SustainMD provides physician guided care for people experiencing fatigue from insulin resistance. Our telehealth program focuses on improving metabolic health, restoring energy levels, and addressing the underlying causes of persistent fatigue.

A no-obligation 30-minute call to answer your questions and map out your options.
Tuesdays | 7:00–8:30 PM EST | 30 minutes
Many people with insulin resistance feel tired throughout the day even when they get enough sleep. This fatigue happens because the body struggles to use glucose efficiently for energy. When cells do not respond properly to insulin, glucose stays in the bloodstream instead of entering the cells where it is needed for fuel.
As a result, the body may experience energy crashes, difficulty concentrating, and persistent tiredness. Blood sugar fluctuations can also lead to cycles of hunger, cravings, and low energy.
Fatigue from insulin resistance often becomes more noticeable after meals or during periods of stress. Some individuals also experience afternoon energy crashes or feel mentally drained during the day.
Improving insulin sensitivity can help stabilize blood sugar levels and support more consistent energy throughout the day. At SustainMD, our physician led program focuses on identifying the metabolic causes of fatigue and helping patients restore energy through personalized treatment and metabolic care.
Insulin plays an important role in helping the body use glucose for energy. When insulin resistance develops, the body must produce higher levels of insulin to keep blood sugar stable.
This process can interfere with how the body uses energy. Instead of delivering glucose efficiently to the cells, glucose remains in the bloodstream. As a result, many people experience low energy even though their blood sugar may be elevated.
This pattern often leads to symptoms such as
Addressing insulin resistance can help restore the body’s ability to use glucose effectively for energy.
Insulin resistance also affects several hormones that influence metabolism and energy balance.
Common metabolic changes may include
These metabolic patterns can contribute to chronic fatigue and make it difficult to maintain consistent energy levels.
Our insulin resistance treatment program is designed for individuals who experience persistent fatigue or low energy related to metabolic health.
Feel tired throughout the day despite adequate sleep
Experience fatigue from insulin resistance
Experience frequent blood sugar crashes
Struggle with cravings and low energy
The Insulin Resistance Boot Camp is a structured three month program designed to help improve insulin sensitivity and support better metabolic health.
Your Care Journey
Step 1
Comprehensive Physician Consultation
Your care begins with a detailed virtual consultation. During this visit, Dr. Allison Barbee reviews your medical history, symptoms, lifestyle habits, and metabolic risk factors that may contribute to fatigue. Lab testing may be ordered to better understand your metabolic profile.
Step 2
Personalized Treatment Plan
Based on your evaluation, your physician creates a personalized treatment plan focused on improving insulin sensitivity and stabilizing blood sugar patterns. This plan may include targeted nutrition strategies, physical activity recommendations, and medical therapies when appropriate.
Step 3
Continuous Glucose Monitoring
Continuous glucose monitoring may be used to help track blood sugar patterns throughout the day. This technology provides insights into how your body responds to food, stress, sleep, and physical activity.
Step 4
Weekly Physician Support
Step 5
Progress Evaluation and Long Term Strategy
Throughout the program your progress is evaluated through symptom tracking and follow up testing. At the end of the program you receive a long term strategy designed to help maintain improved metabolic health.

Improving fatigue related to insulin resistance requires addressing the metabolic factors that influence energy production and blood sugar balance.
Our physician guided approach may include
This comprehensive approach helps patients restore more consistent energy levels while improving overall metabolic health.
Patients who address insulin resistance often experience improvements in both energy and overall health.
Program Fee
Initial Consultation
Increased daily energy levels
Reduced fatigue and brain fog
Improved blood sugar stability
Reduced cravings and energy crashes
Better metabolic health markers
More sustainable weight management
Improved overall wellbeing
Our goal is to help patients feel more energized and confident in managing their health.
Program Fee
Initial Consultation
Your care is guided by Dr. Allison Pope Barbee, a board certified family medicine physician with advanced training in obesity medicine and metabolic health.
Dr. Barbee focuses on identifying the root causes of metabolic symptoms such as fatigue, weight gain, and insulin resistance. Her approach combines medical expertise with compassionate, patient centered care.
Through SustainMD’s telehealth model, patients can receive expert metabolic care without needing to travel to a clinic.
SustainMD provides telehealth services for patients located in
Patients can receive physician guided care through secure virtual visits.
Patient12
Dr. Barbee listens to your concerns, is empathetic and knowledgable. Not once has she made me feel ashamed or less than. She gives practical, reasonable and most importantly, doable recommendations. She uses lifestyle interventions instead of immediately jumping to medications, but will also use medications if you and she believe
Patient11
Dr. Barbee has been a remarkable weight loss physician for me. She distinguished herself by customizing her approach to suit my individual needs. Throughout our sessions, she was incredibly attentive, understanding my specific health concerns and weight loss goals. Dr. Barbee excelled in explaining the details of the medications she
Patient10
Dr. Barbee is an extremely knowledgeable physician who I rely on with all my medical needs. Her bedside manner is impeccable and very friendly. She listens to all of my issues and gets to the bottom of any problem you may have. I honestly cannot say enough good things about
Patient9
Dr Barbee actually listened to me and was able to diagnose my symptoms and actually treat and control the issue. I can not thank her enough! She was super patient and kind. Something you don’t really see now a days.
A.M.
Dr. Barbee understands that health is not one-size-fits-all. She takes the time to listen, remembers details, and works collaboratively with me as things evolve. The most meaningful part of working with her is feeling truly heard and supported, not just during appointments but overall in my care.
Andrea
The best! I have been a patient of Dr. Barbee’s for years! She has guided and treated me in my worst and best days. Her professionalism is top notch, along with her knowledge of health. You cannot ask for any better care than Dr. Barbee!
Suzanne Layser
Truly a compassionate Doctor- I can’t say enough good things about Dr. Barbee. I felt truly cared for. Dr. Barbee was incredibly compassionate, took the time to really listen, and never made me feel rushed. She asked thoughtful questions and genuinely wanted to understand what I was experiencing. What impressed
Patient8
Dr. Barbee is an extremely knowledgeable physician who I rely on with all my medical needs. Her bedside manner is impeccable and very friendly. She listens to all of my issues and gets to the bottom of any problem you may have. I honestly cannot say enough good things about
Patient7
Great doctor- Dr. Barbee is a kind and caring doctor. She is the type of person you can talk to and really will listen. She understands your problems and will work with you to solve them. She is very thorough and make sure everything is looked at does not miss
Patient6
Thoughtful, caring and truly helpful-I have been a patient of Dr. Barbee for many years. I have always found her honest and helpful. She works hard to look at root causes, which can take a while to figure out. She is persistent, yet kind. As we age, our bodies change.
Yes. Insulin resistance can interfere with how the body uses glucose for energy, which may lead to persistent fatigue, energy crashes, and difficulty concentrating.
When insulin resistance develops, glucose may remain in the bloodstream instead of entering the cells where it is needed for energy. This can lead to ongoing fatigue even after adequate rest.
Many patients experience improved energy levels when insulin sensitivity improves. Stabilizing blood sugar can help prevent energy crashes and support more consistent energy throughout the day.
Common symptoms may include fatigue, weight gain, cravings for carbohydrates, difficulty losing weight, and blood sugar fluctuations.
Yes PCOS related weight gain be treated through Nutrition, physical activity, and medical treatment can help improve insulin sensitivity and support better metabolic health.
The Insulin Resistance Boot Camp typically lasts three months and includes regular physician visits and metabolic monitoring.
Living with constant fatigue can make daily life feel overwhelming. Many people with insulin resistance feel frustrated when traditional approaches do not address the underlying metabolic issue.
Our physician guided program focuses on improving insulin sensitivity and supporting long term metabolic health so patients can regain their energy and confidence.
Physician Credentials
Care is provided by Dr. Allison Pope Barbee, MD, a board certified family medicine physician with advanced training in obesity medicine and metabolic health.
Educational Disclaimer
Information on this page is provided for educational purposes and should not replace medical advice from a qualified healthcare professional.
Not Emergency Care
SustainMD telehealth services are not intended for emergency medical situations.
Privacy and Security
All virtual visits are conducted using secure, HIPAA compliant telehealth platforms to protect patient privacy.
Take the first step towards a healthier, happier you. Whether you’re interested in our comprehensive medical weight loss program, our dedicated obesity management services, or our revolutionary direct primary care model, SustainMD is here to help.