Thanks @bulbiker
Ivor has pretty much written the presentation for me in terms of the documentary I want to make about Lowering Insulin as a prime means to regain health - and why the Low Insulin diet I am following involves one highly nutritious meal per day - ie Fasting - in circumstances where it is long term repeatable because I am getting enough nutrients to live on.
Hyperinsulinamia simply means too much insulin in the blood - i.e. in non laymen terms - high circulating insulin - that in turn results in high fasting insulin, just like high post prandial glucose eventually becomes high fasting glucose .
I've read pretty much the same stuff he has to arrive at my diet and my blog and we both ended up with that same diet - esp the Omega 6 oils which I don't think is quite as well known as the low carb part.
The only areas where we differ at all, is that he focused on CAC scores as a marker for physically testing CVD risk, whereas my theory is that because continually triggering insulin in response to diet results in high fasting insulin, and because getting that fasting insulin down is a 2-3 year process, then as far a I see it getting fasting insulin tested is a more beneficial test, because that is covering more than CVD risk , it is a lot cheaper to do and can simply be done as part of standard blood tests by GP's for patients at risk as opposed to entailing a special visit to a hospital .
Subject to that caveat about practicality and cost of the CAC I think this utterly nails the problem.