IR appears to happen naturally to some extent as part of the aging process, even in hunter-gatherer populations or those avoiding the "neolithic agents of disease". Hard to tell with current societies so horribly skewed by generations of eating crap (what the academics call 'confounding factors'). Environment may play a part -- I think stress, especially chronic, has been shown to increase IR but don't have a link handy. Getting fat (visceral fat, adipose tissue) can be a sign of IR, but plenty of lean people develop it as well. Some people eat junk all their lives and never get it.
Part of the problem, and this may end up too meta, is that conventional definitions of just what IR is seem awfully circular. Even after distinguishing between muscle and liver insulin resistance, there's obviously a lot more going on than just simple carbohydrate quantity, like the quality (or lack thereof) in the neolithic agents like grains (especially refined and/or unfermented).