#54 – Kevin Sayer, CEO of Dexcom: Continuous glucose monitors – impact of food, sleep, and stress on glucose, the unmatched power of CGM to drive behavioral change, and the exciting future of CGM

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.7 • 7.3K Ratings

🗓️ 20 May 2019

⏱️ 105 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this episode, Kevin Sayer, CEO of Dexcom, discusses the remarkable benefits of a continuous glucose monitor for the diabetes population. Peter shares his own invaluable insights he’s learned from wearing a CGM including the impact of sleep and stress on glucose as well as the unmatched power of a CGM to drive behavioral change. Kevin also reveals some of the exciting partnerships and future advancements of their products benefiting not only those with type 1 and 2 diabetes, but also for the growing community of people interested in optimizing health and wellness.

We discuss:

How they met, and Kevin’s path to becoming CEO of Dexcom [7:00];
How CGM technology works, and what makes Dexcom’s G6 the best model yet [15:15];
Challenges of working in the US healthcare system and getting CGM insured [21:45];
Developing an even smaller, more user-friendly, and less costly product while maintaining performance and accuracy [33:15];
Next thing on the horizon for type 1 diabetes patients [43:30];
The incredible accuracy of the G6, recommended over-the-counter glucose meters, and the unmatched power of CGM to drive behavioral change [48:15];
Software improvements for type 2 diabetics, and the remarkable benefits of real-time feedback for driving behavioral change [58:15];
Dexcom vs. the competitors, the less invasive options, and the fundamental problems needing to be solved with CGM technologies [1:07:00];
The cost of CGM, why you need a prescription, and when might there be a OTC option? [1:12:00];
Smartwatch integration, bluetooth technology, and exciting collaborations and partnerships [1:22:00];
Future places for CGM: Hospitals, nutrition apps, general health and wellness, and more [1:27:15];
Dexcom’s unique company culture [1:34:15];
Parenting advice from Kevin [1:37:30];
Lessons learned through failures and success [1:38:45]; and
More.

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Transcript

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0:00.0	Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.
0:10.0	The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,
0:15.7	along with a few other obsessions along the way. I've spent the last several years working
0:19.6	with some of the most successful top performing individuals in the world, and this podcast
0:23.8	is my attempt to synthesize what I've learned along the way to help you live a higher quality
0:28.3	more fulfilling life. If you enjoy this podcast, you can find more information on today's
0:32.5	episode and other topics at peteratiamd.com.
0:41.6	Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of
0:45.6	minutes to talk about why we don't run ads on this podcast and why instead we've chosen to rely
0:50.8	entirely on listener support. If you're listening to this, you probably already know, but the two things
0:55.9	I care most about professionally are how to live longer and how to live better. I have a
1:01.4	complete fascination and obsession with this topic. I practice it professionally and I've seen
1:06.6	firsthand how access to information is basically all people need to make better decisions and improve
1:11.8	the quality of their lives. Curating and sharing this knowledge is not easy and even before starting
1:17.3	the podcast that became clear to me, the sheer volume of material published in this space is overwhelming.
1:23.2	I'm fortunate to have a great team that helps me continue learning and sharing this information
1:27.8	with you. To take one example, our show notes are in a league of their own. In fact, we now have a
1:33.7	full-time person that is dedicated to producing those and the feedback has mirrored this.
1:38.7	So all of this raises a natural question. How will we continue to fund the work necessary to support
1:44.6	this? As you probably know, the tried and true way to do this is to sell ads, but after a lot of
1:50.2	contemplation, that model just doesn't feel right to me for a few reasons. Now the first and
1:55.6	most important of these is trust. I'm not sure how you could trust me if I'm telling you about
	...

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