Spikes, crashes, excursions, and elevated numbers. Blood sugar is on a lot of active midlife women’s minds. But what do we really know about what this all means…and what it doesn’t, especially when it comes to long term health? This week’s guest Oxford nutrition scientist and globally recognized type 2 diabetes expert Dr. Nicola Guess helps sort through all things elevated glucose and helps separate what we need to worry about with what we don’t. Nicola Guess, RD, MPH, PhD, is a dietitian based in London specializing in the prevention and management of type 2 diabetes. She is currently an associate professor at the University of Westminster, Research Fellow at King’s College London, and Head of Nutrition Research at the Dasman Diabetes Institute in Kuwait. She also runs her own private clinical practice. Her primary research interests are in the prevention and management of type 2 diabetes, including the effects of nutrients on the underlying pathophysiology of type 2 diabetes. Dr Guess is a National Institute of Clinical Excellent (NICE) scholar investigating meal provision for inpatients with diabetes; a member of the NICE expert committee; a member of the Diabetes UK Clinical Study Group, and previously a Winston Churchill Travel Scholar investigating approaches to type 2 diabetes prevention in the UK and China and a Diabetes UK Academic Health Partnership Fellow investigating the role of diet in the prevention of type 2 diabetes. You can learn more about her work and follow her research at drguess.substack.com/ResourcesErratic glucose in normoglycaemic athletes: insufficient protein? blogHow useful are CGMs for athletes? blogBlood Glucose Levels of Subelite Athletes During 6 Days of Free Living, Journal of Diabetes Science and Technology (JDST)Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More and Register for our 2026 Tucson Bike Camp: https://feisty.co/events/gravel-camp-x-bike-mechanic-school/ Follow Us on Instagram:Feisty Menopause: @feistymenopause Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Support our Partners:Cozy Earth: Use Code HITPLAY at https://cozyearth.com/ Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Nutrisense: Go to nutrisense.io/hitplay and use code: HITPLAY to get 30% offPrevinex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Wahoo KICKR RUN: Use the code FEISTY to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/maTzL

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