The spike-crash cycle your report calls normal
A fasting glucose of 95 mg/dL looks fine on paper. But if that number climbs to 160 after a meal and drops to 72 two hours later, the brain is absorbing a punishment the report never records. Each spike triggers a surge of insulin. Each crash starves neurons of the steady fuel supply they depend on. Repeat this three or four times a day, every day, and the cumulative load on brain tissue is measurable, even when no doctor has said the word diabetes.