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Dr. Casey Means, MD is back for another deep dive on CGMS (Continuous Glucose Monitors)! In this Q&A we cover the reasons for our spikes and drops in blood glucose, the cyclical relationship between body type and blood sugar management, the role of fiber in the diet, and prioritizing actionable steps for optimal metabolic health. Dr. Casey is a Stanford-trained physician, Chief Medical Officer and Co-founder of metabolic health company Levels ( https://www.levelshealth.com/ ) , and Associate Editor of the International Journal of Disease Reversal and Prevention ( https://ijdrp.org/index.php/ijdrp/about/editorialTeam ). Her mission is to maximize human potential and reverse the epidemic of preventable chronic disease by empowering individuals with tech-enabled tools that can inform smart, personalized, and sustainable dietary and lifestyle choices. To hear Part 1 of this interview, check out Episode 58 "Optimizing Blood Glucose". *SHOW NOTES:* 1:22 Welcome to the show! 3:28 The reasons for our spikes and drops in glucose 4:07 Concerns with high glucose spikes 5:45 Insulin resistance & Reactive hypoglycemia 8:08 Why carbohydrate concentration isn’t the culprit 8:58 STUDY: Weissman Institute: Glucose Variability 10:32 Her nutritional recommendations for gut health 11:54 The influence of baseline body type 13:18 Book “Why We Get Sick” - Ben Bickman 14:22 What insulin resistance does throughout the body 16:13 All mitigating factors for carb responses 16:59 The role of micronutrients 18:04 Dissecting the “Carb Test” 20:35 Long-term experiments with her CGM 22:45 How to prioritize actionable steps for metabolic health 24:33 Unlock Levels "Zone Score" 26:26 Renee’s story about walking 28:45 Treating the root cause of gut distress 31:44 Increasing Fiber vs Carbohydrates 34:42 Food as "molecular information" 35:55 How she balances carbs from fruit 39:08 The toxic foods she avoids 40:17 Food as the "Architect & the Builder" 42:55 Covering the basics 43:35 Omega-3s on a plant-based diet 45:11 Why plant-based diets can be problematic 46:30 Her supplement & testing protocol 49:40 Her advice for starting a plant-based diet 50:57 Key thought leaders for the plant-based diet 52:16 Thoughts on the Carnivore Diet 55:50 Foundational dietary principles 58:08 How to get a personal CGM 59:44 Thanks for tuning in! *RESOURCES:* BB Episode #58: Optimizing Blood Sugar with Dr. Casey Means ( https://redcircle.com/shows/6b0b1712-7edb-4d18-ab75-08489e090f41/episodes/db93af45-b3df-488d-bf0e-f8cfcc5ffe3f ) Weizmann Institute: Dietary Advice Based on the Bacteria in Your Gut ( https://www.weizmann-usa.org/news-media/in-the-news/dietary-advice-based-on-the-bacteria-in-your-gut/ ) Skip the Levels waitlist to get your CGM ( http://levels.link/biohackerbabes ) “Why We Get Sick” ( https://www.amazon.com/dp/194883698X/?ascsubtag=amzn1.ideas.LPQ03SA32U9Q&linkCode=ic6&ref=idea_lv_dp_ov_d&tag=aiponsite-20 ) by Benjamin Bikman Seeking Health ( https://www.seekinghealth.com ) – use code BIOHACKERBABES to get 10% off your 1st order “How Not To Die” ( https://www.amazon.com/dp/1250066115/?ascsubtag=amzn1.ideas.LPQ03SA32U9Q&linkCode=ic6&ref=idea_lv_dp_ov_d&tag=aiponsite-20 ) by Dr. Michael Greger “Prevent and Reverse Heart Disease” ( https://www.amazon.com/dp/1583333002/?ascsubtag=amzn1.ideas.LPQ03SA32U9Q&linkCode=ic6&ref=idea_lv_dp_ov_d&tag=aiponsite-20 ) by Dr. Caldwell Esselstyn “Eat For Life” ( https://www.amazon.com/dp/0062249312/?ascsubtag=amzn1.ideas.LPQ03SA32U9Q&linkCode=ic6&ref=idea_lv_dp_ov_d&tag=aiponsite-20 ) by Dr. Joel Fuhrman “Proteinaholic” ( https://www.amazon.com/dp/0062279319/?ascsubtag=amzn1.ideas.LPQ03SA32U9Q&linkCode=ic6&ref=idea_lv_dp_ov_d&tag=aiponsite-20 ) by Dr. Garth Davis” “Mastering Diabetes” ( https://www.amazon.com/dp/059318999X/?ascsubtag=amzn1.ideas.LPQ03SA32U9Q&linkCode=ic6&ref=idea_lv_dp_ov_d&tag=aiponsite-20 ) by Dr. Cyrus Khambatta Support this podcast at — https://redcircle.com/biohacker-babes-podcast/donations