
15/09/2025
What My CGM Taught Me in Just 2 Weeks 😮 And Why Oat Milk is Off the Menu ☹️
It’s my last few days with my continuous glucose monitor (CGM). What a great experience, seeing in action how diet, sleep, circadian rhythm and stress levels affect my glucose levels.
The biggest surprise of the two weeks was the extent to which my much-loved oat milk lattes spiked my blood glucose levels. Oat milk often has added sugars or can be high in maltose (with a glycemic index of ~100), which explains the sharp spike. I am now drinking black coffee while I find an alternative for my lattes that doesn’t resemble drinking a can of Coke in terms of mainlining sugar and that I like the taste of (sorry, dairy farmers; I love cow’s milk in my smoothies, but not in my coffees and I understand that the plant stuff is not really “milk”).
Overall, this is what I have had hammered home to me:
✅ When you have a big meal, you have an initial spike and drop in glucose, followed by another spike hours later. This second spike is related to delayed gastric emptying and slower digestion of starches. The second spike can trigger a rise in cortisol, which disrupts sleep. I need to eat my main dinner before 7 pm and limit my intake of simple carbohydrates to ensure good sleep and reduce 2 am glucose and cortisol spikes. One night, I had white sourdough bread in a late dinner - bad, bad idea!
✅ When consuming foods with fructose and/or sucrose, such as fruits or bread, pairing them with fat and protein can help reduce the glucose spike. I noticed this when I had oat and fruit smoothies. When I added a spoonful of peanut butter, the spike was flattened and I felt fuller for longer. Fats slow down the digestion of carbohydrates, helping you to avoid the spike-crash phenomenon.
✅ I’m ok with rye bread. I was worried about this because a friend found that rye bread spiked her glucose levels badly. Every Saturday morning, I have a gym session at 7 am and then go to the Otago Farmers Market and get rye bread from Maggies Cafe. It has become a ritual that marks the start of the weekend. I eat my rye bread with avocado and Evansdale Farmhouse Brie (I know, right - yum!). A definite glucose bump follows, but not a crazy spike, so that was a relief. It does highlight, though, the value of a CGM to determine what works at a personal level.
✅ A walk (or any form of exercise) after a big meal (or a slice of cake) helps reduce the glucose spike and crash as your muscles utilise some of the circulating blood glucose - so too a night dancing after cocktails and fried food 💃🏼. Great 21st though!
My endocrinologist advisor is pleased with my overall nighttime glucose drops, my time within acceptable glucose zones (which were 95% between 3.9 and 6.8 mmol/L). Apparently, my body is doing what it should, BUT she would like me to work on reducing my overall average glucose levels by one standard deviation (by 0.3 mmol/L; my current average is 5.7 mmol/L).
In the next few days, I have a couple more experiments to conduct on myself. Then I will put my lessons into practice for a few months before wearing another CGM to see if I have successfully lowered my average blood glucose level.
A CGM won’t fix your health for you, but it can give you the insight and motivation to make changes that truly matter. I guess the proof for me will be in the pudding (or the not-pudding). I’ll come back to you on that one in a few months.
Otago Farmers Market