
Fit and Healthy, but Blood Sugar Still Spikes? Here’s Why
Blood sugar spikes are not limited to people who are overweight, inactive or living with diabetes. Even lean, physically active people who follow a balanced diet may experience unexpectedly high glucose levels after meals.
Experts say body weight alone is not a reliable measure of metabolic health, as genetics, muscle mass, sleep, stress, hormones, insulin sensitivity and gut health can all influence how the body responds to the same food. (The Indian Express)
Two people can eat an identical meal and record very different blood sugar patterns.
This may happen because individuals differ in how quickly they release insulin, how sensitive their cells are to insulin and how effectively their muscles absorb glucose. Some lean people may also carry visceral fat around organs despite appearing slim, a condition sometimes described as “thin outside, fat inside.” (The Indian Express)
Muscle is one of the body’s largest storage sites for glucose.
A person with greater muscle mass may move glucose into muscle stores more efficiently, reducing the post-meal rise. By contrast, someone of the same weight but with less muscle may experience a sharper spike. (The Indian Express)
Blood sugar response is also affected by the body’s condition before a meal.
Insufficient sleep can temporarily reduce insulin sensitivity, while stress hormones such as cortisol can prompt the liver to release stored glucose. This means the same breakfast may produce a higher reading after a sleepless night or during a stressful morning. (The Indian Express)
The sequence in which food is eaten can also make a difference.
Eating vegetables, fibre-rich foods and protein before rice, roti or other carbohydrate-heavy foods may slow glucose absorption and produce a more gradual rise. Gut microbiome differences can further affect how quickly carbohydrates are digested. (The Indian Express)
An occasional rise in blood sugar after eating is normal. Concern may be warranted when spikes occur repeatedly, remain elevated for a long time or are accompanied by a gradual increase in fasting glucose.
In such cases, a doctor may recommend tests such as fasting glucose, HbA1c, fasting insulin or an oral glucose-tolerance test. (The Indian Express)
Regular physical activity, strength training, sufficient sleep and meals containing adequate protein and fibre may support better glucose regulation.
However, glucose-monitor readings should not be interpreted in isolation, and anyone noticing persistent abnormalities should seek advice from a qualified healthcare professional. (The Indian Express)
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