here and save $.
Instead of wondering why progress has stalled, we look at the data.
Instead of guessing, we adjust.
Patterns begin to emerge. And insulin resistance begins to improve when the signals change.
Tools That Support Reversing Insulin Resistance
Within this structured, data-driven system, we also use targeted nutritional tools to reduce inflammation and support insulin sensitivity.
One example is nutrient-dense, omega-3-rich foods such as sardines.
Sardines are not magic. They are simply metabolically supportive:
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Rich in omega-3 fatty acids
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High in bioavailable protein
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Supportive of brain and cellular health
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Low in glucose load
They are one tool within a larger strategy focused on reversing insulin resistance.
The strategy always comes first.
You can download my 3 Day Sardine Challenge Guide for free and learn this protocol to always have in your health toolbox.
Why I Am So Passionate About Addressing Insulin Resistance
I do not teach theory.
I personally reversed neuropathy, came off 18 years of oxycontin, and rebuilt my metabolic health using this exact protocol centered on reversing insulin resistance.
When someone lists their diagnoses, I do not see a broken person.
I see a body responding to metabolic overload.
And I know what can happen when that overload is reduced.
Stop Managing Labels. Start Addressing Insulin Resistance.
Your diagnosis may be real.
Your symptoms are valid.
But your body is not confused.
It is responding to signals.
When you correct insulin resistance and reduce chronic inflammation, the trajectory of your health can change.
The steps are consistent:
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Reduce glucose overload
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Lower chronic inflammation
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Restore metabolic flexibility
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Measure and adjust using the Dr. Boz Ratio
This is not about chasing symptoms.
It is about correcting the root cause.
And when the root improves, the branches often follow.
What Is Your Next Step?
If you are ready to address insulin resistance at the root, there are two ways to move forward.
Structured Coaching
Inside my personal and group coaching programs, we use the Dr. Boz Ratio alongside real-time data tracking to guide your metabolic healing in a step-by-step process. As your chemistry begins to shift, we advance you to the next step. This process is personal and deeply affective.
You do not have to guess your way through reversing insulin resistance. We follow the data together.
Join Our Private Community: Coffee, Ketones & Christ
If you are not ready for coaching but want deeper support and accountability, you are welcome inside our private Coffee, Ketones & Christ community.
This protected, off-social space is where we:
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Continue education around insulin resistance
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Share wins and struggles
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Host private teachings
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Encourage one another in building metabolic health
It is free for active coaching members and available for a small monthly membership for others who want to continue the journey in community.
You do not have to walk this alone.
🩵 Coach Tammie



Excellent article!
Thank you so much Liz, I appreciate that. How are your and your chemistry doing? Miss you.
Thank you Liz. Hope all is well with you. We appreciate you.