I have been analyzing data from the Continuous Glucose Monitor (CGM) experience I’ve been having (see these posts for more: Why I decided to wear a continuous glucose monitor as a non-diabetic physician , and Part 2: Wearing a Continuous Glucose Monitor as a non-diabetic Physician: The Experience) and I had run into a problem – I couldn’t find any data on what’s physiologically “normal”.
Since that time, I’ve consulted with two endocrinologists (thank you!) who have generally confirmed this problem, and also that what I’m seeing for myself is expected physiology, so I’ll begin sharing some of my findings, including the experience pictured above.
Glucose/Fat/Industrial Oil Challenge for a Fat Adapted Individual
As is pictured above, I had several bites of the dessert above, about 30 minutes after my standard diet, low carbohydrate/healthy fat, with the results pictured in the lower right corner. Essentially not much of a glucose rise at all. This was expected and also not-expected because I’ve been told that a person who’s fat adapted and has a lower basal insulin secretion could have a disproportional rise to a glucose challenge. On the other hand, there was probably enough fat in the meal above to impact things.
Finally a study of what CGM shows in a group of normal individuals
This is what gives me the confidence to share what I am beginning to share. Incredible that only until 2018 have we been able to really explain how the human body manages glucose throughout the day.
Yes! Finally. And to believe we haven't known until 2018 what is human (parallels so many challenges of our profession âœŒï¸ðŸ³ï¸â€ðŸŒˆ) https://t.co/9YQLoEVqDL
Disclaimer and this is not a promotion of CGM-for-all
I’ve been asked directly or indirectly recently if I am advocating CGM-for-all. I am not, and definitely not with the current profile of devices available. This could change dramatically if CGM is more universally available (see blog posts above).
Reminder of my statement of independence and no conflict-of-interest:
If this is not a promotion of CGM-for-all, what is it?
- Promotion of CGM for people charged with serving other humans to understand their own physiology so that they can be better servant leaders
- Promotion of understanding of the role of non-pharmacologic, nutritional approaches to preventing, reversing, and potentially pre-empting diabetes. I don’t think there’s any argument that eliminating this condition with real food rather than pharmaceuticals is ideal. If there is, I’d love to hear it 🙂 .
- Promotion of CGM to reduce and eliminate bias in the health care system – a fascinating other use that I did not discover until I started sharing my experience. I’ll post separately on that.
Any questions/comments, feel free to leave them in the comments, as usual.