I just wanted to update because I actually did get to try this.
My Own Experience
I have found it really valuable & surprising. One thing I found out after starting monitoring with the CGM and logging is that my glucose levels after eating are actually very strongly correlated to debilitating health problems that I have been having: my symptoms seem to be at their worst around the same time my blood sugar is peaking.
I had looked at some info from Glucose Goddess (she has an instagram and a book called Glucose Revolution), and tried her hacks and found they mostly don’t work that well for me. They may reduce my glucose levels, but not enough to actually stop the symptoms.
What does seem to work is just eating low carb. But I have to be careful even with that because some foods that some people say are keto are still a problem for me. For example, carrots - some say those are find on keto, and some say they are not. If I eat carrots with only a few other foods, my blood sugar will increase, even if it’s just like 4 baby carrots. If I eat a few carrots as part of a larger meals with fat and protein and fiber, then it seems ok.
So because I keep discovering stuff like that, I have had trouble having “good” days where I don’t have blood sugar increases. I can do it if I just eat a few, known foods, but that is difficult because I have had to cut out a bunch of foods, so I feel like I also need to introduce some new foods or else I will just be eating the same thing all the time.
If you have any resources you’ve found particularly helpful for figuring out keto veggies, please share them! To be clear, I am not actually trying to do proper keto - I am still skeptical of whether going into ketosis is good for most people, and I think there is evidence it can cause harm in some cases. But I am eating primarily “keto” foods now because they are low carb.
What I’ve Learned about CGM Options
I am just gonna share the basics I learned about the different options because I didn’t find anything that really explained it all.
There are two popular brands of CGM I looked into: FreeStyle Libre and Dexcom. FreeStyle Libre has three versions (1, 2, and 3), and the Dexcom has the G6 and G7 (the G7 just became available this month).
The FreeStyle Libre 1 & 2 both require that you manually scan them with your phone to transfer the data over, and they only hold 8 hours of data. SO if you forget to scan within 8 hours of the last scan, or if you sleep longer than 8 hours, you will lose data. The FreeStyle Libre 3 and the Dexcom ones use bluetooth to transfer data in real time.
The apps/programs that will provide you with a CGM will usually give you either the FreeStyle Libre 1 or the Dexcom G6. (As far as I know, Signos does the Dexcom G6, Levels will do either Dexcom G6 or FreeStyle Libre 1, and everyone else does FreeStyle Libre 1 or maybe 2.)
If you are able to get a prescription from a doctor or a naturopath, you might be able to get it covered by insurance. I was told that insurance is more likely to cover it for concerns about hypoglycaemia, if you are non-diabetic. You can also buy it yourself out of pocket for cheaper than a lot of the apps/programs charge. If you go to GoodRX you can check the prices you can get locally.
Note when price checking, they are all a bit different: FreeStyle Libre all require 1 sensor per 14 days, so about 2 per month. Dexcom G6 requires 1 sensor per 10 days, so 3 per month and ALSO 1 transmitter per 90 days, so 1 every 3 months. Dexcom G7 requires 1 sensor per 10 days, so 3 per month.
When I price check, the FreeStyle Libre versions are all about $140 a month. The Dexcom G6 is around $170 per month for the sensors and $50 every 3 months for the transmitter, which averages to a total of around $187 per month. And the Dexcom G7 is about $185 per month.
I have been using the Dexcom G6. When I got it, the G7 wasn’t available yet, and I didn’t know the FreeStyle Libre 3 didn’t require scans. I want to upgrade to the G7 when I can. I especially don’t like the issue with the transmitters needing to be re-used. It is a bigger issue if you only want to monitor every few months: the transmitter only lasts 90 days from when you first use it, so you will have to buy a new one if you take a break from monitoring for a while.
Also, the G7 makes the changeover from one sensor to another easier than the G6. I didn’t realize this when I started, but the sensor gives you bad data for the first 12-24 hours, sometimes even longer. (It’s about 12 hours for me.) This apparently has to do with your body mounting an immune response to the sensor. The G7 lets you apply the sensor before the old one is finished, so you could just apply it 12 hours early, and then get good data immediately when you stop the old one. Bad data for an entire day is actually a pretty big deal when you are changing these things every 10 days.
The FreeStyle Libre 3 might also be good, but I have figured out an app that works well with the Dexcom, and I’m not sure if anything will work well with the Libre, so I am probably just going to stick with Dexcom. (If anyone else has used it, I would love any ideas!)
The app I have been using that I like is called Sugarmate. It only works with Dexcom. It is free, and it is actually one of the best apps I found for just looking at your blood glucose levels and keeping logs of foods you ate, exercise, notes about how you were feeling, etc.
I can write more about the apps I have tried later if you are curious, but I am done writing for now :)
I will say I didn’t trial most of the apps/programs that will send you a CGM, since they all require kind of a high initial payment, and most of them use the FreeStyle Libre with manual scanning, which I didn’t want. I did try Levels, and there are definitely some things I like about their app that Sugarmate doesn’t do, but also some things I don’t like. And it’s missing some things that I would consider basic functionality, so I’m not sure if it’s worth the price compared to just using Sugarmate.