I appreciated this episode of the Peter Attia Drive as their latest masterclass in insulin resistance.
The consistent advice is to cut out fructuose and reduce glucose (simple carbs) until in tolerance.
But exercise really does matter. It affects how muscles dispose of glucose.

added a couple points to “self" notes
I’ll check that out, thanks.
I’ve been diabetic then un-diabetic a couple of times now, and I’m off the sugars now. (Don’t have resistance, though).