The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
So if people want to be a little bit more metabolically flexible have some more flexibility in their dietary choices to consume some carbohydrates if they want to do so then the CGM is actually a really great tool for many people to reincorporate that carbohydrate see their glucose stays within those normal ranges and understand that it's not going to give them diabetes or it's not causing insulin resistance.
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And this is where tools like a continuous glucose monitor can be great to help you figure out what your limits are.
so rather than say oh everybody should be eating 100 grams a day or 50 grams a day 150 grams per day the answer is put a cgm on and find out we set the standard which says as long as the average blood glucose stays below this and the standard deviation meaning the fluctuation of glucose stays below this use that as your guide
and the most insulin resistant person might only be able to consume 50 or 75 grams of carbohydrates while staying in that range while someone else might be able to consume 600 grams of carbohydrates while staying in that range
so you're going to have some people that are starting from a place of they're quite insulin sensitive to begin with you sort of use the CGM to to kind of push the boundaries a little bit to tell you what is your carbohydrate tolerance
Post-meal glucose spikes in non-diabetics drive long-term cardiometabolic disease independently of HbA1c.
Wearing a continuous glucose monitor leads to personalized dietary improvements that hold up beyond 12 weeks.
Continuous glucose monitors meaningfully change behavior in non-diabetic adults beyond the first month.
CGM use in metabolically healthy adults induces orthorexic-style dietary anxiety without health benefit.