These are just from the first page of google. The covariance between insulin, inflammation, and heart disease is well established at this point.
http://www.sciencedirect.com/science/article/pii/S0021915008...
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2704240/
http://www.ncbi.nlm.nih.gov/pubmed/16936531
>On anything resembling a normal cuisine the relative share of carbohydrate vs. saturated fat really doesn't matter much.
Vegetarian diet isn't a normal cuisine. Vegetarians tend to reduce protein intake and compensate with something else. The easiest substitute being carbs. If you aren't actually increasing your vegetable intake and eating quality food the vegetarian diet can be very unhealthy. A couple vegetarians I know are technically obese.
>I hate to break it to you but the Taubes shtick is laughable garbage.
I don't know who Taubes is. The guy who convinced me is Dr. Lustig from the "Fed Up" documentary.
I personally wouldn't advocate for a vegetarian diet but with plenty of dairy it's fine. The irish peasantry got along famously well on almost exclusively milk and potatoes for a very long time, for example. Traditional indian "vegetarian" diet was loaded with dairy.
A typical Irish or Russian diet without meat is fine by current norms but not optimal. Eating a veggie burger with fries and milk is not a great diet though.
http://www.ncbi.nlm.nih.gov/pubmed/17563472 http://www.ncbi.nlm.nih.gov/pubmed/21899513
>you're looking at covariates in a disease state
Insulin resistance as a discrete state is useful for experimental purposes but everyone has insulin resistance to some degree.
As for "spiking" insulin levels as the cause for insulin resistance, that is hardly proven. Inflammation has been shown to directly induce insulin resistance. Current evidence seems to indicate the problem is blood glucose levels remaining elevated (despite elevated insulin); this happens because there is a limit to the rate of receptor mediated transport.