Blog

the final chapter - 30 days to change

Feb 14

So here we are, our final chapter in the blood glucose monitoring experiment. 30 days of experimentation went by pretty fast. We've learned a ton about our habits, how surprisingly easy they can be to change under the right conditions, how counterintuitive that feels to write, and a bunch about why metabolic health is truly a priority along the way.  Honestly, it's too much to capture in a blog that is designed to be a few minutes read each week, so if you're looking for the "TLDR" version of this journey, I'd say the following 4 sentences contain most of what you should know:

If you are a US-based consumer, sugar is everywhere, and you are probably ingesting more than is healthy. Unless you are training for something, even if you do hard physical work every day, it is unlikely you are moving enough to use it all for FUEL. This creates an energy log-jam that our bodies & brains are valiantly fighting to keep up with, but, sad as it may be, are losing over the longer term if we consider the millions who are progressing to diseases now tied to this root cause. For those who desire to more deeply explore their day-to-day AND are evidence-oriented enough to actually follow the path it lays out, a continuous blood glucose monitor can make it easier to change course when needed. In short, this is a story of hope...but not necessarily ease.

Let's start with 3 observations from this week:


1. Doubling down on deferring, getting the most from the important meal of the day: Building on last week, changing the AM routine was hard at first, but it's been good enough to work to make it a keeper. By replacing the order of our eating from one that is carb-dominant in the AM to one that shifts more toward protein and fat in the morning, we saw cool changes. Sugar spikes were blunted, and we felt fuller longer, but that's not all. Early indicators say our bodies are getting more efficient at using the "other" physiological fuel, the energy stored as fat during the day, which is also known as "fat adaptation," a phenomenon studied as early as 1985. It feels important to point out, however that while this approach DOES likely turn the dial toward burning more fat throughout the day, it is not a "keto diet" or an attempt to enter ketosis per se. This website does a nice job of illustrating the differences, but it's not all about fat burning. This review, for example, showed that a higher protein breakfast was linked to better muscle mass in adults and a cardiometabolic effect was also seen in groups as young as adolescents. HOWEVER, there are ripple effects. I noticed a clear need to increase my water consumption after making this switch, a factor associated with increased protein consumption that has been known for a while.


2. Context Matters a LOT - as the 30 days have gone on, we have seen a wide variety of spikes and drops of blood glucose under a variety of conditions. At times, it took some effort to remind myself that spikes are not necessarily good or bad in the absolute sense, but rather a normal response from the body...which can become problematic if too extreme or left unchecked for too long. For example, after moderate-intensity exercise, glucose values dropped as expected, one of the main reasons why post-meal exertion is so powerful and, in my opinion, why a movement break after eating should become a routine for almost everyone. But after intense or "fasted" exercise (i.e., before eating in the AM) things were very different. My glucose values actually climbed. While this makes total sense physiologically - when it is not readily available in the bloodstream, the body taps the liver's reserves to solve the immediate need (intense muscle work or an adrenaline spike), it could EASILY be confusing to the point of being alarming.

3. Better RECOVER means better everything - one of the most impressive findings has been in the "energy" category. Waking up refreshed is not only a nice way to start the day, it also provides greater ease in every action taken and decision made. For Lindsay in particular this change has been hard to put into words but very positive overall; as blood glucose has become more tightly controlled, her energy levels have become not only more abundant (more energetic overall) but also better, including outlook, stress, etc (more energized about making the change). In an otherwise busy world, everything gets a little easier when energy levels rise. Again, this is less surprising when diving into the evidence. The link between metabolic health and brain health seems to be getting more and clearer all the time. For example this review published in January, showed a strong link between metabolic risk (insulin resistance) and brain risk (future dementia) and this new research from Rutgers University showed that the same things that improve one (brief exercise) made a difference in the other (brain markers) in as little as 2 weeks.


So, where does this all leave us? To try to wrap it all up succinctly, we posed 4 questions: "which changes could become permanent?", "Are there any learnings you'll use more as a tactic or tool?", "How will you prevent slipping into old habits when it comes to shopping, snacking or other zombie sugars?" and last, "If a friend asked to summarize the 30 days in one sentence, what would you say?".

So what would we keep? For me, the shift to more protein and less carbs at breakfast, timing movement breaks before or after meals, and being more cognizant of the order in which I eat (goal = fiber first) are all impactful enough and still doable enough to strive to make them permanent.  For Lindsay, it was similar. She said, "The savory breakfast, the order in which you eat and working to consume more veggies overall are worth the effort".


In regards to tactics or "good to know for use when needed," Lindsay said "being aware of what a high-carb meal can do makes 'prioritizing priming' (e.g. with a salad) and 'blunting the spike' (e.g. with a walk) good tactics for future use". For me, switching to oil & vinegar instead of something more creamy could be an easy one to use when the opportunity presented.

When it comes to shopping, snacking, and other ways to keep the gremlins at bay, Lindsay said shopping smarter became the clear strategy - there has been a notable and deliberate drop-off in foods that are designed to sit on a shelf in the pantry these last few weeks. For me, trying to continue to get myself to recognize the difference between "sweet" and "treat", now that I have seen the impact, will be important. For example, the contrast between unsweetened Greek yogurt (a high protein) snack and the sweetened version of the same brand was striking. The first showed almost no sugar jump (and therefore no need for an insulin response from my body), and the second behaved like I had eaten a cookie. It was powerful and obvious. While this is not to demonize foods or even sweet treats...it seems to me that we should at least know when we are eating one.

Lastly, to wrap it all up in one sentence to a friend, Lindsay said "the real-time feedback has made it easier to make changes and those changes have produced positive benefits - I can't quite put my finger on it because it's as much a feeling as it is a metric, but I just feel better, more energetic and maybe even more comfortable in my body which I know is a struggle for many; I think the experiment helped me kickstart something good". For me the sentence to a friend would be less interesting and about what any friend might expect. It would go something like this "you know I love this stuff...the more we know about how things are working BEFORE they are breaking or broken the easier it is to stay that way. If you can approach it less like a dieter and more like a scientist, picking apart what you see and learning as much as possible along the way, it might be worth the effort.".


All said, this was fun and enlightening. We hope you enjoyed tagging along and are considering ways you can benefit, too. Reach out with questions.

Have a great weekend,

Mike E.