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by tracker1 59 days ago
Not that I always follow it.. but my general advice is to keep sweetened drinks to with meals, and to reduce/eliminate snacking altogether. Sweetened drinks, even zero calorie, sugar free causes some glucose mobilization and insulin response... this insulin response likely contributes to insulin resistance over time.

That's just my not a doctor, observational, take on it.
2 comments
n8cpdx 59 days ago
Would this insulin response be detectable with a CGM?

The answer is no - sucralose, saccharin, aspartame; it doesn’t matter, diet soda and artificial sweetener does not affect blood sugar in any detectable way, at least for me. It was one of the first things I checked when I got my CGM.

“It will crash your blood sugar” and “it will spike your blood sugar despite not having carbohydrates” are myths.

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tracker1 56 days ago
CGMs don't monitor insulin. They also don't monitor glycogen mobilization or fructose for that matter.

See: Cephalic Phase Insulin Response

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tptacek 59 days ago
There is no meaningful insulin response to noncaloric sweeteners.
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tracker1 59 days ago
https://pmc.ncbi.nlm.nih.gov/articles/PMC7014832/
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tptacek 59 days ago
Did you read this paper? Do you really think this is good evidence for the claim? I'd love to hear why.

I could give a fulsome critique of it but I think the simpler thing to say just to kick this off is that I could give you a PubMed cite to back basically any claim, true or otherwise.

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Induane 59 days ago
You really need a large volume of repeated results by different groups doing the experiment/research so you get the proper regression to the mean. Individual papers are more important at saying "here is something interesting that others should also check out".
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tptacek 59 days ago
Right, but what about this particular paper? What do you think of it?
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