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Insulin resistance is probably the single largest factor. In the presence of elevated blood insulin concentration your body will be attempting to convert glucose into fat, not burn that which is already stored, thus making ketosis impossible. In a very insulin resistant individual their levels will be constantly elevated and they will need to consume a lot less glucose. Remember that really, ketosis is nothing unusual. It’s simply the body’s mechanism by which it burns stored fat. It’s just that insulin prevents it from ever doing so. I would think the majority of modern humans are so full of glucose most of the time that their body is only ever able to store fat and never effectively use it. A proper metabolic malfunction. There’s nothing wrong with fat, it is simply stored energy. The problem is that most people are never able to tap into it because they are furiously storing excess glucose 24/7.
Also remember that insulin resistance is entirely normal. Everyone is somewhere on the spectrum. The resistance is required in all of us. Without it, our body would fill up with glucose very quickly. We have to become resistant so that we can allow the insulin to further facilitate the conversion of excess glucose into fat. The more glucose we ingest the more insulin needs to remain elevated in order to do its job, which requires increasing resistance so that it stays around for longer. Fat is the protection mechanism from diabetes, not the cause. Only when fat stores become full do we become diabetic. If everyone would just lay off the glucose we could all maintain metablic flexibitly and this conversation wouldn’t be taking place, never mind debating the numbers
Also remember that insulin resistance is entirely normal. Everyone is somewhere on the spectrum. The resistance is required in all of us. Without it, our body would fill up with glucose very quickly. We have to become resistant so that we can allow the insulin to further facilitate the conversion of excess glucose into fat. The more glucose we ingest the more insulin needs to remain elevated in order to do its job, which requires increasing resistance so that it stays around for longer. Fat is the protection mechanism from diabetes, not the cause. Only when fat stores become full do we become diabetic. If everyone would just lay off the glucose we could all maintain metablic flexibitly and this conversation wouldn’t be taking place, never mind debating the numbers