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How to Use & Interpret a Continuous Glucose Monitor (CGM) | Dr. Casey Means & Dr. Andrew Huberman

Jenna by Jenna
April 6, 2025
in Diabetes
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Introduction to Continuous Glucose Monitors (CGMs)

Continuous Glucose Monitors, commonly referred to as CGMs, are advanced medical technology that allows individuals to seamlessly track their glucose levels in real-time. Dr. Casey Means and Dr. Andrew Huberman delve into the myriad benefits of CGMs, emphasizing their role beyond just tracking glucose, but rather as a tool for better understanding of one’s dietary and lifestyle impacts on glucose levels.

The Purpose of Using a CGM

Dr. Means mentions that the primary goal of using a CGM is curiosity. This entails learning how dietary and lifestyle choices affect glucose readings rather than attempting to “game the system” for perfectly flat glucose readings. Such insight equips users to make informed decisions in a confusing world of dietary trends and health advice.

Longevity and Blood Sugar Management

Regulating blood sugar within a healthy range throughout one’s lifetime significantly contributes to longevity and prevention of diseases such as diabetes. Unlike traditional yearly glucose checks, a CGM provides continuous data, empowering individuals with knowledge about their metabolic health.

Early Indicators of Metabolic Challenges

An intriguing aspect of CGMs is how they can predict metabolic dysfunctions through the time it takes for glucose levels to return to normal after meals. In healthy individuals, glucose spikes quickly subside. However, a delayed return can indicate insulin resistance, serving as an early warning sign even before clinical symptoms appear.

Understanding Glycemic Variability

Glycemic variability refers to the spikiness or stability of glucose levels throughout the day. Studies, such as one from Stanford, reveal that high glycemic variability correlates with poor metabolic biomarkers, even in non-diabetic individuals, highlighting underlying dysfunctions invisible to standard tests.

The Dawn Phenomenon

The Dawn Phenomenon is the early morning rise in glucose levels, triggered by the cortisol awakening response. Elevated dawn effects can indicate insulin resistance, providing another layer of insight into one’s metabolic health. Monitoring the dawn phenomenon helps assess stress levels and overall insulin sensitivity.

Personalized Nutritional Insights

Understanding how specific foods affect individuals differently is a significant advantage of CGMs. What may seem like a healthy choice might spike glucose levels substantially for one person, but not another, underscoring the importance of personalized nutrition schemes based on CGM data.

Challenging Standard Dietary Assumptions

Many foods deemed healthy by common standards can cause unexpected glucose spikes. CGMs can debunk myths around foods like oatmeal or juices, demonstrating their impact on glucose levels, allowing users to adjust their diets responsively.

Lifestyle Interventions for Optimal Glucose Control

Incorporating lifestyle strategies such as regular exercise, adequate sleep, and stress management can significantly stabilize glucose levels. Techniques like walking after meals, resistance training, and cold plunges have been shown to positively influence glucose responses.

Empowering Personalized Health Management

By leveraging the insights derived from CGMs, individuals, especially those experiencing hormonal changes such as menopausal women, can tailor interventions to their body’s needs. CGMs foster a proactive approach to health, enabling users to take charge of their metabolic health confidently.

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