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Are you experiencing brain fog or memory loss more often? These can be early indicators that your brain isn't getting the energy it needs due to high blood sugar levels. Here, I explain how understanding your glucose levels can support overall brain health and graceful aging, even without a prior diagnosis of diabetes. Maintaining good metabolic health is crucial for cognitive function. If you’ve ever wondered when cognitive decline starts, the honest answer may surprise you: I’m seeing early signs in people in their 40s and 50s—often showing up as brain fog, forgetfulness, and trouble focusing. I’m Dr. Joanette, an ER doctor for over 30 years, a Blue Zone native, and founder of Optimum Health MD, and in this video, I explain one of the most overlooked drivers: elevated blood sugar and “high-normal” A1C—even before a diabetes diagnosis. You’ll learn how chronic glucose exposure can leave the brain “starving for energy,” why insulin resistance affects memory and neuroplasticity, and why some researchers call Alzheimer’s “type 3 diabetes.” Most importantly, I’ll give you practical, science-backed steps you can start today—cutting liquid sugar, eating protein + fiber first, moving after meals, and prioritizing sleep—to protect your brain and keep it sharp for decades. ⏱ TIMESTAMPS 00:00 – Cognitive decline starts earlier than you think 00:45 – Early signs: brain fog, focus, memory slips 01:30 – The hidden driver: blood sugar + “high-normal” A1C 02:45 – Why glucose instability impacts the brain 03:55 – What you can do now to protect your brain 05:20 – Key takeaways + next steps #WhenDoesCognitiveDeclineStart #BrainFog #BrainHealth #CognitiveDecline #Prediabetes #A1C #Longevity #HealthyAging #DrJoanette Don’t forget to subscribe for more health tips and recipes! @DrJoanette Website: growwithdrjoanette.com Follow for More! Instagram: / growwithdrjoanette Facebook: / dr.joanettemd Twitter: https://www.x.com/@growwithdrjo TikTok: / drjoanette DISCLAIMER: As a physician passionate about health education, I want to be clear that while I share evidence-based information, I am not your personal doctor and don’t know your unique medical history. The recipes and wellness tips I provide are for educational purposes only. Before making any dietary or lifestyle changes based on my content, please consult with your healthcare provider, who understands your specific health needs and can offer personalized guidance. Your well-being matters, and I’m here to support your health journey alongside the care you receive from your medical team.