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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

#421

Post by ecoquant »

whatshisface wrote: post #407
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…

Getting hooked on smooth blood sugar changes sounds like a possible counterweight to what our brains are designed to get hooked on... Oreos.

You also can't underestimate the possible behavior changes of seeing a massive blood sugar spike from oreos, causing less oreos to be consumed.

To believe measuring something doesn't change behavior is just wrong. We know this.

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

#422

Post by oldgradstudent »

mangoman wrote: post #166

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…

> My wife, who is a physician, thought it might be hypoglycemia, since i'm at high risk for diabetes.

Isn't hypoglycemia a side effect of insulin and other glucose lowing agent rather than of the diabetes itself?

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

#423

Post by specialist »

pwthornton wrote: post #409
michaelcampbell wrote: post #392

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…

Yes and:

Coconut oil, coconut cream, ginger (w/ dash of pepper), cinnamon, hemp seeds. Something different every day, to avoid boredom.

Sometimes I go savory, swapping meat for fruit.

Which peanut powder do you use?

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

#424

Post by specialist »

cleandreams wrote: post #419
pwthornton wrote: post #409

Earlier quoted context omitted.

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…

I LOVE heavy cream. But it's gotten so expensive and perishes faster than I like.

FWIW, I've mostly switched to coconut cream. My local restaurant supply has a few different brands. So I mix it up. I go thru a box of 12 cans every 2 months are so.

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

#425

Post by Xymist »

al_borland wrote: post #254
jseliger wrote: post #148

Earlier quoted context omitted.

Before I got cancer, I had one through Levels, and it was informative. Dessert is much worse than I'd thought. Rice, too, including brown rice. I remember eating some biryani and a small bit of naan at an Indian restaurant and thinking that I'd been pretty healthy, only to see a spike of like 80.

I saw an interview a while back between Tim Ferriss and someone who had tried CGM for fun/research. One thing he noticed was the huge impact a short walk after a meal brought down his blood sugar levels. Tim then mentioned he experienced the same thing and that there is a saying in China, something to the effect of, "take 100 steps after a meal, live 99 years." This also linked up with something I had looked up a few…

My grandmother had (among _many_ others) an aphorism along those lines: "after dinner rest a while, after supper walk a mile". I have no idea where it came from, and was/am unwilling to leave the house and walk a mile in the cold when I'd just eaten and wanted a nap, but perhaps this is A Thing in a few places.

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

#426

Post by user_7832 »

mlsu wrote: post #249
user_7832 wrote: post #213

Earlier quoted context omitted.

Thanks! Hearing (I'm assuming) a fellow T1 using and working on a TSlim is quite a good recommendation haha. It's good to hear that calibration isn't really required. My "concern" (or rather, apprehension) with the TSlim/G6 setup (which fortunately should be fully covered by Dutch insurance) is that I'm aware I can do a DIY loop using the omnipod dash and with a libre/g6 (using a 3rd party app like diabox & nightscou…

I actually have tried the DIY loop with the older insecure Medtronic pumps that could be controlled over radio. It was openAPS. I'm not sure if there are others or how they work. It ended up being fairly inconvenient. My setup was a pi zero with a radio bonnet running on my desk; it would connect to the internet to pull CGM data, and deliver boluses accordingly. I think the main issue was that I wasn't babysitting it…

Thanks, those are good points. I think with an omnipod5/libre/androidAPS setup it doesn't need more than a single android phone (as the omnipod is controlled through the phone) but what you mentioned about risks is definitely true. I remember someone talking about bluetooth vulnerabilities on the flipper zero thread possibly affecting/hacking pumps.

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

#427

Post by graeme »

user_7832 wrote: post #219
graeme wrote: post #197

Earlier quoted context omitted.

That's still the response though. You can simply say "Well, we expect an error rate of X with this new test, so in the absence of other risks factors we predict the actual odds of the condition are Y". Then you can decide whether a test makes sense or doesn't make sense, given the tradeoffs of radiation and cost vs. the risks of harm. In the real world, information absolutely can lead to harm, but it's still all in t…

I get your point, however I think there are a few confounding things. For a lot of people, if you get a positive result from a test that a doctor brushes off that's not going to go well. I'm very much in favor of more testing personally, there are almost certainly folks who're on SSRIs who'd benefit more from Vit D/Mg supplementation for example. Another thing I seem to remember in his video was that a tumor is not n…

Those are all true, but:

>For a lot of people, if you get a positive result from a test that a doctor brushes off that's not going to go well.

This is precisely because of the rarity of testing. Suppose the cost of testing dropped 1000x and we could get tests for things each day or each month. We'd start to have systems that put these things on context.

When you have a single isolated result there really isn't that much to go on.

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

#428

Post by graeme »

yurishimo wrote: post #376
graeme wrote: post #194

Earlier quoted context omitted.

to be clear this isn't reversing T2 diabetes. Rather, it allows you to manage it. But the physical damage causing T2 diabetes generally remains

The American diabetes association admitted last year that T2 can be "reversed" with the caveat that you mentioned about existing damage. However, to actually damage things to a level where they are noticeable takes years and years. If you catch it early, T2 is entirely "reversible".

Ah, very neat, thank you!

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

#429

Post by michaelcampbell »

specialist wrote: post #424
cleandreams wrote: post #419

Earlier quoted context omitted.

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…

I LOVE heavy cream. But it's gotten so expensive and perishes faster than I like. FWIW, I've mostly switched to coconut cream. My local restaurant supply has a few different brands. So I mix it up. I go thru a box of 12 cans every 2 months are so.

Interesting; where do you buy it? Here in the US the standard grocery store has "heavy whipping cream" which I use. A quart lasts me a week or more; it's only used for coffee for me, and the occasional recipe my wife will make.

But I'm surprised at its longevity.

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

#430

Post by michaelcampbell »

pwthornton wrote: post #409
michaelcampbell wrote: post #392

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…

Thanks, I'm IF'ing and watching carbs so I don't eat breakfast, and have been avoiding oats when I DO eat "breakfast for lunch".

I boil it in water, but usually eat it with milk. I might try heavy cream though since I have that, and the chia is a good idea.

I have also made an oat "patty" by mixing oats with 1-2 eggs, salt/pepper to taste, shredded cheese if you're into that (I am), and microwaving.

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