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FDA authorizes first wearable device that monitors ketone and blood sugar levels

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Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#112

Earlier quoted context omitted.

They are specifically relevant to trying to enter a fasted state. The presence or absence of ketones in your blood can tell you whether or not (say) that coffee you just drank took you out of the fasted state (that you were in for not eating overnight). Whether or not you are in a fasted state matters not just for weight loss, but also for things like longevity (when you are in a fasted state your body cleans up dead…

whether or not (say) that coffee you just drank took you out of the fasted state A cup of coffee has zero carbohydrates, trace lipids, and about half a gram of protein. That's not going to pull anyone out of a fasting state. Now, if you're talking about a cup of flavoured milk, that's a different question...

Adding any amount of milk to a coffee adds carbs. And a large number of people add _some_ amount of milk.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#114
post #75

Earlier quoted context omitted.

I’m willing to bet we can see longevity improvements from better blood sugar control. Not 100% certain but extremely likely, this would include potential heart attack and dementia reduction…

This has been tested actually. A clinical trial looking at tight blood sugar regulation was aborted after it resulted in multiple cardiac events.

That's not a fair representation of what happened. That study was going for _aggressive_ control - beyond what any normal person would do. They were combining multiple drugs to force blood sugar down rapidly, including right after meals (when it _should_ be going up).

Paying more attention to your blood sugar and acting reasonably to keep it in check isn't giving anyone heart attacks.

From the AI

> The concern was not that lower glucose is inherently bad. Rather, pushing blood sugar down rapidly and very tightly—especially with insulin and multiple glucose-lowering drugs—caused more episodes of hypoglycemia, weight gain, and treatment complexity. Severe low blood sugar can trigger abnormal heart rhythms and other cardiovascular stress. The intensive-treatment arm was stopped early after about 3.5 years because it had a higher death rate, although the exact mechanism was not definitively established.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#115
post #75

Earlier quoted context omitted.

I’m willing to bet we can see longevity improvements from better blood sugar control. Not 100% certain but extremely likely, this would include potential heart attack and dementia reduction…

This has been tested actually. A clinical trial looking at tight blood sugar regulation was aborted after it resulted in multiple cardiac events.

Interesting! Found this overview: https://emcrit.org/pulmcrit/tight-glycemic-control/

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#116
post #101
post #88

Ketones are only going to be present if you are exceptionally bad (very high carb diet) or exceptionally good (very low carb diet) at managing your blood sugar. It's not going to be terribly useful for your average diabetic who has fairly good control over their blood sugars.

> your average diabetic who has fairly good control over their blood sugars I think it's huge for diabetics. It's a mental toll for them. They hate having to constantly prick themselves to take readings. It's awkward, inconvenient and you have to do it multiple times to be sure you got a good reading. And worse of all, it's possible to forget to take a reading when you need to.

I don't understand. All of the diabetics I know personally (one type 1 and two type 2 diabetics) use continuous glucose monitors and have for some time, so they rarely need to prick their fingers anymore. Ketone levels can be checked with a urine test.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#117

Automated glucose control will be the next frontier in so many areas of healthcare. I'm still skeptical that anyone will be able to noninvasively and accurately sense blood sugar, but I'm glad people (especially kids with T1) will have one more tool to help them. I hope they can figure out the reimbursement side to get it into the most hands possible!

Automated glucose control is already available via wearable insulin pumps combined with CGMs in a 'closed loop' system.

[deleted]

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#118

Finally. I really dont want to buy yet another watch device unless it provides blood sugar detection.

There are and have been continuous glucose monitors available for some time, and you can even get one if you don't have diabetes - I'm wearing the Lingo one right now.

All this device adds is a simultaneous ketone check, which is really only relevant to diabetics and not as much of a benefit because ketone levels are often checked with a urine test.

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#119
post #87

Earlier quoted context omitted.

Blood glucose levels affect lots of health functions. Diabetes represents an extreme end of the spectrum where the body's ability to regulate these fluctuations fails, but just because your body can get your levels in control eventually doesn't mean you won't suffer from the negative effects of it needing to do so. Maintaining consistent glucose levels improves mental health, weight management, sleep quality, muscle…

sample of 1, but yeah changing my diet (very low sugar, more veggies) did alter my health visibly and rapidly. to the point that if I eat something too sweet too fast i have a very mild headache soon after, my system readjusted to not seek levels i grew up with

fwiw...

if sugar gives you a headache, this may be related to a gastrointestinal issue (e.g. gluten sensitivity, dietary histamine sensitivity, small intestinal bacterial overgrowth possibly causing its own sensitivities...) The specifics of the cause in your case are between you and your doctor, but i'd like more people to know, especially since these sorts of problems disproportionately affect people with autism and ADHD, long a core Hacker News demographic, and most of us have trouble paying attention to everything our body is feeling in exquisite detail.

other signs of digestive problems in this area may include:

- a pattern of early-afternoon fatigue and brain fog (this is mediated by histamine, which in turn can be caused by a food allergy, a non-allergy food sensitivity, bacteria in the stomach that don't belong there, or the like)

- feeling generally flushed and hot after eating food (more histamine!)

- waking up in the middle of the night, ~4am, especially if you're feeling too hot (also a sign of excess histamine)

- often having an upset stomach, and lots of stomach acid

- increased sensitivity to heat or exercise (mast cell degranulation because your body is already on edge)

- generalized hard-to-place fatigue, brain fog, depression (the whole histamine-response pathway is shot through with various neurotransmitters)

- serious nasal congestion contributing to sleep apnea, and extreme fatigue

now, this is going to be different from person to person, but your doctor's not going to know anything's wrong if you don't tell them!

(and if something like this is the case, it's also the sort of condition that might sometimes has an instant miracle cure, because if you stop releasing the feel-bad neurotransmitters every time you eat, then you suddenly stop feeling terrible!! go figure.)

Re: FDA authorizes first wearable device that monitors ketone and blood sugar levels

#120
post #113

A friend died of diabetic ketoacidosis. He loved technology and seeing people succeed. Thinking of him with this news. Miss you Dan. Grateful we're moving forward on so many fronts in the world.

Thank you for sharing his memory with us.
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