India's national ICMR-INDIAB survey of more than 113,000 adults found that 11.4% had diabetes and 15.3% had prediabetes (Anjana RM et al., Lancet Diabetes & Endocrinology, 2023). Standard tests can also miss what happens between meals. In a 2018 Stanford study using continuous glucose monitoring (Hall H et al., PLOS Biology), even people classed as normoglycaemic by standard tests spent about 15% of the time in the prediabetic range and about 2% in the diabetic range, swings that a fasting glucose test cannot show.
A continuous glucose monitor (CGM) is a small sensor applied to the back of your upper arm that measures interstitial glucose every 1-5 minutes, 24 hours a day, for 14 consecutive days. Unlike a fasting glucose test (a single snapshot) or HbA1c (a 90-day average), CGM reveals the full dynamic picture: your glucose response to every meal, your overnight glucose stability (or lack thereof), your dawn phenomenon, your post-exercise glucose trajectory, and the real-time metabolic cost of sleep deprivation and stress.
For non-diabetics, the insights are revelatory. You discover which foods raise your glucose most, and it is often not what you expect. In a 2015 study of 800 people (Zeevi D et al., Cell), glucose responses to identical meals varied widely from person to person. You see how meal timing, food order (vegetables before carbohydrates), sleep quality, and exercise modulate your glucose curve. You learn your personal glycemic fingerprint.
Our CGM program is physician-supervised, which is what differentiates it from direct-to-consumer CGM products. You receive the sensor, wear it for 14 days, and then sit down with our longevity physician for a comprehensive metabolic review. We analyze your time-in-range (target: >90% between 70-120 mg/dL), glucose variability (standard deviation and coefficient of variation), post-meal peaks, overnight patterns, and dawn effect. From this data, we construct a personalized nutrition and lifestyle strategy.
This is metabolic intelligence that was unavailable to anyone outside of a research lab five years ago. Book a consultation with our longevity physician to determine if a CGM program is right for your metabolic optimization goals.