BB5 🇵🇹 ✨

I walked into my doctor’s office every year for 20 years. Every year he checked my fasting glucose. Every year it came back normal. 88. 90. 91. 92. Every year he said the same thing: “Everything looks great.” I had a heart attack at 52 on the tennis court. Here is what I learnt: What he never checked was what my glucose was doing after I ate. I didn’t know that I was spiking to 160 or 170 after meals. I didn’t know my genetics were wired to delay my insulin response just long enough for glucose to flood my arteries before it came back down. By the time I got to my next morning blood draw, everything had returned to normal. The spike was invisible. But the damage wasn’t. Every spike generates reactive oxygen species inside the cells lining your arteries. Every spike destroys nitric oxide. Every spike triggers inflammation and pulls immune cells into the artery wall. Do that 3 to 5 times a day for 20 years and you’ve hit your arteries with 30,000 glucose spikes. All while your fasting glucose said you were fine. The Whitehall Study followed 17,869 people for 33 years and found a direct linear relationship between post-meal glucose and coronary heart disease death. Not fasting glucose. Post-meal glucose. The Funagata Study confirmed it: impaired glucose tolerance predicted cardiovascular death. Impaired fasting glucose did not. I wish someone had put a CGM on me at 35. Two weeks would have shown me what 20 years of annual physicals never did. If you’ve never worn one, try it. You don’t need a diagnosis. You don’t need a prescription. Wear it for 14 days. Eat your normal diet. Watch what actually happens after you eat. The truth is in the data your doctor never collects.

Eager to hear your life advice. What should I be doing?