Thank you so much for covering this. As someone who is battling anorexia and othorexia, navigating recovery is made so much painfully harder by these people. I have become terrified of every, single, thing I eat - terrified (and everything around eating - the timing of when I eat, cooking method etc). I have made myself so unwell by trying to follow every food rule put out there by these 'experts'. I don't even seek them out, they just appear everywhere - and once I've heard it, I can't unhear it.
I have worked very hard to curate a feed of folk who are actual experts and who believe in enjoying food and establishing a good all round relationship with it, but these folk, as yourself is having to, then have to talk about the nonsense to be able to debunk it, so I am exposed to it that way - but at least I have the truth, with evidence, to replay to myself. Anyway, thank you for all that you do to debunk the nonsense.
Is there any guide out there for "how to fix insulin resistance"? or whatever first step it is that starts the process ending in the various types of pre diabetes and then actual diabetes?
This is so interesting, thank you. The whole glucose level thing has become a bit much hasn’t it? (I speak as a keen eater and a non-medic who has been quite into it all). I haven’t heard this particular podcast but I know her work. Can I ask, aside from AGEs, is there therefore no evidence for the other benefits she suggests of keeping glucose levels low and non-spiky (reduced inflammation etc)? Thanks.
I’ve said this lots of times in lots of places, but as a person who monitors their blood glucose out of necessity (and please don’t get me wrong - I love my CGM deeply - it changed my life and you’d have to pry it out of my cold dead hands etc etc) I find this stuff hard to forgive.
For people who have to, it’s obviously better than the alternative, but watching blood glucose levels every minute of every day is HARD work - it’s necessarily obsessive, it’s tiring and it 100% changes your relationship with food, activity and everything else.
It is not a thing I would wish on anyone - and to see people like the “glucose goddess” convincing people that it’s something they have to do is just horrible.
People doing this should be stopped - and they certainly shouldn’t be lauded, revered and given column space in national (international) newspapers. It is truly grim.
Thanks for providing evidence based accurate information Nicola. Working in diabetes, people without it are the well worried much of the time. This focus on occasional post prandial glucose spikes in those without diabetes i agree is meaningless and not worrying. It is so interesting that is as RD’s we
really have to “sell” our evidence base, but pseudoscience does not struggle in the same way. Makes no sense!
Thank you for taking the time to write this. I got a CGM recently and wore the first one for two weeks, then put a second one in. I accidentally tore it out early and realized I didn't like my obsession with tracking everything. I was becoming overly concerned and it was taking the pleasure out of eating, which has always been a great joy. I'm fairly healthy and I don't have much reason to be concerned. I say ditch 'em unless crucial.
You obviously have your own biases. Improving the quality of your food will affect the whole body. Sugar, in all forms, should be eliminated from our nutrition and you seemed to have missed that point. How do you lower your blood pressure? Most doctors say to do it with drugs because discussing nutrition can't be done in the 10 minutes allotted for patient care, not to mention that most doctors aren't trained in good nutrition because their education is bought and paid for by Big Food/Big Pharma. Do your research better before accepting the food pyramid as truth.
He's obviously biased into the Big Food and Pharma fiction, but we should definitely NOT eliminate all sugars. The same way I don't drink alcohol and still don't think we should live in a society where it's prohibited.
Yes, people have the right to be well informed and, actually, very scared of industrialized food full of refined carbs (and some even worse stuff).
But, in the end, well informed people still have choices - and it's theirs to make!
Also, not all sugars are equal. Many carbs can fit into a healthy life.
Well said! Thank you so much for pointing out the many concerns people without diabetes have when using a CGMS.
The truth is that we don't have blood glucose guidelines for CGMS for people without diabetes. And we can't assume that blood glucose will always be 'normal' for people without diabetes. There are huge gaps in the data set regarding CGMS, and it will take decades to understand the impact of post-prandial blood glucose on overall morbidity and mortality.
When it comes to the risk associated with elevated blood glucose, what is almost ALWAYS overlooked is that elevated blood glucose is directly linked to heart disease. 80% of all people with diabetes die of heart disease, not diabetes. The push to eat meat (and only meat in the case of the carnivore diet) to avoid blood glucose rise is counterproductive, accelerating the endpoint of heart and kidney disease that the standards of care are trying to reduce.
Ah wow, I was once obsessed with Jessie and everything she said. Obsessed with CGM and spikes just led me to a one way street with an eating disorder!
Everything you wrote, the world needs to read and share. Thanks so much.
Thank you so much for covering this. As someone who is battling anorexia and othorexia, navigating recovery is made so much painfully harder by these people. I have become terrified of every, single, thing I eat - terrified (and everything around eating - the timing of when I eat, cooking method etc). I have made myself so unwell by trying to follow every food rule put out there by these 'experts'. I don't even seek them out, they just appear everywhere - and once I've heard it, I can't unhear it.
I have worked very hard to curate a feed of folk who are actual experts and who believe in enjoying food and establishing a good all round relationship with it, but these folk, as yourself is having to, then have to talk about the nonsense to be able to debunk it, so I am exposed to it that way - but at least I have the truth, with evidence, to replay to myself. Anyway, thank you for all that you do to debunk the nonsense.
Superb!
thanks for the article!
Is there any guide out there for "how to fix insulin resistance"? or whatever first step it is that starts the process ending in the various types of pre diabetes and then actual diabetes?
This is so interesting, thank you. The whole glucose level thing has become a bit much hasn’t it? (I speak as a keen eater and a non-medic who has been quite into it all). I haven’t heard this particular podcast but I know her work. Can I ask, aside from AGEs, is there therefore no evidence for the other benefits she suggests of keeping glucose levels low and non-spiky (reduced inflammation etc)? Thanks.
Thank you for this!
I’ve said this lots of times in lots of places, but as a person who monitors their blood glucose out of necessity (and please don’t get me wrong - I love my CGM deeply - it changed my life and you’d have to pry it out of my cold dead hands etc etc) I find this stuff hard to forgive.
For people who have to, it’s obviously better than the alternative, but watching blood glucose levels every minute of every day is HARD work - it’s necessarily obsessive, it’s tiring and it 100% changes your relationship with food, activity and everything else.
It is not a thing I would wish on anyone - and to see people like the “glucose goddess” convincing people that it’s something they have to do is just horrible.
People doing this should be stopped - and they certainly shouldn’t be lauded, revered and given column space in national (international) newspapers. It is truly grim.
I absolutely love this, Doc!!! I was wondering how the whole glycation process worked. Everything you write is so awesome and valuable. I love you!
So helpful! Many thanks.
Brilliant! As you say, these folks always pepper their output with nuggets of truth, exhausting to counter all the pseudoscience 🙄
Thanks for providing evidence based accurate information Nicola. Working in diabetes, people without it are the well worried much of the time. This focus on occasional post prandial glucose spikes in those without diabetes i agree is meaningless and not worrying. It is so interesting that is as RD’s we
really have to “sell” our evidence base, but pseudoscience does not struggle in the same way. Makes no sense!
Thank you for taking the time to write this. I got a CGM recently and wore the first one for two weeks, then put a second one in. I accidentally tore it out early and realized I didn't like my obsession with tracking everything. I was becoming overly concerned and it was taking the pleasure out of eating, which has always been a great joy. I'm fairly healthy and I don't have much reason to be concerned. I say ditch 'em unless crucial.
You obviously have your own biases. Improving the quality of your food will affect the whole body. Sugar, in all forms, should be eliminated from our nutrition and you seemed to have missed that point. How do you lower your blood pressure? Most doctors say to do it with drugs because discussing nutrition can't be done in the 10 minutes allotted for patient care, not to mention that most doctors aren't trained in good nutrition because their education is bought and paid for by Big Food/Big Pharma. Do your research better before accepting the food pyramid as truth.
He's obviously biased into the Big Food and Pharma fiction, but we should definitely NOT eliminate all sugars. The same way I don't drink alcohol and still don't think we should live in a society where it's prohibited.
Yes, people have the right to be well informed and, actually, very scared of industrialized food full of refined carbs (and some even worse stuff).
But, in the end, well informed people still have choices - and it's theirs to make!
Also, not all sugars are equal. Many carbs can fit into a healthy life.
Life, as usual, is not binary. ✌
Invaluable... thank you!
Thanks for providing informative content and not wasting my time :-)
Superb !
Well said! Thank you so much for pointing out the many concerns people without diabetes have when using a CGMS.
The truth is that we don't have blood glucose guidelines for CGMS for people without diabetes. And we can't assume that blood glucose will always be 'normal' for people without diabetes. There are huge gaps in the data set regarding CGMS, and it will take decades to understand the impact of post-prandial blood glucose on overall morbidity and mortality.
When it comes to the risk associated with elevated blood glucose, what is almost ALWAYS overlooked is that elevated blood glucose is directly linked to heart disease. 80% of all people with diabetes die of heart disease, not diabetes. The push to eat meat (and only meat in the case of the carnivore diet) to avoid blood glucose rise is counterproductive, accelerating the endpoint of heart and kidney disease that the standards of care are trying to reduce.