I think it is a many layered problem.
Insulin resistance develops for many different reasons, and once you have it, then your body is pumping out more insulin to achieve the same result.
These raised insulin levels have long term health implications, including metabolic syndrome, weight gain, developing T2 or 'double diabetes', and other knock on issues like heart disease and chronic inflammation. The insulin resistance comes first, before the other symptoms.
And you can have insulin resistance with normal blood glucose levels. It just means that insulin production is ramped up to achieve it.
So yes, in my opinion keeping insulin down is more important than keeping carbs down - but for many of us, keeping insulin down necessitates that we also keep the carbs down, whether that is by low carbing or fasting, or exercise. Skipping meals and food timing is just one tool on the toy box.