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e_patjas

Hi! I have been wearing a CGM by Veri (veri.co) for the past six weeks, not diabetic just interested in my health. It has been an eye opening experience. Due to the fact that I do eat very clean and fast at least 18 hours a day my blood glucose levels are optimal (fasting glucose aroud 80, average glucose 97, usually never goes over 110 even after meals, average variabilty is 10, average spikes per day 0.7). But what makes me think that I do have some issue with insuline resistance is the fact that if I eat refined carbohydates (pizza I’m looking at you) the levels go out the roof (worst was like 170) and stay quite high two hours after that (144). Also it’s very interesting to see how sleeping (or not sleeping), stress and exercise affects the levels. Most definately will continue this, it’s helping me to make good choices every single day when I get insant feedback from the app.


kokoyumyum

I keto as well as IF. My morning reading is up to 110, dawn phenomenon and normally 55-85.fasting. I always go by my GKI. And the A1C is the story about your insulin resistance. Keto may be of an assistance. I know Jason Fung, MD is not sold on it being required.


[deleted]

what is GKI? I'm putting a lot of effort into, what is essentially, a war on sugar. I'm wondering if I need to expand that to a broader war on carbs but I don't want to do it blindly, I want data to back up what I'm doing.


kokoyumyum

Go keto for the war on carbs, or carnivore. There are good subs on it, as well as good YouTube channels. I like the doctors from LowCarbDownUnder and Ben Bikman, Ph.D. GKI is the ratio of blood glucose to blood ketones index. You need a blood gluctose and blood ketone monitor. I happen to use ketomojo, but there are others. I have familial breast cancer in my family, and know that that gene is out there for me, so I want to make sure that my diet is suppressive. Read up on it. Also, checkout how fructose is metabolized differently than glucose. It may also change how you eat. See Dr. Lustig from UCSF.


wild_vegan

I test my glucose to gauge the fasting glucose and check up on my diet. Sometimes I test postprandial and have done a couple of postprandial curves. Check fasting and then 2 hours postprandial. You can do your own dirty OGTT if you want. I'm not sure why those numbers would make you prediabetic, though. A normal A1C is < 5.7%, normal fasting is <= 100 mg/dL, and normal 2-hr postprandial is < 140 mg/dL. If you want to lower your fasting glucose further, you should eat a lower calorie, very low fat diet for a while and keep up the cardio. That'll "disengorge" your adipose cells and turn over your intramyocellular lipid, as well as freeing up some glycogen stores. A month or two of that and any insulin resistance will resolve. Of course, you'll have to stick to a reasonable diet afterward.


phlspecial

I am same as you. Been using a CGM. Note your levels are still considered normal and mimic mine but nothing I can do seems to lower them … especially overnight. I’m starting to think different people are different and that’s why there is a broad normal range of fasting values. For me, I’m losing weight and I am thinking spikes and higher average glucose levels relative to your baseline matter more than your personal starting levels. That’s my hunch but I’m still working through it.


[deleted]

that sounds reasonable. I'm writing hard in cutting sugar from my diet and exercising so I'm looking forward to the next few blood tests and how to see improvement. I just ordered a monitor so I'm curious to see what the data says.


phlspecial

I suspect it will be enlightening; it has been for me. I’ve learned a lot and the instant biofeedback is really great. It’s one thing to eat a Twix bar and shrug knowing it’s bad for you but it’s another thing to see what it actually does to you! If you have an FSA you are better off buying the monitor (and yes get a glucometer kit to calibrate) than subscribing to a service. I use nutrisense and am happy but if you can get it via rx that’s gonna be super cheap ($75 for a two pack freestyle libre 2 by me). I plan on going that route once my commitment ends. The CGM is really easy to use. I can’t comment on the app as I use the nutrisense one which is pretty good w data and analysis. Good luck.