Health
Study Questions Accuracy of Glucose Monitors for People Without Diabetes
Wearable devices that track blood sugar are enjoying a surge in popularity among health-conscious consumers. But new research suggests they may not be particularly reliable for people without diabetes, raising questions about whether the trend is more hype than health benefit.
Continuous glucose monitors (CGMs) are small sensors typically worn on the back of the arm or abdomen. They measure glucose levels in real time and transmit the data to a smartphone app. For people with diabetes, the technology has been transformative, helping them adjust diet, activity, and medication to keep blood sugar within a safe range.
However, a study published in the journal Diabetes Technology and Therapeutics indicates that the devices offer little meaningful insight for those with normal blood sugar levels. Researchers from Brigham and Women’s Hospital in the United States analysed data from 972 participants, including people with type 2 diabetes, prediabetes, and normal glucose control. Each wore a Dexcom G6 CGM, which recorded their glucose every five minutes for up to 10 days.
The results were clear. Among those with diabetes, CGM data strongly correlated with HbA1c, the gold-standard blood test that measures average blood sugar over several months. The devices were somewhat less reliable for people with prediabetes and showed little to no relationship with long-term glucose control in people without diabetes.
“Our study reaffirms that CGMs are great tools for people with diabetes,” said lead author Dr. Jorge Rodriguez, an internal medicine physician. “But for those without diabetes, CGM data is not a substitute for HbA1c, which reflects long-term blood sugar control.”
The research team examined eight CGM metrics, including average glucose, variability, and time spent in a healthy range. While the devices accurately reflected blood sugar in patients with diabetes, they often captured short-term, non-significant fluctuations in people with normal glucose. These patterns, the researchers noted, are unlikely to indicate health risks.
The findings remained consistent even after accounting for factors such as body mass index. Given that CGMs were designed specifically for people with diabetes, the researchers said the results were unsurprising.
Still, CGMs are increasingly marketed to consumers without diabetes as wellness tools, available without a prescription in some European countries and online. Advocates say they can help people understand how food and exercise affect blood sugar in the moment.
Rodriguez acknowledged that potential benefit, describing CGMs as “behavioural biofeedback tools” for those without diabetes. But he cautioned against overinterpreting the data. “They do not directly reflect longer-term blood sugar control,” he said, adding that larger studies are needed to determine whether the devices provide meaningful health insights for people without glucose disorders.
For now, experts say CGMs remain best suited for the purpose they were designed: helping people with diabetes manage their condition safely and effectively.
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Irregular Sleep Patterns Linked to Higher Anxiety Risk Among Teenagers
Teenagers who regularly change their sleeping patterns between weekdays and weekends may face a greater risk of anxiety, according to a new study from researchers at the University of Southampton in the United Kingdom.
The findings come as students return to school after the summer break, when many adolescents may have become accustomed to later nights and longer mornings. The shift back to early school schedules can create a mismatch between weekday and weekend sleep patterns, a phenomenon researchers describe as “social jet lag.”
A review of 12 studies involving more than 230,000 participants found that teenagers experiencing greater levels of social jet lag were more likely to report higher levels of anxiety. The relationship also appeared to work in the opposite direction, with higher anxiety associated with greater disruption to sleep schedules.
However, researchers stressed that the findings show an association rather than proving that irregular sleep directly causes anxiety.
The study highlights the importance of encouraging healthy and consistent sleeping habits as part of efforts to support adolescent mental health. Anxiety is already one of the most common mental health problems among young people.
The World Health Organization estimates that anxiety disorders affect about 4.4% of children aged 10 to 14 and 5.5% of those aged 15 to 19 worldwide. Such disorders involve persistent fear or nervousness that can be difficult to control.
Researchers say adolescence is a particularly important period for sleep because biological changes naturally alter young people’s body clocks.
Sarah Chellappa, a co-author of the study from the University of Southampton, said teenagers generally experience a shift toward later sleep during puberty.
“During puberty, the body’s internal clock usually shifts back by a few hours,” she said, meaning teenagers naturally become sleepy later and may need to wake later as well.
Early school starts can conflict with this biological change. Social activities, online communication and other demands can also reduce the amount of sleep teenagers get during the week.
Hannah Ravenhall, lead author of the study, said the issue should not be viewed solely as a matter of individual responsibility.
She said broader social systems can influence young people’s sleep and called for greater recognition of the biological changes that occur during adolescence.
The researchers suggested that schools could consider whether their start times adequately reflect teenagers’ changing sleep needs. Parents could also review evening routines, including rules around screen use.
Rather than simply encouraging teenagers to go to bed earlier, the researchers argue that more consistent schedules and changes to the environments in which young people live and study could help support better sleep and mental wellbeing.
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