Monday, April 20, 2026

Glucose displays may also help tame blood sugar spikes and crashes : NPR

A continuous glucose monitor helps people track their blood sugar spikes and dips.

A steady glucose monitor helps folks monitor their blood sugar spikes and dips.

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Philadendron/E+/Getty Photographs

By all measurements, Judy Freeman, age 76, is in improbable well being. She does not have diabetes or coronary heart illness. She’s not obese. She stays lively.

“I attempt to stroll at the least 4 or 5 instances per week,” says Freeman, who’s a well known potter in Alpine, Texas. “I additionally work about 20 hours within the studio.”

However prior to now 12 months or so, Freeman hasn’t felt like herself. She’s been extra drained and sluggish. And she or he has had extra hassle shedding a little bit additional weight. “I try to I can not lose it,” she says.

So Freeman determined to experiment with a brand new know-how for just a few weeks: a steady glucose monitor.

It is a small patch that inserts a needle into your pores and skin. The gadget estimates your blood sugar each couple of minutes and sends the worth to an app in your cellphone. You’ll be able to monitor how varied meals you eat alter your blood sugar.

Freeman questioned if the additional details about her blood sugar may give her perception into why she felt so sluggish and caught in her weight reduction.

Judy Freeman is an artist in Alpine, Texas. She wanted to know if monitoring her blood sugar could improve her health.

Judy Freeman is an artist in Alpine, Texas. She needed to know if monitoring her blood sugar might enhance her well being.

Michaeleen Doucleff/For NPR


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Michaeleen Doucleff/For NPR

On the primary day, she uncovered an enormous clue: About two hours after lunch, her blood sugar nosedived beneath her baseline ranges.

Dips set off overeating

Research have proven conclusively that these displays significantly assist folks handle diabetes. However in 2024, the FDA authorized the primary steady glucose displays for folks with out diabetes. Now, two firms, Dexcom and Abbott, promote and market the units to anybody who desires to trace their blood sugar. They value about $50 and final for a few weeks.

However scientists are nonetheless attempting to determine if — and the way — these displays might assist folks with out diabetes. Can the info inspire folks to eat a more healthy weight-reduction plan by serving to them find out how meals impacts their our bodies?

One of many scientists main this effort is Sarah Berry, a nutritionist at King’s Faculty London. She’s additionally chief scientist on the firm Zoewhich sells personalised diet plans that incorporate these units.

In collaboration with Massachusetts Basic Hospital and Stanford College, Berry and her colleagues led two massive research by which 1000’s of individuals with out diabetes put on steady glucose displays whereas they eat tens of 1000’s of meals.

After analyzing all of their knowledge, Berry says one discovering stands out: “An enormous proportion of individuals are what we name dippers,” she says.

If you happen to’re a dipper, your blood sugar generally acts in a selected approach: After consuming carbohydrates, it rises shortly, after which about two to a few hours later, it generally plummets low, beneath your baseline, or fasting, degree.

“So you will have this massive improve adopted by this massive crash,” Berry says. “Not everybody will get these dips, however we see that fairly a excessive proportion of individuals do.”

These dips can set off overeating, their examine discovered, so it might make it tougher to shed some pounds.

“In case you are dipping, then you definitely really feel extra hungry extra shortlyand on common you are likely to eat 80 energy extra on the subsequent meal and 320 energy extra over an entire day,” she says.

However consuming extra wasn’t the one downside with dips. Berry’s staff has discovered that the sugar crashes additionally correlated with an individual’s temper. Throughout a dip, folks tended to really feel much less alert and extra fatigued, she and her colleagues reported within the journal Nature Metabolism.

These conclusions line up with earlier research on folks with diabetes, says Dalia Perelmanwho’s a analysis dietitian at Stanford College and wasn’t concerned on this analysis.

“When your blood sugar is excessive, folks are usually torpid, fatigued, and thirsty,” Perelman says. “You are identical to, ugh.”

When your blood sugar is low, you are jittery. You’ll be able to have coronary heart palpitations. And also you turn into tremendous hungry. “Low blood sugar provides your physique very robust indicators,” she says. “You actually really feel horrible,” which brings us again to Judy Freeman in Alpine, Texas.

The primary day Freeman wore the glucose monitor, she ate lunch as normal. About two hours later, she began to really feel horrible. “I had this actually sinking feeling. It was a form of anxiousness or despair. I felt like if I do not stand up, I am simply going to cease respiratory and die. It was so overpowering,” Freeman says.

When Freeman glanced on the monitor, she might hardly imagine what she noticed: “My blood sugar had shot up sooner or later, after which it plummeted all the way down to the bottom level.”

This sinking feeling wasn’t new to Freeman. She’s had it sometimes. “I simply by no means, ever thought it was in any approach correlated with what I ate or something like that.

In case you are involved that your blood sugar could also be fluctuating wildly and also you wish to even issues out, listed below are three issues you possibly can attempt:

1. Put some garments on these carbs

Do not eat meals and snacks that consist largely of carbohydrates, Perelman says. “Do not eat bare carbs.”

As an alternative, eat them with protein and wholesome fat. Which means oils from greens, seeds and nuts, but additionally fat from fish. So add eggs to breakfast, canned fish for lunch or tofu for dinner.

On high of that, add extra fiber tons extra. For that, the go-to ingredient is beans, says nutritionist Mindy Patterson on the Texas Lady’s College. “You actually need to eat beans to get sufficient fiber in your weight-reduction plan,” she says. (Chia seeds are one other nice supply of fiber.)

“Fiber and protein collectively put a velocity bump in your digestion,” says medical nutritionist Karen Kennedy. “They actually stabilize your blood sugar.”

2. Sprinkle the carbs all through the day

To stop dips, you need your intestine to slowly drip carbs into your blood, not douse it with a deluge of sugars, Perelman says. So do not eat a bunch of carbohydrates all at one meal.

For stopping dips, “it does not matter what number of carbs you ate all through the day,” she says. “It issues what number of carbs you’ve got had at every meal.”

3. Take note of what you eat first at a meal

With meals, order issues, too. Eat the protein, fiber and fats first at a meal and the carbs finalKennedy says.

Say you are having a steak, salad and baked potato for dinner. “If you happen to eat the salad and the steak first, after which the potato, you will see that you do not have as a lot of a spike in blood sugar or as a lot of a drop afterwards,” she says.

In case your blood sugar retains a extra even keel, then your temper and starvation will do the identical.

And this is the good half: You needn’t purchase a glucose monitor to determine this out, says Sarah Berry at King’s Faculty London. Merely take note of how you are feeling about two hours after a meal. If you happen to get moody, anxious or tremendous hungry, you are in all probability a dipper.

Edited by Jane Greenhalgh

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