If it's this high, then please consider the strategies outlined in the video only as a frist step. More important would be for you to lower the glycemic load of the diet (lower carb) and particularly to try to figure out WHY you are glucose intolerant, so that you can address that, if possible. Please discuss this with a knowledgable doctor or dietitian. In the meantime, I recommend watching these videos here, in this order: On how blood sugar is regulated when we are healthy, and what goes wrong when we develop diabetes: kzbin.info/www/bejne/j5iccoZoqMuMb7ssi=QrQTHD_L4TUXzbPW To figure out if you are insulin resistant: kzbin.info/www/bejne/hYvXqaKaprR1mNksi=t2mGqtn0fBoa0paJ To understand the root cause(s) of any insulin resistance you may suffer from: kzbin.info/www/bejne/mYGYaKKDbdF1l7csi=qaAB5iQShJmdqtUH kzbin.info/www/bejne/forXn5-IeNZradUsi=cNu2LQsS0JRY3-Pt And to understand the consequences of insulin resistance: kzbin.info/www/bejne/fJiWn2Csnpenabssi=pDpfeZdVyer88n7H Hope this helps. Best, Mario

The main reasons for elevated morning glucose could be the dawn phenomenon, so it may make sense to look at the levels just prior to that morning rise that occurs upon awakening. If that is consistently also higher than 100 mg/dL, then I would look into whether I may have an elevated fat content in the liver, which is very common these days. These two videos here may be helpful for that: kzbin.info/www/bejne/mYGYaKKDbdF1l7csi=UZMuN_cFKt9qQYwj kzbin.info/www/bejne/fJiWn2Csnpenabssi=aQozPNd-JpdyHh7j The other possibility could be that your evening meals are too rich, i.e. too high in calories, fat, and carbs (even whole food sources of carbs). Particularly the combination of high in fat and high in carbs can keep the blood sugar elevated for a very long time, even over night. I have very good glucose tolerance, but even I occasionally have levels around 100 mg/dL when I eat a late dinner that is high in calories, fat, and carbs. In essence, what sustained high glucose levels tell you is that there may be too much energy in your system. Maybe experiment with having dinners that are a bit higher in protein and lower in fat and/or carbs. Or adopt a fasting regimen of some kind, such as time-restricted eating. I have more videos coming our about that, but this here is the first video about it: kzbin.info/www/bejne/qIWwc3WoipKeprssi=0AYoKKYY780H-8mE Lastly, I have set up a community where I help people have the right information and support to address problems just as these to prevent them from progressing to a chronic disease. You can learn more about it here: community.nourishedbyscience.com/ Hope this helps. Cheers Mario

Great questions. I do think the concern that TRE could lead to a loss of lean mass is valid, and because older age is a risk factor for muscle loss as well, your question is well taken. For the video, I reviewed 40+ RCTs. These were conducted in a wide range of ages, and I could not detect anything in the data that the impact of TRE on weight loss or a relative loss of fat vs. muscle mass was different in older people. Still, my suggestion would be to (a) use a milder form of TRE, i.e. 8- or 10-h TRE rather than, say, one-meal-a-day; and (b) keep protein intake at all meals reasonably high. That is not to suggest that everyone needs very high protein intakes, but simply to emphasize that there are likely benefits for long-term muscle mass as well as body weight/satiety and also blood sugar regulation if we minimize meals with a very low protein intake. Personally, I would aim to get at around 15% of calories from protein or more at every meal. As to whether there is an interaction between TRE and menopause, I do not know, as I am not aware of a study that has looked into that specifically. I wouldn't think so though. Of course, menopause does affect body weight and composition, but that is not to say that it would make muscle mass loss more likely on TRE. Best, Mario

Many thanks for your considered & helpful response. Please keep doing what you do so well! Thanks!

Hm, no one can tolerate low glucose levels, but it would not be expected for anyone who is healthy to develop hypoglycemia in the extended fasting periods when doing TRE. Maybe ease into it a bit more, I'd reduce your daily eating window by 30 min every week or so, and try out a mild form of TRE such as 10-h-TRE first? Best, Mario

Thank you for the response, Mario. But it seems that the problem is more that I became "hangry" (not hungry) and my blood sugar levels are around 5 mmol/l (normal). I can't find any reasonable explanation on this. And a lot of people have the same problem.

Hm, haven't heard that. Do you have a reference?

You do you. I have long given up fighting the low-carb doctrine that only insulin matters for everything. For everyone else who is reading this: If this commenter were correct, the available studies would all show no weight loss on TRE unless the intervention diets were also low-carb. That is demonstrably not the case. People simply consumed their normal diets, either as TRE or not, and on TRE they lost weight, independent of what the baseline diet was. These results are directly are at odds with the commenters statement that "Eating high carb foods, even in a reduced eating window window, will spike insulin preventing burning fat". If it was this easy, we could just dish out a few sugar cubes to starving people, and - voila - they are saved from ever losing any more body fat. Insulin matters, but so do other factors and, of course, the overall energy intake relative to energy expenditure.

Which doctor? Me? I doubt it, or you have a very fine eye. I have been at my current weight, or within 2 pounds of it, for well over 10 years. But thanks for the compliment. Cheers Mario

If you'd like to understand what the 95% confidence interval tells us, I suggest you watch this video about one of the TRE trials in which I explain this in detail: kzbin.info/www/bejne/f3u0gaOIqL9kr7csi=cpbErEF_WSDLRkEc Cheers Mario

@@nourishedbyscience Thank you so much for your reply - I had watched that video just a day earlier and after re-watching it (and poking around the web for info on "confidence interval") I concluded that what this old brain really needs is a refresher class in statistics!

Yes, finding an approach that we can happily live with long-term is the way to go. This sounds pretty sustainable to me, but will probably help you gain excessive weight. Cheers Mario

Yes, agree. Thought I said that somewhere, but maybe I forgot ...!?

Of course, if you prefer that. Many people enjoy eating a mixed or even high-carb diet as much as you prefer your low-carb diet though, so why not help them find a way to eat that way and be as healthy as they can be? Cheers Mario

That's great if you found something that works for you and that you can maintain. You probably know this, but the three things I would make sure I get is a high protein intake, a high micronutrient density, and regular resistance or high-intensity interval training. I do think the risks with OMAD are potential issues with meeting micronutrient needs (absorption is lower for some micronutrients if all are consumed in one meal than when spread out over the day) and a loss of muscle mass due to the long fasting window. Other than that, this way of eating basically makes it impossible to overeat and suffer from the consequences of energy toxicity, which is the biggest issue for most people. Cheers Mario

@@nourishedbyscience thanks Mario, thought-provoking as usual! I hope the micronutrient box is ticked with nuts & seeds; I'm so conflicted about protein; I understand sarcopenia & the need for adequacy (with RE), but am possibly (disproportionately?) influenced by the IGF-1 argument; e.g. Levine et al., 2014

@@alexm7310 Ah, I'll give you my perspective: losing muscle mass as we age is a KNOWN and MAJOR factor that affects our health, wellbeing, and risk of chronic disease. The potential impact of protein on cancer risk is in my opinion, a HYPOTHESIS that is mostly based on indirect evidence from animal experiments and some observational human data. This is, of course, a major discussion, and we could debate many observational study data, but here I am just sharing that on balance, I see higher protein intakes as associated with lower chronic disease risks. However, if you are uncertain, I would at least suggest you consider staying away from the very low end of protein intake (<15% of total calories), as that combined with OMAD would make it difficult to not lose muscle mass continuously. You could also look into the work of others who have researched protein intake in relation to muscle mass, satiety, and chronic disease risks in detail to get some more opinions. Dr. Gabrielle Lyon, Dr. Ted Naiman, and Dr. Stuart Phillips all talk a lot about this topic. Cheers Mario

Sorry it's not your style ...