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IntermediateModerate EvidenceMetabolic Health

Continuous Glucose Monitoring

Using a CGM to understand your metabolic response to food and optimize blood sugar control.

By Peter Attia

Overview

Peter Attia advocates for using continuous glucose monitors to gain insights into your personal metabolic response to different foods, exercise, stress, and sleep. This data-driven approach helps optimize nutrition and identify foods that cause excessive glucose spikes.

How to Follow This Protocol

  1. Step 1: Obtain a CGM

    Get a continuous glucose monitor through a service like Levels, Nutrisense, or a prescription from your doctor. Common devices include Dexcom G6/G7 and Abbott FreeStyle Libre.

    Note: Some services include dietitian consultations
  2. Step 2: Establish Baseline

    Wear the CGM for 2 weeks while eating your normal diet. Log all meals, exercise, sleep, and stress levels.

    2 weeks
  3. Step 3: Analyze Patterns

    Review your data to identify foods that spike glucose, optimal meal timing, and how exercise affects your levels. Look for glucose values staying under 140 mg/dL after meals.

  4. Step 4: Experiment and Optimize

    Test different food combinations, meal orders (vegetables first), and exercise timing. Aim for stable glucose with minimal spikes.

    2-4 weeks

Benefits

  • Personalized nutrition insights
  • Identify problematic foods
  • Understand exercise impact on glucose
  • Optimize meal timing and composition
  • Early detection of metabolic dysfunction

Risks & Considerations

  • Over-fixation on glucose numbers
  • Skin irritation at sensor site
  • Cost can be prohibitive

Contraindications

Do not follow this protocol if any of the following apply:

  • History of eating disorders
  • Severe health anxiety

Medical Disclaimer

Disclaimer: This protocol is for educational purposes only and is not medical advice. Always consult with a qualified healthcare provider before starting any new health protocol, especially if you have existing health conditions or take medications.