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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

#391

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

I'm using an Abbott Freestyle 2, but any of the available big brands that have an app would work.

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

#392

I recently had an unusual health event that resulted in me passing out. My wife, who is a physician, thought it might be hypoglycemia, since i'm at high risk for diabetes. She found a super friendly endocrinologist who put me on a CGM for two weeks. I never hit the hypoglycemia range during those two weeks, so it didn't really explain what my issue... but honestly the data was SUPER interesting. Just observing the va…

I am prediabetic and I have one. It's partly covered by insurance. By the metrics my estimated average glucose has gone down from 129 to 98 or so (normal). I haven't had my HbA1c in awhile. I think they are amazing. It's been SO HELPFUL. However I don't think it makes sense for normal people. I am on a reddit group for prediabetes and it's not unusual that people who are underweight (anorexic?) and have completely no…

> I was shocked at how much I spiked from oatmeal.

Was it oatmeal, or what you ate oatmeal with (milk, sweetener, etc), or do you know?

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

#393
Some of us can't be trusted with continuous stat reporting. I hit Update on HN often enough. I don't even wear a watch, I kept looking at it every twenty seconds and then realized I still didn't know what time it was, it was just a reflex.

I learned to leave my phone someplace else, upstairs, wherever, just check it a couple times a day. Else I'd go crazy.

I took the speedometer off my bike, I was looking at it more than the road.

So I understand my limits and take steps to keep my self from compulsive behaviors. I guess(?) other people do better and can handle these things.

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

#395
post #363

Earlier quoted context omitted.

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.

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

#396

I recently had an unusual health event that resulted in me passing out. My wife, who is a physician, thought it might be hypoglycemia, since i'm at high risk for diabetes. She found a super friendly endocrinologist who put me on a CGM for two weeks. I never hit the hypoglycemia range during those two weeks, so it didn't really explain what my issue... but honestly the data was SUPER interesting. Just observing the va…

I am prediabetic and I have one. It's partly covered by insurance. By the metrics my estimated average glucose has gone down from 129 to 98 or so (normal). I haven't had my HbA1c in awhile. I think they are amazing. It's been SO HELPFUL. However I don't think it makes sense for normal people. I am on a reddit group for prediabetes and it's not unusual that people who are underweight (anorexic?) and have completely no…

>However I don't think it makes sense for normal people.

I agree , but if it's anything like gluten free foods, having more people buying that don't need to, might push prices down for you.

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

#397
post #309

Earlier quoted context omitted.

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?

Your comments aren't the responses to my comments. Let's take an example, my comment is neither proposing a model for T2D nor saying CGM is part of any model.

You said Okinawa people eat a ton of pork, please compare with something.

You said they don't have birth record accuracy which is not totally true. In many asian culture, they use Zodiac and similar methods to keep track of age, the exact date may be off, but the year cannot be off because if it's off, that's 12 year difference. I cannot be a dragon and claim myself to be 84 when I am only 72 because all of my friends around know how old I am around.

When 1 or 2 persons say it, it may be mythical. But when most of population say it, there must be some truth. And it's also up to you how you believe it.

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

#398

Earlier quoted context omitted.

> Where is the harm in getting data on how your own body deals with glucose? We have a relatively good indicator of long-term glucose levels: HbA1c blood testing. It's included in a lot of physicals now because it's relatively cheap. It's not 100% sensitive to every possible condition, but it's quite good as a screening mechanism for the general population. CGMs will often give an "estimated HbA1c" value based on sta…

At the age of 45 I had never had an HbA1c test. I found out I had T2 diabetes from getting a CGM as part of a health study I applied for, and seeing my blood glucose was at 22mmol (it should be under 10). I ordered a finger prick test kit from Amazon assuming the GCM was faulty but it wasn’t. After this I went to the doctors who confirmed with an HbA1c and put me on Metformin. It certainly should be part of routine c…

HbA1C has been checked by all of my primary care providers across several locations in the US.

I also had an insurance provider who gave us a cash bonus if we had it tested (they paid) every year for a while.

It’s surprising that some doctors aren’t checking it still.

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

#399

Earlier quoted context omitted.

The longevity people think that blood glucose levels are an important predictor for rate of (biological) aging. See e.g. https://www.lifespan.io/topic/blood-glucose-is-a-biomarker-o...

Well, they're not just people. They are longevity scientists.

longevity scientists are just people

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

#400

Earlier quoted context omitted.

The other insane thing is studies have shown that type 2 diabetes can be reversed by fasting. Fasting is problematic to the medical industry because it is zero cost. "Some studies found that patients were able to reverse their need for insulin therapy during therapeutic intermittent fasting protocols with supervision by their physician." https://clindiabetesendo.biomedcentral.com/articles/10.1186/...

>Fasting is problematic to the medical industry because it is zero cost. Is this just an American thing? Every GP I've ever seen has asked me about my diet and exercise despite me being in the healthy BMI range.

It's a pessimism thing.

I've had doctors (in America) tell me to not worry about medical issues and others recommend a battery of tests to look for correlated but uncommon issues. My current GP recommends basic, palatable approaches to diet and exercise that have nothing to do with giving them money (and, presumably, reduce my medical costs with them down the road.)

I've also had doctors suggest that I get an issue reclassified so they could do surgery. That could be viewed as them wanting money, but I view it as them seeing a problem that can be fixed by surgery because, as a surgeon, that's how they approach problems.

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