I just posted a new Substack article on blood glucose control as a longevity strategy. In addition to breaking down the science, I also shared some simple self experiments looking at various drugs and supplements that can blunt glucose peaks, like acarbose. Sharing the highlights of those experiments here for discussion.
In each case, I wore a continuous glucose monitor (CGM) to follow my blood glucose levels in real time. Starting in the morning after an overnight fast, I consumed 50g of carbohydrate in the form of white bread, similar to the control condition that is used to determine the glycemic index of different foods. I then monitored glucose changes for two hours after the meal. For each of the graphs below, I normalized the starting glucose to my daily average of 92 mg/dL to make the data easier to visually digest.
In the control condition, where I consumed the bread without any drugs or supplements, my blood sugar levels quickly rose to a sharp peak of about 150 mg/dL at 30 minutes, before quickly returning to baseline at about 50 minutes. With acarbose, things look much, much different. There is really no peak to speak of. Instead, there is a small bump from about 40-70 minutes, followed by a gradual rise. Very effective.
I also tested eight acarbose alternatives, since acarbose has the prescription-only barrier and can cause bad gas for a lot of people. They all worked, to varying extents, but a combination of grapeseed extract, white bean extract, and cinnamon outperformed everything else, even acarbose.
This could be a nice alternative for those who don’t agree well with acarbose. My wife, who can’t tolerate acarbose, didn’t experience the same bloating and gas issues with this combo, perhaps because it caused less of a microbiota die off effect (acarbose is toxic to some bacteria).
I was also impressed with the standalone results for grapeseed extract, especially since it also exerts nice effects on arterial health. Moving forward, I’ll probably use that once a day with acarbose at my other one or two meals.
Full results and discussion here, for anyone who is interested: