Google introduced Health Guardian with its Pixel Watch 5 in August, but the company warned us that the first reports won't land until October. That's because these are monthly reports, and a full month of collected data was necessary before Google could issue a health verdict.

October is here and as announced last week, the first Health Guardian reports are out. I found mine in the Google Health app when I opened it this morning, and my partner, who's wearing a Pixel Watch 3, also got his.

So it's fair to say that Google is rolling these out now, as it had promised, to all Pixel Watch 3, Watch 4, and Watch 5 owners, with the Fitbit Air coming in later. The caveat is that you had to have been wearing your smartwatch or band for the whole (or most of the) month of September.

To give you an idea of what to expect, here's what our reports look like and why I'm already impressed by the quality of the data.

Your Health Guardian report is on the "Today" tab

You shouldn't look for it elsewhere

Health Guardian showed up for me as a card inside the tab of my Google Health app. I made the mistake of trying to find it in the Health tab or under my profile, but it wasn't there; then I went back to the Today tab and noticed a new card titled .

Tapping it revealed the Health Guardian intro screens, which explain what the feature is, tell you about the three new metrics it measures — insulin resistance, blood pressure, and sleep breathing quality — and let you confirm opting in. There are links to Read More on Google's website, too.

When you're done, you'll see a summary of everything that now falls under the Health Guardian umbrella. High and low heart rate notifications, irregular rhythm notifications, and ECG measures have been roped into it, too, but what's interesting are the three new metrics.

I'm surprised that there's no other way to consult these reports for now, or at least none that I've found. Perhaps Google will add a landing link to get to them soon.

The Health Guardian report is very sparse but accurate

Don't expect more than a couple of words

The first report my partner received from his Pixel Watch 3 gave him a cool all-clear on all three accounts. His insulin resistance is "low," his blood pressure is "not high," and his sleep breathing is "mostly optimal."

For the first two, the information is quite sparse. There isn't any explanation for insulin resistance, but "low" means it's good. And although he got a bit alarmed by the "not high" wording on his blood pressure, it seems that this is what Google considers as normal. (Obviously, a "low" wording here would be alarming, but I wish Google used "normal" instead of "not high.")

Only the sleep breathing quality section reveals a bit more information, indicating the number of days spent in optimal breathing, those spent within medium quality breathing, and those in the low range.

Overall, though, all signs are green for him, and he will be able to keep an eye on these trends and catch them if anything deteriorates over time, which we both hope won't happen. But hey, at least there's a warning system in place now, which eases our minds.

My report is a bit different. I'm asthmatic, overweight, and have had some blood pressure issues over the last year after a terrible loss and a long episode of grief. I'm on my own health journey now, but I'm not back to my optimal state yet.

My Health Guardian report told me my insulin resistance is high and explained what that implies for my health. It also detected a high blood pressure trend and told me about its effects. These came with a few buttons to learn more or talk to the AI coach to get advice.

The report also showed me that my sleep breathing has been mostly in the low-quality section for September with a few decent nights and one terrible night. As I said, I'm asthmatic, plus I've had nasal congestion over the last few days, which might explain the latter.

I'm honestly impressed by the fact that Health Guardian caught up to all of that. You can take our two results with a grain of salt, but the fact that it gave my partner, a healthy man, the all clear, while it highlighted my three issues tells me Google isn't messing around with these reports.

Although the information is sparse as a start, I hope that a bad signal helps people go get checked by their doctor or start looking into healthier habits. For me, these reports will be all about the progress. I'm aiming to get back to the low or normal state on all three accounts, so it'll be nice to see how my report changes over the months.

An excellent addition to all Pixel Watch users

Pixel Watches have received a bunch of cool updates over the last few weeks. From the to better Gemini integration to breathing emergency detection, everything has made existing watches — and eventually, the in some cases — a better product.

Health Guardian is the cherry on top of the cake. Having it surface for Pixel Watch 3, 4, and 5 and Fitbit Air owners means more people can now be notified if something is off with their health signals, even if they don't feel it. My own high blood pressure went undiagnosed for weeks until it reached stratospheric numbers and I felt my heart almost explode.

As a pharmacist who has seen many people get diagnosed with high blood pressure, sleep apnea, or diabetes without ever suspecting anything was wrong, this is an upgrade in wearables I wholeheartedly welcome. More power and more info given to the user can't be a bad thing when it comes to advocating for their health.