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The problem with continuous glucose monitors 

Andrew Steele
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Do you wear a CGM? Let me know about your experiences, and any questions you have about CGMs, in the comments!
Sources and further reading
For more detail about the study, see my thread on Twitter: / 1669726339698442241
Original preprint (this means that the study hasn’t yet been peer-reviewed and results should be treated with caution): www.medrxiv.org/content/10.11...
Credits
CGM image via commons.wikimedia.org/wiki/Fi... CC-BY Thirunavukkarasye-Raveendran
And finally…
Follow me on Twitter / statto
Follow me on Instagram / andrewjsteele
Like my page on Facebook / drandrewsteele
Follow me on Mastodon mas.to/@statto
Read my book, Ageless: The new science of getting older without getting old ageless.link/

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27 июн 2023

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Комментарии : 60   
@grigorbrowning
@grigorbrowning Год назад
Very much looking forward to your deep-dive. CGMs are a great tool in terms of recording data - but like any data you have to look at it properly.
@beakittelscherz5419
@beakittelscherz5419 11 месяцев назад
thats all ok . But there is something going on though! I tried it and surprisingly lost 90% of my Cravings for sweets over the day, Eat less portions, and have a way deeper sleep all of a sudden. Loosing weight is a good goal, but I am not talking about counting Calories here. Idc about those monitors right now, bc i am in the Phase of finding out how it feels not to be dictated by Cravings or Hunger all day long 24/7... But I am starting to get courious what ARE the ups and downs of my shugar levels in my blood. Those Monitors are kinda cheap and easy to use . And why not have a tool for yourself for a while to see whats going on and how it Feels, instead of leaving this all to the Doctors all the time...?Nothing wrong with that I say.. . And Btw. unless you have identical twins you cant really compare peoples bloodsugars or glucose levels to one another... bc they are just not the same or equal enough...
@nodelayfordays8083
@nodelayfordays8083 Год назад
I was conflating on getting one but I couldn't find enough research to suggest it was in fact worth getting one. Thanks for doing this. Will definitely be waiting for it
@saxtremer
@saxtremer Год назад
I hope the hype won't create global shortages and price hikes on the CGM market. My diabetic grandma is so happy she finally doesn't have to be anxious about the low blood sugar all the time. The devices are finally affordable and very compact.
@sixpackbinky
@sixpackbinky 9 месяцев назад
You really think big pharma won’t accommodate, that makes them billions lol
@xeusai
@xeusai 4 месяца назад
That is why CGM helps not only with glucose response to the specific type of food it provides some kind biofeedback to the user, so that use cana learn feeling how high and low on glucose feel like , specially if the spike are sharp
@JennyMitich
@JennyMitich 4 дня назад
Glucose levels are influenced by so many factors: food, stress, sleep, hormones, alcohol, exercise, heat and cold, etc. The value of a CGM is it can help you identify patterns. Glucose spikes are completely normal, what’s important is keeping your variability nice and tight. I think people just need to be educated on how to use the CGM correctly👍🏻
@circuitsalsa
@circuitsalsa Год назад
I wore them for a year and a half as a diagnostic tool since blood sugar was affected by a gi illness I had. To my understanding, spiking blood sugar isn't always a bad thing, it's if you're constantly bouncing around in my experience. Swinging 100 one way and the other within the 'healthy range' every three hours or so still feels awful! Highly recommend that doctors get well versed in using these as diagnostic tools with their patients, this would not have been nearly as effective without the guidance I received to get my blood sugar regulated and then we could focus on the underlying problem. Feel so much better these days, don't have to wear these anymore, and I blissfully have no idea what my current blood sugar is.
@phoenixpersonified3484
@phoenixpersonified3484 9 месяцев назад
You didn't mention stress. I think stress is the biggest influencing factor when it comes to type 2 diabetes.
@Hannah_The_Elon_Jew
@Hannah_The_Elon_Jew 8 месяцев назад
Ut watches my entire device. I did not pay.
@nichtsistkostenlos6565
@nichtsistkostenlos6565 7 месяцев назад
The "biggest influencing factor"? I don't really think so. Large amounts of visceral or intramuscular fat and lack of activity are WAY bigger influencing factors in type 2 diabetes and it's not close.
@gonefishing7813
@gonefishing7813 21 день назад
I have had one for only one week I’m much more mindful of everything I eat because I don’t that thing ratting me out even if it’s just to me. I like it…
@christinracette513
@christinracette513 Год назад
I’ve heard that having apple cider vinegar or some protein food right before a food that normally spikes your insulin response will significantly reduce the insulin response you have.
@gamblinguru33
@gamblinguru33 Год назад
This is correct. I've worn CGM and apple cider vinegar is one the most potent glucose-lowering agents.
@abdallahismail788
@abdallahismail788 4 месяца назад
I wanted to know if the product can be used to see if the blood glucose level has decreased?
@AtheistRising
@AtheistRising Год назад
Diabetic here. Please don't buy these things if your pancreas works. You can be misled because of the following reasons: Your sensitivity to insulin changes throughout the day, so when you eat is a factor Exercise can change how efficient insulin is in your body, Certain foods can prevent spikes in the short term for example high fibre foods Everyone's gut microbiome is different, and you may have a pathology that causes spikes that had nothing to do with food Lastly, a glucose spike will be handled by your sodding pancreas, calm the f down
@DrAndrewSteele
@DrAndrewSteele Год назад
LOL @ the final point :) (And agree with the previous ones too!)
@sixpackbinky
@sixpackbinky 9 месяцев назад
People who Are insulin resistant, pre-diabetic, overweight, and other issues. Need to find out what Foods they are eating that will raise their insulin. Diabetics are not the only ones who need these continuous glucose monitors because we don’t want to become diabetic or we want to get out of insulin resistance.
@sixpackbinky
@sixpackbinky 9 месяцев назад
Did you know that high insulin causes damage to your arteries? Did you know that carbs causes inflammation in your body and pain? Anyone who has an increase in their insulin should avoid foods that spike their insulin because they will eventually get clogged arteries I know. As stated before, people who are insulin resistant needs to know what foods not to eat meaning they need to know when they get spikes after eating certain foods, and what to stay away from. This is prevention and correction of diabetes and insulin resistance and the cgm is a great tool for that.
@Hannah_The_Elon_Jew
@Hannah_The_Elon_Jew 8 месяцев назад
Over priced in my opinion.
@TheVillka
@TheVillka 5 месяцев назад
Absolutely! The regulation of glucose level in blood is a very complex and definitely not straightforward process as presented by some influencers.
@sixpackbinky
@sixpackbinky 9 месяцев назад
It will still show if you spike in eating something you didn’t spike on before and should not eat again. I’m all for using cgm s.
@raghavendrasridhar2988
@raghavendrasridhar2988 4 месяца назад
Great point but it further enforces that “not one size fits all” when it comes to medicine, diet and exercise. One wouldn’t be completely unforgiven to say that of the trend is due to lack of medicine in keeping up with the need to tailor care for patients as well as the lack of transparency in consumer products
@momorris1464
@momorris1464 5 месяцев назад
What is the problem w 24-7 data???
@pammydeleon1995
@pammydeleon1995 10 месяцев назад
I just started my glucose monitoring... this is my day 5 and the reading has been so off (17mg/dl) so I decided to take it off and assess / pus and coming out with it 😑😑 I love the idea but I'm questioning the sensor how aqurate this is.
@JonnyLWarren1
@JonnyLWarren1 8 месяцев назад
Walking after make a difference, the order in which you eat the food on your plate, you have to do a lot of experiments but with enough practice you can get a really good at spiking your blood sugar less
@hernancruzt
@hernancruzt 2 месяца назад
several factors may affect how you metabolize your carbs, even stress or anger may trigger a deficiency on how glucose behaves in your body
@nichtsistkostenlos6565
@nichtsistkostenlos6565 7 месяцев назад
CGMs are probably most valuable for analyzing trends in glucose levels as opposed to looking at individual glucose spikes. A single glucose spike is not really that interesting unless it's absolutely massive, but constant glucose spiking/maintained high glucose over long periods is indicative of poor diet or general metabolic issues that can be discussed with a healthcare professional that can help you interpret the data.
@gabriellagarcia382
@gabriellagarcia382 6 месяцев назад
I agree I've ditched my libre 2 and I use a BGM
@user-mn3wi2id1p
@user-mn3wi2id1p 4 месяца назад
Not sure I agree. I’m insulin resistant, and tracked food while pregnant for 6 months because of gestational diabetes. The certain foods that spiked my blood sugar had consistent spikes within 5 point I’d say. Unfortunately “healthy” individuals vary. I wouldn’t trust any studies unless I knew there was a wider test population and knew what tests were given that determined “healthy”. Also- weight, BMI, age etc.
@cexinho
@cexinho Год назад
Like everything in the body, nothing works alone, everything we eat interacts with something else. Or who knows, everything may be down to our microbiome as some studies seem to hint
@wengjai
@wengjai 8 месяцев назад
But it doesn't mean there's a problem with it?
@harshadk4264
@harshadk4264 5 месяцев назад
but that's fine Dr, the main purpose is to identify how much insulin to administer based on the current levels of glucose, isn't it?
@lauraburns8306
@lauraburns8306 4 месяца назад
I think he's referring to CGM use by non-diabetics...
@EmilBrikha
@EmilBrikha 8 месяцев назад
I don’t see what the problem would be. Getting relevant and accurate data is the ultimate goal, whatever the reason for the spike is, more information can lead to isolating and identifying the issue at hand. Once Apple releases the watch with built CGM, it’ll be game over for these other companies which charge a fortune for these disposable devices. I very much look forward to that.
@CD-uu1tb
@CD-uu1tb 9 месяцев назад
Lol, duh. Medicine and nutrition is about spotting trends and life is about nuance. If you want black and white answers try a 5 year olds science test.
@JohnSmith-fl5qn
@JohnSmith-fl5qn 4 месяца назад
It is the 2nd SIBIONICS sensor I use. All it did was waste my money. Which I can do by myself without the help of SIBIONICS. TOTALLY UNTRUEABLE AND DANGEROUS
@kuldeeprajpurohit7553
@kuldeeprajpurohit7553 5 месяцев назад
Yes the problem with CGM is it can never find out the peak of blood sugar. It reads from interstitial fluid that means if someone is having a actual glucose level of 130mg/dl CGM will not show this and because insulin is getting released also in the body the 130 will be dropping minute by minute that means the interstitial fluid will also be getting lower glucose minute by minute from the blood vessels so due to this the interstitial fluid glucose level will never reach to the peak due to dropping level of glucose. CGM is a pure gimmick.
@chexterkat
@chexterkat 6 месяцев назад
Never trust anyone who calls pasta ‘passtar’
@MichielMortier
@MichielMortier Год назад
QUIKI & HOMA2?
@rudra7615
@rudra7615 4 месяца назад
Doesn't this mean, don't just rely on 1 week's of data? Use it for a minimum of 3 months and that should give you a good indication of what works for you and what doesn't?
@DrAndrewSteele
@DrAndrewSteele 4 месяца назад
I don’t think anyone’s done a controlled experiment to find out if consistency emerges over a longer timescale!
@rudra7615
@rudra7615 4 месяца назад
@@DrAndrewSteele I was more thinking about an individual understanding their own body and results. We tend to repeat our meals and over 3 months, multiple variations can emerge eating the same meal from time of day, activity post and prior to having it, all in all.. it will give you a better idea of how your body reacts? I’m sure i would be eating a single type of meal maybe more than 20 times in a 3 month process. Enough data to help me make a judge of how it reacts for me
@DrAndrewSteele
@DrAndrewSteele 4 месяца назад
I don’t think we know at the moment! What this study shows is that even in lab-controlled conditions you don’t get the same response to the same meal twice. Is there going to be enough signal in the noise to work out that if you eat pasta when you’re tired the day after an exercise session it’s bad? Out in the complex real world, it might well be impossible to extract meaningful data. We just don’t know at this point, and this study is evidence against the hypothesis that it will be possible.
@Saf_Ibn_Sayyad_Bacon
@Saf_Ibn_Sayyad_Bacon 6 месяцев назад
Click bait title
@Fehr270
@Fehr270 9 месяцев назад
This helps my theory that we are less unique than we’d like to think. I briefly looked at these and have to agree they have no value for healthy people.
@leyland2725
@leyland2725 4 месяца назад
This video doesn't make sense. So different people have different blood sugar reactions to the same meals,,, but how is this "the problem with CGMs?" Cause everybody CGM will report on that person and that person only and it's never standard practice to reference another's blood sugar reactions.
@DrAndrewSteele
@DrAndrewSteele 4 месяца назад
These results are from THE SAME PEOPLE one week apart. That’s the problem!
@TheTarGonn
@TheTarGonn Месяц назад
Your short-term carb consumption history affects current readings. When you eat or snack on carbs you spend your rapid release insulin storage and it takes hours to replenish it. Even a small amount of carbs can cause a big spike if not given enough time for beta cells to recover its insulin storages.
@monnoo8221
@monnoo8221 11 месяцев назад
This one is bad advice. Of course, a detailed measurement by CGm requires a detailed tracking of the context. A 2-dimensional approach like measuring grams of carbs is certainly no sufficient. It is probably not even about carbs themselves, but the context, which may be even more important than the carbs. (Ii thought you were a biologist, are you?). CGM is not a CCM, it is measuring glucose, NOT carbs. It is precisely the non-carb component which those devices allow you to learn about. For example: please tell me how a HbA1C of 5.8 is possible with less than 30% carbs evenly distributed, no free sugar, tons of fiber, on a calorie restricted, low protein diet of 2000 kcal per day? see, only a CGM can answer that. Eating habits, meal composition etc etc are all documented to be important factors. So it is VERY easy to create a "random" cloud of readings
@fatherofwar1203
@fatherofwar1203 Год назад
Telling healthy people to look at their blood sugars in case it spikes is a clear example of the blind leading the blind and will only lead to loads of stress. Blood sugar spikes don't matter. This happens because (surprise surprise) you get energy from food. What you get from your food goes into your blood (specifically the plasma) and it takes a little time for it to get used or stored. What you ate, how much you ate, what you ate it with, what you drank with it and how much, what your body is doing, what you were doing recently, time of day and more all affect how much of a spike you get and this is all normal, it doesn't matter. It's not a bad idea for the average person to know what their observations are on average. This would be at most, once a week finding out what your heart rate, blood pressure and blood sugars are at rest, but (unless specified by a doctor or other professional) that should be the most you do. Obsessing over medical observations leads to stress and no observable benefits, it's best not to worry about it. If you have a problem, see your doctor.
@lucyheart8033
@lucyheart8033 11 месяцев назад
I saw my doctor 2 years ago. My A1C was 6.5. then last year it was 6.7. After using a cgm for approx 6 months. My A1C is 5.6. It has helped me tremendously to figure out what was going on in my body. Too many carbs, servings were to large, stress made me spiked etc. Now I have a handle on my health, thanks to a cgm.
@mattzilla331
@mattzilla331 Год назад
We live in clown world. Your blood sugar is SUPPOSED to go up after a meal. A "spike" in blood sugar isn't bad. What's bad is if it goes up super high and stays elevated for a long period of time. That is causes by insulin resistance. And what causes insulin resistance is FAT. Dietary fat and too much fat on the body. Look up Mastering Diabetes or McDougall to learn how to fix insulin resistance. It's not the carbs! It's the fat that causes the problem.
@rinohunter6190
@rinohunter6190 8 месяцев назад
So blood sugar is spiked by fat now? Are you a comedian? 🤡
@mattzilla331
@mattzilla331 8 месяцев назад
@@rinohunter6190 ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-DWiiEIh2e_8.htmlsi=yS5ScHYps_9K4R5s
@mattzilla331
@mattzilla331 8 месяцев назад
@@rinohunter6190 ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-5KWAgKR9JBE.htmlsi=UKpLGhdB136o32yH
@seth101-hv4st
@seth101-hv4st 8 месяцев назад
I would suggest that you get a CGM or at least a regular glucose meter and test yourself. You will find that fat does very little to spike glucose while carbs absolutely spike glucose. But please don’t take my word for it. Test it out yourself.
@seantv1510
@seantv1510 5 месяцев назад
You want diabetics and people with high glucose levels to do the McDougall shuffle? Yeah let's just all eat starchy potatoes for breakfast lunch and dinner and definitely don't add any salt or butter to it bc fat is the enemy 🙄
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