Continuous glucose monitors reveal variable glucose responses to the same meals
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Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#2Fascinating. I've always felt that this was true with my own body, yet every medical professional I've spoken to said that I was wrong.
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#3"Additionally, the summarized study did not record the timing of snack and water consumption. This is relevant because the sequence and timing of subsequent meals (or snacks), as well as the food processing and variability, can influence postmeal glucose responses." - probably a factor, hydration status is huge. This result is kind of like 'duh' though.
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#480% of the variation due to individual differences OR measurement error.
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#5Odd, I would have expected this to be somewhat the case? Specifically, I would expect your activity leading into the meals, along with your expectations of what you will be doing after, would have some impact? Probably more impact from how hungry you were going into a meal. If you were already sated, for example, I'd expect your body to largely try and push the meal through as fast as it can.
Neat to see what other people's priors are, on this.
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#6Yep.
My wife is T1D and this is infuriating for her.
She’ll think that she’s cracked it, and then the next day, with the same meal at the same time, her sugar levels go high.
Her words: there is nothing else where you have studied for over 30 years and STILL feel like you know nothing.
It is incredibly demoralising for her sometimes - especially when she’s suffering also from a high/low sugar level. I have the upmost respect for anyone having to do the amount of work, to get to zero (sometimes).
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#7Odd, I would have expected this to be somewhat the case? Specifically, I would expect your activity leading into the meals, along with your expectations of what you will be doing after, would have some impact? Probably more impact from how hungry you were going into a meal. If you were already sated, for example, I'd expect your body to largely try and push the meal through as fast as it can. Neat to see what other p…
Non expert here ... My understanding was sleep, stress and many other variables all impact these things significantly (before we even consider food). Having a different context when you then add the same food thus should not result in the same outcome.
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#8Some assumptions are so obvious no one bothers to state them, or even remember them.
Assumption: Medical professionals are trained to use Evidence Based Medicine (EBM).
One might assume that EBM means something specific, and I'm sure it does, but that specific thing is different for different people.
One thing that EBM sometimes means is: common sense is no substitute for evidence. There are uncountable times that common sense has been wrong in the medical context.
So, you have a lot of people commenting here that this is obvious common sense, but many medical professionals will pull out a reference chart of caloric content and glycemic index and say "look at the evidence".
So, it is very useful to do studies that bring evidence to common sense.
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My other pet peeve with EBM is that it does a poor job of understanding that different interventions work for different people - it is time consuming and expensive to do that kind of investigation, thus some/many medical professionals do not understand or believe it.
This comment is intended as a critique, not a dismissal.
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#9Some assumptions are so obvious no one bothers to state them, or even remember them. Assumption: Medical professionals are trained to use Evidence Based Medicine (EBM). One might assume that EBM means something specific, and I'm sure it does, but that specific thing is different for different people. One thing that EBM sometimes means is: common sense is no substitute for evidence. There are uncountable times that co…
It is wonderful that we have things like CGM's and patients can establish their own baselines and their own evidence profiles on a high(ish) frequency basis.
Such tools also enable studies that can be done at a scale and cost level that is reasonable and can push forward the communal knowledge base.
Re: Continuous glucose monitors reveal variable glucose responses to the same meals
#10Some assumptions are so obvious no one bothers to state them, or even remember them. Assumption: Medical professionals are trained to use Evidence Based Medicine (EBM). One might assume that EBM means something specific, and I'm sure it does, but that specific thing is different for different people. One thing that EBM sometimes means is: common sense is no substitute for evidence. There are uncountable times that co…
It is wonderful that we have things like CGM's and patients can establish their own baselines and their own evidence profiles on a high(ish) frequency basis. Such tools also enable studies that can be done at a scale and cost level that is reasonable and can push forward the communal knowledge base.
Yup, and this was the original dream of Theranos - lots of measurements, lots of data. It's a nice dream, shame about the lies though.