#479: Blood Glucose, CGM Use, Diabetes Remission & High-Protein for Diabetes – Nicola Guess, PhD, RD
Sigma Nutrition Radio
Danny Lennon
4.8 • 633 Ratings
🗓️ 25 April 2023
⏱️ 51 minutes
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Summary
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Description:
Blood glucose responses play a crucial role in maintaining good health, and any abnormalities in glucose regulation can lead to several chronic conditions. Diabetes is one such disease that results from a lack of insulin production or the body's inability to use insulin effectively, leading to elevated blood glucose levels.
There has been debate about what exactly constitues a "healthy" and "unhealthy" blood glucose response. While it is suggested that unhealthy blood glucose responses are characterized by erratic and unpredictable "spikes" in blood glucose levels, sometimes vague terminology leads to people worrying about normal blood glucose responses. This may be particularly related to the increasing prevalence of continuous glucose monitoring (CGM) devices that allow individuals to track their glucose levels in real-time. While these devices can be helpful for people with diabetes to manage their glucose levels, they can also lead to unnecessary concern and anxiety about small, normal glucose elevations.
In recent years exciting advances have been made in diabetes remission research. And off the back of that, more research has looked at various dietary interventions that could either directly impact remission, or act as an adjuct to other interventions.
In this discussion with Dr. Nicola Guess, we discuss a range of topics related to glycemia, diabetes, and diet. This includes the potential for high-protein interventions, what utility CGMs actually have, what to make of diabetes remission trials, and future directions for the field.
Transcript
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| 0:00.0 | Hello and welcome to another episode of Sigma Nutrition Radio. This is episode 479 of the podcast. I'm your host, Danny Lennon, and you are very |
| 0:24.5 | welcome to or back to the podcast. And I hope you enjoy what we have in store for today. |
| 0:31.8 | This episode is actually a very special discussion that we're bringing you today. And this is one that occurred at a live |
| 0:39.5 | event we recently had in London, England, where I had the pleasure of hosting a special |
| 0:46.1 | guest on the day, Dr. Nicola Guess, who, if you're unfamiliar, is one of the leading researchers |
| 0:52.5 | in the world of type 2 diabetes, glycemic control, |
| 0:56.7 | dietary interventions looking at those, and has done some really astounding work in that area. |
| 1:02.2 | And in addition, is an excellent practitioner with a background as a dietitian as well. |
| 1:06.7 | And on the day, Dr. Guest gave a wonderful presentation on understanding what healthy or unhealthy |
| 1:15.2 | blood glucose responses are and how that might differ to some of the messaging we sometimes |
| 1:19.5 | see on the internet. And after that particular lecture slash presentation, both Alan and I had the chance to sit down and put some of our |
| 1:30.7 | questions to Dr. Guess, followed by then a number of questions from the audience. And so what we've |
| 1:37.8 | done is recorded some of that discussion session between myself, Alan, and Dr. Guess, where we put some questions related to the talk |
| 1:47.0 | she had given, but also in relation to a number of topics generally about diet and diabetes, |
| 1:53.2 | insulin and resistance, glycemic responses to food, continuous glucose monitors, etc. |
| 1:59.4 | And hopefully there's lots of interesting discussion here for you. |
| 2:03.0 | I think this would probably be best listened to in the context of having listened to some |
| 2:06.7 | of our previous episodes on related topics to give you useful background. |
| 2:11.7 | So for example, if you listen to episode 474 on glucose peaks in variability, I think that will be really useful. Previous episodes, |
| 2:19.8 | both with Dr. Guests, as well as other guests like Professor Roy Taylor in episode 331, |
| 2:25.8 | or Dr. Adrian Brown in episode 405. I think listening to those previously will give some more |
| 2:34.0 | useful background to some of the questions and some of the |
... |
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