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Jun 20, 2023Liked by David McCune, MD, MPH

Well done! This has been the most enjoyable and useful thing I've read all week.

I'm also a sugar addict. I can't dabble with it; it's like heroin to me. One bite and I'll stiff-arm everyone out of the way and eat the whole thing. I think my wife will be very happy about the cheesecake part, though 😀.

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Very interesting. I think this can be like PIO - Pilot Induced Oscillation. You're always going to be behind the power-curve because the results show up after you eat. But it was still eye opening to see the fluctuations. But that also leads me to believe the, in fact, dosage makes the poison. So long as there is moderation paired with exercise, one need not glue the eyeballs to the meter. So as you noted, how much you eat matters. What you eat matters. Exercise matters.

Too bad the medical professionals' (who scream the loudest??) trend seems to be that body positivity matters more than medicine. For example, a recent visit to a doctor had 6 questions regarding my gender identity. That was the first page on the questionnaire. One field included "CURRENT Gender Identity" Then during the routine exam, the nurse asked "would it be OK for me to ask you to step on the scale?" And was very very very apologetic about asking. And I thought about the Quijotesco nature of it all. How, as a society, did we get here?

And PS. the tinkering in me thinks a "Glucose" meter that works like a clamp amp meter might be a hit. This way, people can see the glucose level before eating reducing the PIO. But then again...would people abandon the food they ordered if the meter screams? Probably not. Never you mind! :)

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author

Thanks for the feedback. I think there is a real but limited utility for non-diabetics. It can give you an early warning that your food choices are having a negative impact, but in the end, the tools to change behavior with respect to eating are just tools. One still needs the will to use them.

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I look forward to reading part two. Metabolic chemistry is the thing I read about most, and while I went low-carb in 2010 with such good results that I've never looked back, my ideas have been refined since then. Glucose is important but it's not the only important factor.

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