Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: An analysis of studies pertaining to masks in Morbidity and Mortality Weekly Report: Characteristics and quality of all studies from 1978 to 2023 Show Notes: Michael Rose - What Evolution Teaches Us About Living Longer (Ancestral Health Today Episode 005) Fat Fueled Sheep Hunting with Gina Shively | Salty Talk 019 | THRR Modern Wisdom #676 - Eric Weinstein - Why Can No One Agree On The Truth Anymore?  Questions:    Unusual blood sugar fluctuations Jack writes: Hi Robb, Long-time fan of your work, first time trying to reach out to you. Thanks very much for any insight you are able to provide. I have been tracking my blood sugar levels over the past 6 months after getting some results from my primary care provider that showed my fasting blood glucose at 93, and my HgA1C at 5.6. Both of these have steadily crept up over the past 5 years. My primary care provider was not concerned because I technically didn't fall outside of any "normal" range, but I have tried making my way through a good chunk of "Your Blood Never Lies" by James LaVelle, and I decided to try to dig into my tendencies a bit more after seeing a number of things "trending" in the wrong direction, though still "normal." I am a 38-year-old father of two kids ages 1 and 3, and I want to do the best I can to optimize my health for them.  I am about 162 lbs and roughly 12% bodyfat. Resting heart rate hovering in the high 40s and low 50s, blood pressure typically about 115/65. After getting a home glucose monitoring kit and tinkering with my diet, I found a decent rhythm and meal plan that allows me to largely avoid blood sugar spikes throughout the course of the day. I almost never see my blood sugar rise higher than about 125, and only once or twice saw it higher than 140 in the past 6 months. I respond decently well to my meals and snacks per the recommendations Chris Kresser gave for 1, 2, and 3 hour post eating readings. For a period of time, my fasting blood glucose was pretty consistently between 78 and 90, which I was very excited about. However, over the past 5-6 weeks I have been getting lots of high 90s, low 100s, and even some 110-115. Interestingly, my blood sugar will fall lower though throughout the day (typically to between 90-110, even down to as low as 80 in the late afternoon when I get home from work).  I am a strength and conditioning coach and currently get to workout 3-4 times per week for 30 minutes or so doing kettlebell circuits and the occasional run. My sleep has not been particularly great the past several months due to my son and daughter's nightime routines and sleep habits. I have lately tried to go to bed earlier when my daughter does in an attempt to get about 8 hours, but it was routine for me to get more like 6.5-7.5 hours "in bed," while oftentimes waking up several times per night and/or having a tough time falling asleep. I eat pretty well, though not 100% clean, during the week, and kick my heels back a bit on the weekend with some pizza and booze, but I wouldn't say I completely blow the doors off. These diet practices have been pretty consistent during the period of time before my morning blood sugar began to consistently be lower, and also now that it has gradually crept higher over the past 5-6 weeks. A) What do you think could be causing morning blood sugar to be on the "higher" side even if I eat fairly low/clean carb and haven't changed much diet wise over the past 6 weeks? B) If morning glucose is "high" but returns quickly to these 100-110 levels after my eating most of the time and I rarely spike higher than 125 or so, is that still bad for my health, or is an elevated "baseline" ok as long as I don't consistently get higher than 140 or so as I read in Kresser's article? Thanks so much for any insight you can share!   Staying Paleo in the Mountains Lucia writes: Hi, I'm 39 years old and