Understanding Glucose Intolerance: Dr. Ben Bikman on Hidden Influences

All right, Michael, on May 15, can someone have a glucose intolerance if all other metabolic biomarkers are normal? In other words, optimal insulin, uric acid, triglycerides, et cetera? Yes, they can. So, glucose tolerance. Let's define it. First of all, glucose tolerance is best understood through something like a glucose challenge or a glucose tolerance test where you take in some glucose and then you monitor how long it takes for the glucose to to level out or to come back down. There is, for example, how much protein you eat the night before can influence your morning glucose tolerance. If you eat a huge bolus of protein before you go to bed, it can make you a little less glucose tolerant, even though you're still perfectly metabolically healthy. If you drink too much caffeine the day before, that will make you acutely glucose intolerant. If you sleep poorly, that will make you more glucose intolerant, even though all these markers may may be optimal. How you handle glucose in an acute moment can be very heavily influenced by several variables. In other words.