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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

#411

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 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…

You got me real curious about why this is.

I know there are waxy and starchy potatoes that have higher rations of amylopectin vs amylose starch respectively.

One interesting thing is that if you continuously mix an amylopectin potato, it turns into a gooey, ropey substance that we don't use much in western cooking but is how some Chinese mashed potatoes are supposed to be prepared. I wonder if that transformation affects the resistance of the starch.

I also wonder what exactly is making the cooled potato tougher to digest.

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

#412

Earlier quoted context omitted.

No, diabetes is fundamentally a lack of ability to control your blood sugar. This means you get lots of highs but also lots of lows. It's a common misconception that diabetes just means your blood sugar is always high; rather, your sugar is high because your body no longer controls it actively.

You don't get lows from diabetes

Are you being pedantic on purpose?

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

#413
post #360

Earlier quoted context omitted.

Wondered this too. Diabetics are at risk for hypoglycemia because of the insulin they take, not the diabetes itself. Maybe metformin for a prediabetic could have this effect?

Nah, even as a full blown diabetic metformin doesn’t drive you low. It basically just makes the same amount of (naturally produced) insulin do more, essentially.

even as a full blown type 2 diabetic*

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

#414

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…

Were you able to find out what may have caused you to pass out ? I had a similar incident with no root cause. But that did set me on the path to become more healthy.

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

#415
post #104

Earlier quoted context omitted.

My understanding is that for healthy individuals, spiking blood glucose levels is not a problem. Did you get in to any of the research on that? Glucose is a problem for diabetics because they can’t regulate it, but healthy people can. At least this is loosely what I have heard, somewhat third hand. Any information is appreciated.

Not a doctor, but from what I have seen, there is a healthy amount of spiking from eating normal foods, but our modern diets are so sugar and carb heavy that the glucose spikes are way outside the range that our bodies evolved to handle. Hunter gatherers would maybe eat some berries here (much smaller and less sweet than modern berries) and there. The modern human eating pizza, tons of bread, ice cream, soda, etc. cr…

Wrong:

https://www.sciencedirect.com/science/article/abs/pii/S00472...

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

#416

Earlier quoted context omitted.

> 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?

The people at Levels, who do continuous glucose monitoring, say that oatmeal is one of the worst offenders. You really need to spike your oatmeal with fats, protein, and fiber. I regularly eat steel-cut oats for breakfast. My go-to is steel-cut oats, two tablespoons of Chia seeds mixed in (tons of fat and fiber), and a serving of mixed nuts and berries on top. On the side, I eat four scoops of powdered peanut butter…

> I suspect if you made your oatmeal with milk instead of water, it would help a lot, but I can't do this from being lactose intolerant.

I dunno about that: milk contains a lot of sugar. Water doesn't. You could add 3 tbsp of cream for an extra 150 calories (no protein, no sugar) vs 1 cup of milk at 150 cals, 8g protein, 12g carbs.

I add almond flour to oatmeal and protein shakes for an extra 100 cals of fat.

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

#417

Earlier quoted context omitted.

wow... I am sorry. in my country the condition is reversed. it cheaper than prescription version, so I ask it. good luck bro.

Which county is that please? If you don’t mind sharing.

Taiwan, and Japan have same condition.

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

#418

Earlier quoted context omitted.

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.

I've had it checked as part of a yearly blood test in the past, but at my last doctor visit a week ago, they did an instant A1c test. Came back in just a couple minutes. Love to see these type of advances in care rolling out.

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

#419

Earlier quoted context omitted.

> 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?

The people at Levels, who do continuous glucose monitoring, say that oatmeal is one of the worst offenders. You really need to spike your oatmeal with fats, protein, and fiber. I regularly eat steel-cut oats for breakfast. My go-to is steel-cut oats, two tablespoons of Chia seeds mixed in (tons of fat and fiber), and a serving of mixed nuts and berries on top. On the side, I eat four scoops of powdered peanut butter…

I've been wanting to try steel cut oats again but with chia. Chia seeds seem to help everything. Great stuff. Oats is one of the things I miss.

As for milk... I have issues with milk! I found out my morning latte by itself was raising my overall blood glucose. Milk seems to have a lot of sugar. Now (I feel guilty about this) I use heavy cream to which I get no spike at all.

You really need a CGM to figure this stuff out.

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

#420

Earlier quoted context omitted.

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…

Where are you based? I have it tested annually, but only after moving to USA (from Poland). I don't remember if I had such a test done earlier - I think I might have had it done as a part of screening for whether I'd be allowed to go scuba-diving or something else sports-related.

Sorry I should have mentioned that in the post. I’m in the UK, so National Health Service.
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