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FDA clears first over-the-counter continuous glucose monitor

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Re: FDA clears first over-the-counter continuous glucose monitor

#381

Post by psychlops »

metabagel wrote: post #242
psychlops wrote: post #128

Earlier quoted context omitted.

It's also rare for a doctor to tell a person they are too fat and to lose weight. The assumption (and most cost effective solution) is that patients just want a prescription for something and be sent on their way. US healthcare is crisis focused, not health focused.

> It's also rare for a doctor to tell a person they are too fat and to lose weight. I don't think this is true. Doctors do tell patients if they are overweight, and they do encourage them to make lifestyle changes including losing weight.

Okay, that's fair, I didn't provide data so you responded in kind. So I went to find a study:

"Fewer than one of five overweight patients and slightly over half of obese patients reported being told they were overweight by their provider."

So "rare" is the wrong word.

https://www.commonwealthfund.org/publications/journal-articl...

Re: FDA clears first over-the-counter continuous glucose monitor

#382

Post by coldpie »

ng12 wrote: post #285
coldpie wrote: post #3

I'm T1D (insulin-dependent). I used a Dexcom for a couple years a while ago, back around the G3 through G5 era or so. I ended up stopping using it because my diabetes is very well managed, and I found it didn't make a huge difference to my management. With my insurance, each new sensor every week cost about $50, and would fail in various annoying ways: sometimes it would just stop working in the middle of the week, o…

You went back to finger sticks? I am floored. Do you follow a strict low carb diet? How often are you exercising?

Definitely not low carb, no. I have a bowl of oatmeal for breakfast 4-6 times a week :) My diet is pretty consistent though. I know how that oatmeal will respond to insulin 90% of the time, and the remaining 10% random quirks I can just deal with by feel & a finger prick to confirm. The thing I'm most strict about is I only allow myself to have about one "bad diabetes meal" per week. So that's like any restaurant food, or doughnuts, or pizza, or whatever. I mostly only eat home made meals, my wife & I both love to cook. But those aren't low carb, just whatever we feel like cooking that week.

I walk about a mile a day, to the bus & back for work and a bit for leisure and to get up from my desk. Otherwise I don't exercise.

Re: FDA clears first over-the-counter continuous glucose monitor

#384

Post by bookofjoe »

lynx23 wrote: post #341
necovek wrote: post #339

Earlier quoted context omitted.

And reading further, there is evidence of people getting worked up about what are not problematic readings in this very thread.

Watching a heartrate monitor sometimes has the reserve-progress-bar effect. You know the deal. You realize the pump is on a hightened frequency, so you see what your smart watch says. And the more you watch it, the more anxious you get, so the rate stays more or less high.

aka "white coat hypertension": https://www.mayoclinic.org/diseases-conditions/high-blood-pr....

Re: FDA clears first over-the-counter continuous glucose monitor

#385

Post by ravenstine »

sdo72 wrote: post #309
ravenstine wrote: post #276

Earlier quoted context omitted.

Glycemic index is only sort of useful for people who actually have diabetes, where blood sugar dysregulation makes insulin regulation equally as precarious. For anyone who doesn't have diabetes, GI doesn't really mean anything other than that their insulin may or may not spike in a short period of time related to a food. Glucose spiking, hence insulin spiking, is not something you want, but this also doesn't mean tha…

Every response you have don't relate to my comment! and I believe you have incorrect info in your responses as well.

Surely you have a good example of what I am incorrect about instead of merely saying I am wrong?

Re: FDA clears first over-the-counter continuous glucose monitor

#386

Post by RHSeeger »

TylerE wrote: post #363
necovek wrote: post #330

Earlier quoted context omitted.

I personally wouldn't mind having the data if a need comes up, but this is simply overtracking for no particular purpose. Basically, our bodies go through much "turmoil" over the course of any day, and watching over one too many parameters is like getting hooked to TV or a video game. Generally, medical science can mostly tell you what averages or most common patterns are, so if you do not line up with them and don't…

More importantly for life style monitoring A1C is the more important number anyway, and doesn’t require wearing anything, just a simple blood test. It’s basically a 3 month moving average.

At least for a diabetic, A1C is less looked at nowadays. With CGMs, we can lookt to see our time-in-range, highs, lows, and patterns. It's... amazing.

Plus, you can see just how much different types of foods directly impact your blood sugar. For example, white rice and pizza are crazy for raising glucose levels. I knew about pizza, but I had no idea that white rice what quite _that_ bad.

Re: FDA clears first over-the-counter continuous glucose monitor

#387

Post by amenghra »

Fricken wrote: post #293
amenghra wrote: post #172

Earlier quoted context omitted.

We live 2x-3x longer than we used to. We should take the best possible care of our bodies.

Only as a statistical average. Hunter gatherers who survived past age 5 had a good chance of living into their 60s and 70s.

There would be skeletal evidence of that. The oldest remains of early humans points to 35-40 year olds with high child mortality rates per https://www.hurriyetdailynews.com/people-lived-up-to-40-year...

Re: FDA clears first over-the-counter continuous glucose monitor

#388

Post by ravenstine »

462436347 wrote: post #279
ravenstine wrote: post #276

Earlier quoted context omitted.

Glycemic index is only sort of useful for people who actually have diabetes, where blood sugar dysregulation makes insulin regulation equally as precarious. For anyone who doesn't have diabetes, GI doesn't really mean anything other than that their insulin may or may not spike in a short period of time related to a food. Glucose spiking, hence insulin spiking, is not something you want, but this also doesn't mean tha…

> Elevated glucose is exactly what causes type 2 diabetes. Take away the glucose supply, and you don't have elevated insulin. Fear of glucose that is too high too often is entirely justified and is not something that should be going on if people can avoid it. Sugar molecules are damaging to cells and are related to other things like cardiovascular calcification. No, it doesn't: https://www.ncbi.nlm.nih.gov/pmc/articl…

Reread that article. It has literally nothing to do with cause and effect. The study finds an association between intramyocellular lipids and insulin resistance, and has absolutely nothing to say about whether diabetes is caused solely by glucose dysregulation or something else.

Re: FDA clears first over-the-counter continuous glucose monitor

#389

Post by mlrtime »

technological wrote: post #370
aledalgrande wrote: post #345

Earlier quoted context omitted.

I actually just got one of these CGMs after listening to Peter Attia's (audio)book Outlive and started monitoring my glucose and experimenting with meals and exercise to see what effects they have. Apart from the weirdness of having something attached to your skin, it's like having another watch and you won't notice after a while. It's pretty cool and a lot more people than just diabetics would benefit from this know…

can you post link to the device which you brought

Probably a Dexcom G6/G7?

Re: FDA clears first over-the-counter continuous glucose monitor

#390

Post by eep_social »

briandw wrote: post #250

I did this for fun using the veri.co service. It was interesting how little my diet immediately affected my blood sugar. Non diet things were much bigger. Do hard exercise -> spike. Take a hot shower -> spike. Fast for 48 hours -> blood sugar still rises in the morning. Walking was by far the most effective way to keep blood sugar down after a meal. Most of what I ate didn't cause a problem. However tend avoid sugar…

> hot shower -> spike

Assuming this was a Libre, this is likely reader inaccuracy that does not reflect an actual blood glucose event.

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