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Continuous Glucose Monitoring

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116 points zdw | 1 comments | | HN request time: 0.244s | source
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guiambros ◴[] No.44419406[source]
I've been using a CGM on and off for the last year, and it has given me a whole new perspective about food and nutrition.

I discovered that a bunch of things I thought were reasonably healthy actually caused huge glycemic spikes -- e.g., white bread in the morning, croissants, dried mangos, excessive amount of fruits, etc.

I also discovered the importance of what you eat for your first meal in the day (either breakfast or lunch), or how to better order what you eat (fibers, fat and protein first, carbs last), light movement after eating reduces 20+ mg/dl, and more.

At this point I don't even need to wear a CGM every day; I can tell my glucose level just by thinking of what I ate earlier.

I still wear one when I'm traveling for work, as I know I'll have less control over food and calorie intake (airplane meals, restaurants, team lunches, etc).

ps: if you're interested in learning more even without using a CGM, strongly recommend "Glucose Revolution" [1].

[1] Glucose Revolution: The Life-Changing Power of Balancing Your Blood Sugar - https://www.amazon.com/Glucose-Revolution-Life-Changing-Powe...

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alexey-salmin ◴[] No.44419818[source]
> I discovered that a bunch of things I thought were reasonably healthy actually caused huge glycemic spikes -- e.g., white bread in the morning, croissants, dried mangos, excessive amount of fruits, etc.

I wonder if this amounts to optimization of an easy-to-measure and reasonably-looking but incorrect metric, much like the previous "common sense" wave of "fat makes you fat" that led several generations into a dead end.

You assume above that glycemic spikes are unhealthy which I think was never proven for the general population. Eating too much sugar or eating too much in general is bad, but I'm not aware of evidence that croissants kill you if you eat reasonably.

Another thing to note: one of the potential suspects in the obesity epidemic is HFCS, and fructose doesn't actually cause glycemic spikes. If this turns out to be true, then parallels with the "fat makes you fat" theory become uncannily strong.

I tend to think this could be the case because it matches my personal observations. I moved to France a few years ago and the amount of croissants I and people around me consume is at the stereotypes level. My weight is stable but each time I go to US for a couple of weeks I bring back 3-5 extra kilos. Something is seriously different between the food here and there, and I don't think it's glycemic spikes per se.

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1. phil21 ◴[] No.44434978[source]
Glycemic spikes makes me hungry after the spike. This indirectly caused my obesity, among other factors of course. It was a loop of eat something that spiked my glucose, be super hungry 40 minutes later on the drop, spike it again. Repeat.

Eating in a manner that didn’t cause the spikes, or at least minimized them helped tremendously with my appetite and satiety - thus being able to more successfully manage CICO.

It’s not the end-all, but it’s the number one thing I’ve found to optimize for in order to maintain a healthy calorie intake. If I’m extra careful in what I eat to avoid the spikes it’s actually somewhat difficult to eat enough to gain weight much less maintain it coupled with moderate exercise.