165 - AMA #24 [sneak peek]: Deep dive into blood glucose: why it matters, metrics to track, CGM data

In this “Ask Me Anything” (AMA) episode, Peter and Bob dive deep into blood glucose and why it matters so much with respect to metabolic health and longevity. They explain the need to pay close attention to metrics like average blood glucose, glucose variability, and peak glucose numbers. Additionally, Peter explains why he encourages all his patients, even nondiabetics, to utilize a continuous glucose monitor (CGM) which gives important insights that traditional lab testing and metrics consistently miss.

In this sneak peek, we discuss:
00:00:00 - Intro
00:00:10 - The problem with traditional blood tests and metrics for determining metabolic health
00:05:41 - The superior insights from a continuous glucose monitor
00:12:30 - Why lower is better than higher: average glucose, glucose variability, and glucose peaks

This is a special sneak peek of AMA #24. To view the full video, you'll want to become a podcast subscriber. You can subscribe to the podcast and learn more about all the subscriber benefits: https://peterattiamd.com/subscribe.

In the full episode, we also discuss:
-Deep dive into average blood glucose and the importance of having the lowest average blood glucose possible
-Deep dive into glucose variability and why less variability is better
-Example of how HbA1c and traditional measures could catch metabolic issues too late
-Postprandial dips in blood glucose as a predictor of subsequent hunger and energy intake
-Exploring the idea that the suppression of fatty acids is actually causing hunger rather than a low blood glucose
-Deep dive into peak glucose and why lower peaks is better
-What the best rodent models tell us about the impact of peak glucose levels
-Why Peter encourages all his patients to wear a CGM; and
More.

Show notes page: https://peterattiamd.com/ama24/

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About:

The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 30 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.

Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).

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