Some experts suggest CGMs are useless for nondiabetics. I disagree.

I like to see my patients with a mean glucose below 100 mg/dL, a glucose variability below 15 mg/dL, and, as noted above, no excursions of glucose above 140 mg/dL. After about a four-week intervention that included exercise changes and nutritional modifications his average glucose fell to 84 mg/dL, his glucose variability to 13 mg/dL, and he had zero events exceeding 140 mg/dL. If he can maintain this way of living in the long-run, it’s likely to translate into an improvement in healthspan and reduce his risk of glucose impairment.

I am a paid advisor to Dexcom; a company that develops, manufactures, and distributes CGMs.

There are 3 Phases of the Healing Process:

1. Inflammatory
2. Repair
3. Remodeling

Inflammation is information.

So why would we want to prevent ourselves from receiving information? Because it can grant us the instant gratification of blocking painful signals that stop the feeling of pain.

Vegetable oils were brought into our lives in about 1910 when the processing of them became cheap. Make no mistake, these oils are a food technology that should never have been.

I have a rule of thumb; if the oil comes from something that is not obviously oily then don’t eat it, ever.

Canola, soybean, corn oil, cottonseed, safflower, margarines, often hydrogenated, sunflower, see a comprehensive list.

Olives, avocados and coconuts are all fruits and obviously oily. So that’s two reasons why they escape my rule and are therefore not something you need to avoid.

• What’s the most common cause of what I’m experiencing, and what’s the most serious?
• I know you can’t be sure, but what do you think is most likely to happen?
• Who’s managing my care?
• What is your general philosophy of care?
• What screening tests am I due for?
• What should I be looking for?
• How do you prefer that I communicate with you?

The key to combating obesity, then is to help in the Insulin vs Leptin fight by lowering insulin. Everything depends upon it. Leptin is already maxed out. The only thing left is to lower insulin. How to do that? Well
Eat less sugar
Eat less refined grains
Moderate protein and high natural fats
Don’t eat all the time (time restricted eating or intermittent fasting). Stop snacking
Eat real unprocessed foods (lower in insulin effects)