在本次“问我任何事”节目中，Peter和Bob深入探讨了血糖对代谢健康和长寿的重要性。他们解释了为何需要密切关注平均血糖、血糖变异性和血糖峰值等指标，并说明了为何Peter鼓励所有患者，甚至是非糖尿病患者，使用连续血糖监测器（CGM）来获取传统实验室检测和指标常常忽略的重要洞察。

🩺 传统的血液检测和指标在确定代谢健康方面的问题：Peter和Bob讨论了为何传统血液检测并不能全面反映代谢健康状况。

🌟 连续血糖监测器的优势：CGM能够提供传统检测无法比拟的深入洞察，帮助患者更好地管理血糖。

📉 为什么要追求更低的血糖水平：平均血糖、血糖变异性和血糖峰值，三者都表明血糖水平越低越好。

🔍 平均血糖的深入探讨：保持尽可能低的平均血糖水平对健康至关重要。

🔄 血糖变异性的深入探讨：减少血糖波动有助于维持健康的代谢状态。

📈 血糖峰值的深入探讨：降低血糖峰值对预防代谢疾病具有积极意义。

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.

If you’re not a subscriber and listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or on our website at the AMA #24 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

 

We discuss:

The problem with traditional blood tests and metrics for determining metabolic health [1:10]; The superior insights from a continuous glucose monitor [6:15]; Why lower is better than higher: average glucose, glucose variability, and glucose peaks [12:00]; Deep dive into average blood glucose and the importance of having the lowest average blood glucose possible [14:45]; Deep dive into glucose variability and why less variability is better [33:15]; Example of how HbA1c and traditional measures could catch metabolic issues too late [41:45]; Postprandial dips in blood glucose as a predictor of subsequent hunger and energy intake [43:00]; Exploring the idea that the suppression of fatty acids is actually causing hunger rather than a low blood glucose [49:45]; Deep dive into peak glucose and why lower peaks is better [57:15]; What the best rodent models tell us about the impact of peak glucose levels [1:06:25]; Why Peter encourages all his patients to wear a CGM [1:14:30]; and More.

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