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Digital Seminar

Insulin Resistance: The Missing Link in Chronic Disease Prevention and Management


Speaker:
Cindi Lockhart, RDN, LD, IFNCP
Duration:
4 Hours
Format:
Audio and Video
Copyright:
Jul 21, 2025
Product Code:
POS078938
Media Type:
Digital Seminar


Description

Insulin resistance is the silent disruptor at the heart of chronic disease, often missed in traditional diagnostics until it’s too late. It precedes the rise of blood sugar levels by 10-15 years, making it the perfect point for early intervention to prevent the onset of diabetes, heart disease, non-alcoholic fatty liver disease, cancer, and neurodegenerative conditions. Yet, many clinicians remain unaware of its early markers and rely soley on incomplete tests like fasting glucose or A1c.

In this training, led by Cindi Lockhart, RDN, LD, IFNCP, a board-certified integrative and functional nutrition practitioner with over 30 years of experience, you’ll uncover the hidden signs and subtle symptoms that traditional assessments can overlook. Cindi’s expertise in cardiometabolic health, women’s health, and chronic disease prevention and management brings both authority and real-world insights to her guidance.

You’ll gain clarity on common signs and objective lab markers that reveal insulin resistance in its earliest stages. Beyond simply recognizing it, you’ll understand how to identify and address the root causes – including diet, lifestyle, stress, dysbiosis and environmental toxins – that drive insulin resistance and keep patients stuck in a cycle of worsening health.

Walk away with practical, evidence-based approaches that go beyond managing symptoms, equipping you to prevent or reverse the trajectory of cardiometabolic disease. Be the clinician who busts myths, fills gaps in standard care, and brings this essential, often-missed assessment to the forefront of patient health.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 4.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 4.0 contact hours. Expires: 04/13/2028.


Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 4.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 4.0 self-study contact hours.

CE Broker


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 4.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 4.0 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 4.0 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 4.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 4.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 4.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 4.8 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 4.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 4.0 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 4.0 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2706032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: Advanced. This activity will provide 4.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 4.0 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 4.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 4.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Physicians - Physicians

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This activity was originally recorded on 07/21/2025. It was last reviewed on 01/08/2025 and is valid until 01/08/2028. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

PESI, Inc. designates this enduring material for a maximum of 4.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. 


Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 4.0 hours for completing this self-study program. This activity was originally recorded on 07/21/2025. It was last reviewed on 01/08/2025 and is valid until 01/08/2028

 

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 4.0 AMA PRA Category 1 Credit(s)™.


Chiropractors - Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 4.0 CE hours of instruction in the following subjects: History and Exam (0.5hrs);  Nutrition (3.0hrs);  Wellness/Supportive Care (.5hrs) . Approval #078938/07212025. 

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor evaluation question if they would like their participation submitted to PACE.


Dietitians - Dietitians

PESI is no longer offering CDR credit, but this program may be CPEU eligible. For more information on CPEU eligible programs, please see the CDR's guidelines: https://www.cdrnet.org/UniversalPDPGuide. This program consists of 4.0 hours of continuing education instruction.


Other Professions

This self-study activity qualifies for 4.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Cindi Lockhart, RDN, LD, IFNCP's Profile

Cindi Lockhart, RDN, LD, IFNCP Related seminars and products

Lockhart Wellness Solutions, LLC


Cindi Lockhart, RDN, LD, IFNCP, is board-certified as an integrative and functional nutrition practitioner with over 30 years in professional practice. She has trained nutrition, fitness, and medical practitioners throughout most of her career, yet maintains a personal practice with clients as she believes that the only way she can effectively educate and inspire other practitioners is through her own practical experience with clients. In addition to educating on how Food is Medicine, Cindi also specializes in coaching clients and practitioners on the importance of managing stress, optimizing sleep, proper exercise and movement, and reducing exposure to environmental toxins. Cindi has extensive expertise in women’s health issues including perimenopause/menopause and thyroid dysfunction as well as autoimmunity, gut health, weight management, cardiometabolic health (insulin resistance, diabetes, heart disease), fasting, histamine intolerance, mold detox, and long COVID.
 

Speaker Disclosures:
Financial: Cindi Lockhart is the owner and founder of Lockhart Wellness Solutions, LLC. She receives compensation from Fullscript. Cindi Lockhart receives a speaking honorarium and recording royalties from PESI, Inc. All relevant financial relationships with ineligible organizations have been mitigated.
Non-financial: Cindi Lockhart is a member of the Academy of Nutrition and Dietetics, Dietitians in Integrative & Functional Medicine, the Institute for Functional Medicine, and the Integrative & Functional Nutrition Academy.

 


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Identify key laboratory markers of insulin resistance, including fasting insulin, HOMA-IR, and A1c, to enhance early diagnosis and inform personalized patient care plans.
  2. Develop targeted interventions that improve patients’ metabolic function based on lifestyle and environmental factors that contribute to insulin resistance, including diet, stress, and exposure to toxic endocrine disruptors.
  3. Choose evidence-based dietary and physical activity strategies, including intermittent fasting and tailored exercise protocols, to enhance patients’ insulin sensitivity and promote sustainable weight management.
  4. Integrate sleep optimization and stress management techniques to support metabolic health and reduce insulin resistance in patients with cardiometabolic risk.

Outline

Insulin Foundations: Building Blocks for Precision Care
  • Explore insulin’s role in glucose metabolism and fat storage
  • Differentiate between insulin sensitivity and resistance for targeted care
  • Explore the connection between insulin resistance and chronic conditions like diabetes, PCOS, non-alcoholic fatty liver disease and heart disease
  • Address diagnostic gaps that lead to missed cases of insulin resistance
Root Causes Unveiled: Tackling Drivers of Insulin Resistance
  • Assess weight & visceral fat for a clear view of metabolic risk
  • Identify dietary patterns that fuel insulin resistance
  • Address stress, sleep and circadian rhythm disruptions
  • Identify how dysbiosis contributes to insulin resistance
  • Identify which toxins disrupt endocrine function and contribute to insulin resistance
  • Sport red flags during routine exams to catch insulin resistance early
Precision Diagnostics: Advanced Tools for Early Identification
  • Combine symptoms (subjective) with labs (objective) for accurate, early diagnosis
  • Master key markers; fasting insulin, C-peptide and HOMA-IR
  • Diagnostic criteria for metabolic syndrome
  • Use updated criteria and lab tips for efficient testing
Advanced Strategies for Insulin Resistance Reversal
  • Tailor diets like Mediterranean, keto, and different fasting tactics for complex cases
  • Understand how different macro & micronutrients impact insulin receptivity
  • Microbiome-optimizing strategies to support long-term metabolic health
  • Physical activity: use targeted exercise like strength training and HIIT, not to mention general movement
  • Integrate mindfulness to mitigate metabolic stress
  • Optimize sleep and circadian rhythms to boost metabolic recovery
  • Implement metabolic-supportive detoxification strategies
  • Which supplements are backed by today’s science?
Hot Topics in Insulin Resistance Management
  • Use CGM data to refine insights and boost patient adherence
  • Personalize nutrition with nutrigenomics
  • Leverage microbiome insights to improve insulin function
Direct Clinical Applications: Boosting Evaluation & Treatment
  • Simplify complex lifestyle changes for patient success
  • Create personalized care paths addressing lifestyle factors
  • Make data-driven decisions with labs, history, and feedback
  • Learn from case studies where early detection changed outcomes

Target Audience

  • Nurse Practitioners
  • Nurses
  • Physicians
  • Physician Assistants
  • Chiropractors
  • Dietitians
  • Physical Therapists
  • Physical Therapy Assistants
  • Other Healthcare Professionals

Reviews

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