Tips to change your night-owl lifestyle

Being a night owl might increase the risk of developing many health problems, so it might be worth it for night owls to go to sleep a little earlier. The sleep schedule must be shifted slowly to make a lasting change. Tips to do that include setting a bedtime goal between 11 p.m. and 1 a.m.; going to sleep 20 minutes earlier every five days, until the bedtime goal is reached; possibly using certain sleep aids until the bedtime goal is reached; and setting a consistent wake time no later than 9 a.m.

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Should I use a continuous glucose monitor?

Some people with diabetes use a device that continuously monitors the level of blood sugar. The monitor sends the information wirelessly to another device, such as a smartphone, so the person can easily see the blood sugar level. As of 2024, there is no solid evidence that these monitors can help people who do not have diabetes. However, the monitors may one day prove to be useful in people with diabetes risk factors, such as obesity, prediabetes, or a family history of diabetes.

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Living your best life

As people face their mortality, they often focus on how to live their best life in their remaining time. Two Harvard experts—Dr. Howard LeWine and Dr. Anthony Komaroff—share advice on how they are achieving this during their golden years. Some of their suggestions include embracing the natural changes of aging, doing inspiring activities, learning to live in the moment, and finding one’s sense of purpose.

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Are heart attacks overdiagnosed?

Doctors may diagnose heart attacks in people who have not actually had one, in part because they screen people with subtle symptoms out of fear of missing the diagnosis. Failure to diagnose a heart attack is the No. 1 cause of malpractice payouts in the emergency department. But the blood test used to detect a heart attack is very sensitive, and other conditions such as myocarditis (heart inflammation) may be misdiagnosed as a heart attack. This problem of overdiagnosis can expose people to unneeded risks, high costs, and other downsides.

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Rethinking HDL cholesterol

The scientific understanding of HDL cholesterol has evolved in recent years, and many cardiologists now believe that HDL may be more of a bystander rather than a “good guy” that helps lower heart disease risk. While some types of HDL are great at plucking excess cholesterol from LDL and artery walls (a process referred to as reverse cholesterol transport) other types of HDL don’t do this. In clinical trials, medications to raise HDL levels—including a drug specifically designed to improve reverse cholesterol transport—have not succeeded in lowering heart attacks and strokes.

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