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There are brilliant content producers with the finger on the pulse. So we won’t regurgitate the news just to keep up with the crowd, except if the news needs an urgent second opinion. And this is not a rarity. We take our time to see through commercial biases, and noodle on the nuances behind the headlines. Always in an easily digestible form. An individual human may be pear-shaped but is never bell-shaped - meaning, statistical evidence for whole populations may not fit well with you if you’re an edge case or working in extremes. Like many of our patients. While on the programme or alumni membership we’ll take the topics you ask us about and tailor what it means to those like you. And while we use AI tools to help us search and type faster, rest assured, we don’t rely on anyone except the experts.
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We geek out on:-
Preventive & therapeutic medicine
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Human Performance Science
Nutrition and 'Notrition' (fasting) and Nootrition (cognitive enhancement)
Sleep, Jetlag and circadian biology
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All things Psyche...
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High performance and high HbA1c: fitness does not guarantee protection from poor sleep
Here’s a conundrum.
You are fit, with high VO2peak, low visceral fat, and reassuring lipids.
Yet HbA1c sits high normal, or drifts into the prediabetic range.
The default explanation is insulin resistance.
In some lean, high performing people, that explanation does not tally with the rest of the data.
I think this is one of the more interesting mismatches I see in my practice. You can have obvious signs of good “peripheral” metabolic health and still see suboptimal blood sugar levels.. The current evidence suggests that sleep, stress, and insulin secretion may explain part of that gap, although the phenotype is not yet defined as a formal syndrome in the literature.
Morning or afternoon exercise: is one better for cardiometabolic health?
As both a clinician and someone looking to practise what I preach, I often get asked and consider what time of day might be best for exercise. Usually, the answer is that it is when you can most reliably fit it into your schedule. So let’s be clear from the start. Consistency will always trump time of day decisions.
Let’s look a little closer. If you have suboptimal metabolic health (insulin resistance, pre-diabetes etc) and are using exercise to improve your health and fitness, is it better to do this in the morning or afternoon? Before jumping to conclusions, it helps to understand why the question even comes up.