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Saturday, March 2, 2024

Ought to You Get a CGM for Weight Loss?


Steady glucose monitoring (CGM) expertise has revolutionized diabetes administration, offering real-time insights into blood sugar ranges for people with diabetes. Whereas CGMs have immense advantages for this particular inhabitants, the concept of utilizing them for weight reduction among the many common public has turn into extra in style. This weblog critically examines the potential dangers and limitations of repurposing CGMs for weight reduction. 

The inspiration of CGMs: Diabetes administration

Steady Glucose Monitoring (CGM) methods are superior medical gadgets that monitor glucose ranges in real-time.They’re made up of a tiny sensor that’s inserted beneath the pores and skin to measure the quantity of glucose within the interstitial fluid. A receiver or smartphone receives information from the sensor, which gives ongoing updates on blood sugar ranges. By offering a dynamic view of glucose swings, this expertise allows folks with diabetes to make educated selections about their meals, insulin dosage, and general diabetes administration.

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CGMs are an enormous enchancment in blood sugar administration

For diabetics, real-time blood sugar monitoring by way of CGMs affords exact and up-to-the-minute info on glucose ranges.This accuracy allows immediate actions to cease doubtlessly dangerous spikes or dips, enhancing glycemic management. Moreover, CGMs provide perception into how sure meals and life-style decisions have an effect on blood sugar, enabling individualized remedy methods. Speedy modifications which are detected early might help forestall extreme hypo- or hyperglycemia, thereby decreasing the chance of problems from diabetes.

The connection between blood sugar and weight 

The intricate relationship between blood sugar ranges and weight achieve reveals a posh interaction that goes past easy caloric consumption. 

Blood sugar rises after we eat proteins and carbs (and specifically, with carbs). This can be a fully regular response, and never one we should always intention to keep away from. When blood sugar rises, the physique releases insulin to facilitate glucose uptake into cells. Once more, completely regular response, and most of us, particularly these of us with out diabetes, don’t must micromanage and even fear about this bodily course of.

What we do usually wish to keep away from, is having massive blood glucose spikes all through the day. These are thought to result in an elevated threat for heart problems (though a weight-reduction plan that causes massive insulin spikes is probably going extremely refined, which can be a threat issue for coronary heart illness).

For some folks, consumption of huge quantities of extremely refined carbohydrate meals can result in weight achieve, which is among the major threat components for insulin resistance.

Insulin is just not the evil monster that a variety of social media personalities make it appear. The Carbohydrate Insulin Idea – which states that weight reduction cannot happen when insulin ranges are elevated (and subsequently we should always all be consuming a low-carb weight-reduction plan) – is questionable. Each low carb and low calorie diets work for weight reduction once they’re sustained over the long-term, main many respected researchers to imagine that it’s calorie stability, not insulin, that’s liable for weight reduction.

The truth is, the recent DIETFITS trial concluded that not solely do low-carb and low-fat diets produce comparable outcomes for weight reduction, however insulin ranges don’t influence weight reduction. Some interpretations argue that each teams had a discount in glycemic load which then led to weight reduction.

Apparently, the DIETFITS research was partially funded by NuSci, which was based by Dr. Gary Taubes, a low-carb advocate and champion of the carbohydrate-insulin concept of weight reduction.

We do know, nevertheless, that ultra-processed, refined meals are metabolized faster and provide extra vitality aka energy to the physique over much less processed choices. Whereas I’d by no means suggest slicing ultra-processed meals out altogether, limiting them is one thing we should always all attempt in the direction of.

Examine why I would like you to eat processed meals.

Each excessive and low blood sugar ranges wield a big affect over cravings, vitality ranges, and general consuming habits. When steep blood sugar spikes and crashes happen, notably after consuming sugary or refined carbohydrate-rich meals, the physique experiences a shift in vitality. This rollercoaster impact can result in heightened starvation, cravings, and an elevated probability of overeating. 

These fluctuations in blood sugar ranges  can instigate a vicious cycle of poor consuming habits. The hunt for fast vitality fixes by way of sugary snacks can result in additional blood sugar spikes and crashes, perpetuating unhealthy patterns. Consequently, fostering steady blood sugar ranges by way of balanced meals wealthy in complicated carbohydrates, fiber, protein, and wholesome fat turns into pivotal in curbing cravings, sustaining vitality, and selling general more healthy consuming habits.

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Utilizing a CGM for weight reduction

The way forward for CGM expertise appears to be shifting to prospects within the realm of weight administration. Ongoing analysis is delving into extra intricate elements of glucose fluctuations and their relationship with metabolism and weight. 

Superior algorithms are being developed to boost the predictive capabilities of CGMs, providing people real-time insights into how completely different meals and actions influence their blood sugar ranges. 

The present IRB research with 50,000 members is gathering information CGM information over 5 years to find out if using CGMs might help folks with weight reduction, with a 1 yr observe up interval. Each women and men 18 years and above are eligible for this research together with different particular standards.

The estimated research completion date is November 2027. This research is taken into account a medical trial and it’s trying into using CGM’s within the non-diabetic inhabitants to go with Signos cellular well being platform. 

Major final result measures embody figuring out the typical fasting glucose and the change in weight in variety of kilos. Secondary final result measures embody physique composition akin to share of physique fats. One other secondary final result measure is share of time spent in vary glucose ranges lower than 140. 

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Regular blood sugar ranges are 70-110 mg/dl or 4.0-7.0 mmol/l

Whereas the first objective of CGMs stays diabetes administration, their potential purposes for weight administration are being explored. CGMs can present information on how particular meals and dietary patterns have an effect on blood sugar ranges, providing a customized method to weight reduction. By understanding how sure meals trigger fast blood sugar spikes or crashes, people can make extra knowledgeable decisions to stabilize their vitality ranges and cut back cravings.

Whereas it may be informative to see what results completely different meals have on our blood sugar personally, I actually don’t suppose non-diabetics want to make use of CGMs for weight reduction or general well being. Selecting extra complete and minimally processed meals, fewer sugary drinks and fewer alcohol, and being energetic as a lot as attainable are all fundamental steps to raised well being and weight reduction that many people haven’t but mastered.

Should you don’t have the fundamentals down, a CGM isn’t going to magically provide help to.

CGM for Weight Loss: Potential Challenges and Issues

Because the idea of repurposing CGMs for weight reduction positive factors traction, it’s essential to deal with the potential challenges and concerns related to this method. Whereas CGMs have confirmed immensely useful in diabetes administration, their utility to weight reduction calls for a cautious examination of the restrictions that may come up. 

1. Overemphasis on Numbers Over Nicely-Being

One of many major considerations when utilizing CGMs for weight reduction is the chance of fixating solely on blood sugar numbers, doubtlessly overshadowing the broader elements of well being and well-being. Inserting extreme significance on data-driven outcomes may result in a slender perspective of general wellness. A deal with glucose ranges could divert consideration from important components akin to psychological well being, emotional well-being, and sustainable life-style habits.

2. Unrealistic Expectations and Fast Fixes

Whereas CGMs can present real-time insights, anticipating them to be a whole device for weight administration oversimplifies a posh challenge. Weight reduction encompasses multifaceted parts, together with dietary decisions, bodily exercise, sleep, and stress administration. It also needs to embody self-regulation and starvation and fullness cues, in addition to satisfaction and satiety from meals.

Relying solely on CGM information may inadvertently promote the notion that weight reduction may be achieved by way of expertise alone, neglecting the significance of objective setting and long-term approaches. Elevated information and consciousness is just not sufficient to vary behaviour! CGMs will not be the be all finish all of weight reduction and may be seen as unrealistic. 

3. Disordered Consuming and Emotional Affect

The potential for CGMs to set off or exacerbate disordered consuming behaviors is a crucial concern. Fixed monitoring of blood sugar ranges may inadvertently encourage obsessive behaviors round meals consumption and train, contributing to an unhealthy preoccupation with numbers. Furthermore, the emotional toll of striving to take care of particular blood sugar ranges – particularly when not clinically related – can result in heightened stress and anxiousness, doubtlessly compromising psychological well-being. 

4. Potential for Misinterpretation and Misinformation

Deciphering CGM information precisely requires an understanding of physiology and diet. With out correct steerage from healthcare professionals, people may misread fluctuations in blood sugar ranges, resulting in pointless dietary restrictions or insufficient responses to real well being considerations. Misinformation may simply unfold by way of on-line communities and social media, compounding potential dangers. Everybody is just not skilled on utilizing CGMs, as they weren’t created for the higher public. 

5. Price, if not lined by insurance coverage

This will turn into a really costly device to assist in weight reduction ranging anyplace from $100-$300 per 30 days.

It’s additionally essential to notice that in some cases, utilizing a CGM while you aren’t diabetic could also be inflicting individuals who really need one to outlive, to lose some entry to those instruments.

About Nutrisense.io 

Nutrisense is an organization that provides a complete app-based device for monitoring and analyzing how numerous components akin to meals, sleep, train, and stress have an effect on glucose ranges. This device seems to be notably aimed toward people with or with out diabetes who wish to achieve insights into their glucose responses all through the day so as to reduce weight and higher their general well being. 

Nutrisense io does work with dietitians. They’ve truly contacted me to collaborate, however I declined. Some dietitians imagine that CGMs are helpful for individuals who don’t have diabetes. Once more, whereas I feel it may be attention-grabbing to see your private glucose response to completely different meals, I don’t suppose the outcomes are clinically related for almost all of non-diabetics.

The app makes use of Steady Glucose Monitoring expertise to offer real-time information on glucose ranges, and evidently Nutrisense takes care of the CGM prescriptions for its members. Nevertheless, the service comes with a value, with subscription plans beginning at $299 per 30 days for a 3-month subscription or $225 per 30 days for a 12-month dedication. It’s value noting that Nutrisense is just not lined by insurance coverage.

The Nutrisense app claims to show customers learn how to eat in a greater approach and to start out making the precise meals decisions that may assist to attain weight reduction objectives. This will all be executed and not using a CGM, however okay.

This kind of service may doubtlessly be invaluable for people trying to higher perceive and handle their glucose ranges for well being functions, however once more, there’s actually no want for many of us to drill our well being all the way down to this stage.

CGM for weight reduction: On-line Claims 

On-line diet claims have turn into more and more prevalent, typically promising fast fixes and outcomes by buying some type of product.

Over on TikTok, for instance, some man named Klint claims he’s losing a few pounds from utilizing his CGM. Klint shares that after 2 weeks he has misplaced 30 kilos as a result of CGM. He makes use of the app to trace his glucose ranges primarily based on completely different patterns. When his glucose is just not elevated, he claims to be in “weight reduction mode” and when he has small spikes it’s “wholesome consuming mode” after which a lot of excessive spikes in glucose is “weight achieve”. 

This type of pondering exhibits an actual misunderstanding of how the physique works.

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He mentions staying in storage mode causes weight achieve, and that he gained 3 kilos from a meal. Somebody wants to inform Klint that that 3 kilos isn’t fats.

When he eats “good,” he loses weight, and when he eats “dangerous,” he positive factors weight. He explains that consuming extra pure meals and fewer processed meals helped him lose the load.

Klint is making it appear to be the CGM is what’s making him reduce weight when in actuality, it’s most likely the approach to life modifications he’s making to his weight-reduction plan. 

It’s little question that CGMs have their objective within the diabetic world. Folks trying particularly for weight reduction shouldn’t be relying solely on CGM expertise. 

People ought to undertake a multifaceted method that integrates customized diet, bodily exercise, mindfulness, and psychological well-being. Registered dietitians play a pivotal function in guiding people by way of this journey, offering evidence-based suggestions and fostering practical expectations which are particular to 1’s wants and life-style. 

The prospect of utilizing CGMs for weight reduction affords a glimpse right into a future the place expertise intersects with wellness. Nevertheless, navigating this path requires cautious consideration of potential challenges and moral dilemmas. 

Whereas CGMs have revolutionized diabetes administration, their utility to weight reduction calls for a cautious and complete method that values general well being and well-being above mere information factors. Follow the fundamentals and be constant, as an alternative of leaning to CGMs to information weight reduction. 

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