
09/15/2025
The Late Dinner Wake-Up Call
Another week, another opportunity to get better!
Lets talk some general health stuff today, because its always the stuff that you don't notice until its "too late."
A few nights ago I ate dinner late: bigger meal, some carbs, and yes, dessert. I crawled into bed feeling full but wired. When I woke in the morning, my mind felt fuzzy. Coffee didn't quite clear the fog. My energy was sluggish, and I felt achy where I usually feel strong.
That brain fog, sluggishness, and discomfort aren't isolated incidents. They're signals. When blood sugar spikes late in the evening, insulin has to work overtime. Over time, those spikes train the body to resist insulin's signals, meaning it takes more of the hormone just to get nutrients into cells. That resistance affects everything: pain recovery, sleep quality, immune resilience, muscle building, and fat loss.
How We Got Here
For much of human history, our meals were timed by daylight and necessity. Our ancestors ate when food was available, often earlier in the day, with natural breaks between meals. Sugar in highly refined forms was rare, and late-night eating was uncommon.
Fast forward to recent decades: processed sugars, refined carbs, constant snacking, late dinners, and eating in front of screens. These shifts have pushed our metabolism out of sync. Current research shows that it's not just what we eat, but when, how much, and how our body responds over time. Insulin sits at the center of that equation.
Simple Changes, Powerful Results
What if tweaking a few everyday habits could sharpen your thinking, ease pain, help you sleep deeper, protect your immune system, and make muscle and fat changes easier without resorting to medications?
Improving insulin sensitivity does exactly that.
Four Evidence-Based Strategies
Here are actionable changes you can implement daily that help improve insulin sensitivity:
1) Time-Restricted Eating and Early Meal Timing
Research involving men with prediabetes who followed early time-restricted feeding (eating all meals within a 6-hour window early in the day, finishing dinner by 3pm) for 5 weeks showed improvements in insulin sensitivity, blood pressure, oxidative stress, and appetite even without weight loss. In short, try to limit eating at all times of the day and build enough self control to say "NO" to the night time snacks.
2) Post-Meal Movement
I ask most of my personal training clients to do a 20min PM walk for this reason exactly. Light activity after meals can blunt blood sugar spikes and help your muscles take up glucose without requiring as much insulin. Walking 10-15 minutes after dinner is simple and research-backed.
3) Sleep Quality and Timing
Poor, fragmented, or insufficient sleep increases insulin resistance. Going to bed and waking up at consistently at the same time, helps reset insulin responsiveness.
4) Strategic Meal Composition
Starting the day with protein and fats opposed to carbs will limit that blood sugar spike. (bread, fruit, cereal, etc.) Meals combining whole fiber sources (vegetables, legumes, whole grains), lean protein, and healthy fats help moderate blood sugar rises. Dietary patterns like Mediterranean or plant-based approaches show strong evidence for improving insulin sensitivity.
Our Clinical Approach
I always try to keep my antennas perked up for ways to help you guys feel better without touching you while addressing health systematically rather than just treating symptoms like pain, fatigue, or sleep trouble. We assess not only joints and nerves, but hormone and energy systems. We help patients build sustainable habits around movement, meal timing, sleep, and nutrition so the body can heal and rebuild from a strong foundation.
If you've been dragging in the mornings, letting pain linger, or struggling with stubborn weight or brain fog, ask about what training with us looks like and how we can upgrade your current care to tie all this information together.
Have a great Monday!
Dr. Dom + Team
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