Continuous glucose monitoring

Lewis, Dana; Oser, Tamara K.; Wheeler, Benjamin J

doi:10.1136/bmj-2022-072420

Cited by 5 publications

(1 citation statement)

References 35 publications

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“…Continuous glucose monitoring (CGM) is wearable technology that, through a tiny sensor inserted subcutaneously, automatically tracks blood glucose levels continuously 24 h a day. Recently, CGM was introduced in daily clinical practice, and the glucose fluctuation data in daily living detected by CGM are used to evaluate changes in behavior or medications, facilitating shared decision-making among people with diabetes and their healthcare providers [ 20 ]. However, studies using CGM in people without diabetes have been scarce, and glucose variability in seemingly healthy people has not been fully studied.…”

Section: Blood Glucose and Appetitementioning

confidence: 99%

Subclinical Reactive Hypoglycemia with Low Glucose Effectiveness—Why We Cannot Stop Snacking despite Gaining Weight

Kishimoto

2023

Metabolites

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Obesity has grown worldwide owing to modern obesogenic lifestyles, including frequent snacking. Recently, we studied continuous glucose monitoring in obese/overweight men without diabetes and found that half of them exhibit glucose levels less than 70 mg/dL after a 75-g oral glucose load without notable hypoglycemic symptoms. Interestingly, people with “subclinical reactive hypoglycemia (SRH)” snack more frequently than those without it. Since the ingestion of sugary snacks or drinks could further induce SRH, a vicious cycle of “Snacking begets snacking via SRH” can be formed. Glucose effectiveness (Sg) is an insulin-independent mechanism that contributes to most of the whole-body glucose disposal after an oral glucose load in people without diabetes. Our recent data suggest that both higher and lower Sg are associated with SRH, while the latter but not the former is linked to snacking habits, obesity, and dysglycemia. The present review addresses the possible role of SRH in snacking habits in people with obesity/overweight, taking Sg into account. It is concluded that, for those with low Sg, SRH can be regarded as a link between snacking and obesity. Prevention of SRH by raising Sg might be key to controlling snacking habits and body weight.

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Section: Blood Glucose and Appetitementioning

confidence: 99%