Have consistently high blood sugar on a full carnivore diet. Average readings around 100. After a 36 hour fast will often still be close to 100. Two days of fasting and the glucose will finally drop mid eighths and low ninetys. Post prandial readings are often in the low ninetys or high eighties. Which is always amusing since post workout readings are often 120 or higher. A little insulin goes a long way.

Concerned about the AGE from constantly high blood sugar. This seems way beyond adaptive glucose sparing or the dawn effect.

Signed, Mystified in New Mexico.

(The details. Carnivore for four years. 99% of diet is fish, flesh and eggs. Cook in butter and lard. Only exogenous sugar is lactose in occasional yoghurt or coffee. 72 yo with around 15% fat and decent amount of lean muscle mass. Active, do weights and walk about 20 miles a week. O.K. sleep for my age. HbA1c 5.6, however HOMA-IR is 1.1. lipids are typically of a LMHR. Have used four different glucose meters over the years. Currently using two Keto-Mojos.)

Lowering Coronary Calcium Score

Bret writes:

Hello! Wondering if you know of any potential ways to lower your coronary calcium score. Personally, I'm 56 years old, and 44 of those years were spent consuming the standard American diet. (I've been strict Paleo since.) I'm sure that those 44 years produced 2 coronary calcium scores (3 yrs ago, and 2 yrs ago) that came in around 48 (total) and 47, respectively. Obviously, my goal is zero, but I'm not sure if there is any way to lower it. My functional med doctor recommended nattokinase, which I've been taking religiously, and it may (or may not) be the reason for the lowering of my score by 1 point over those 2 years.

Anyway, I'm looking for any tips you may have for lowering my coronary calcium score, if they indeed exist.

Thoughts?

(Long time listener - thanks for all you do!)

Bret

Trying to Understand Macro Nutrients

Darren writes:

Hi again from Tasmania. Just a brief question regarding protein. If I burn approximately 2500 cal a day, should that be made up of carbs and fat only? Because I assume that the 140 grams of protein I eat will be used for all of the processes it normally would do.

How can protein be included in calories if it's not used for energy? I'm Not sure if this makes any sense. Love the podcast.

Thanks Darren from taasie.

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