What if the first signs of insulin resistance have nothing to do with glucose?

In this episode of ReInvent Healthcare, Dr. Ritamarie uncovers the hidden metabolic dialogue between the liver and pancreas. It’s a connection that begins to break down long before glucose or A1C raise red flags. Beneath the surface of “normal labs” lies a growing storm: insulin buildup, glucagon misfires, and early beta-cell stress that quietly unravel metabolic balance.

If you're only testing blood sugar, you're missing the real story.

Discover the overlooked markers that reveal the dysfunction most practitioners miss. This episode will change the way you view insulin resistance and give you the tools to catch it before the spiral begins.

What’s Inside This Episode?

• What most practitioners miss by focusing only on glucose, A1C, or symptoms
• How to spot early-stage metabolic collapse while there’s still time to reverse it
• Why blood sugar may be the last thing to change and what starts breaking down long before
• The overlooked conversation between two metabolic powerhouses and what happens when it goes quiet
• How hidden hormone signals spark a chain reaction of dysfunction no one’s talking about
• The surprising reason some clients wake up with high glucose even on a “perfect” diet
• Clues your clients are missing the mark, not because of willpower, but because of broken feedback loops

Resources and Links:

• Download our FREE Glucagon, Insulin, and Blood Sugar chart.  
• Download our FREE Proinsulin, Insulin, and C-Peptide Chart
• Join the Next-Level Health Practitioner Facebook group here for free resources and community support
• Reserve your spot for The REINVENT HEALTHCARE Intensive Learn Proven,​​ Leading-Edge Frameworks to Enhance Clinical Skills, Improve 
• Visit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. 
• Check out other podcast episodes here

What’s Inside This Episode?

• A conversation your client’s blood sugar is already having—between liver, pancreas, insulin, and glucose
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• Why fatty liver disrupts insulin clearance and leads to silent hyperinsulinemia
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• The glucagon paradox: how this “forgotten hormone” can drive glucose production even in the fed state
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• Beta-cell stress decoded: how proinsulin and C-peptide ratios uncover hidden dysfunction
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• The truth about "normal" A1C—and why it may just mean the pancreas is compensating
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• What poor insulin clearance looks like—and how to spot liver stress using routine labs
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• How and when to use labs like proinsulin, fasting glucagon, and FIB-4
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Natural strategies to restore liver-pancreas harmony with fasting, circadian alignment, and targeted nutrients