• As you’ve no doubt read, I was getting a little concerned about my blood sugar levels as revealed by my Continuous Glucose Monitor (CGM). But after 9 or 10 days of use now the numbers seem to be settling down nicely.

    My average over the last week shows I’m very much in the green overnight and early morning, then I get a climb to just over the green by lunchtime – sparked usually by the “dawn phenomenon” where my body releases glucose to provide energy through the day, and then peaks – on average – after midday.

    This seems to happen not just on eating days but on my 36hr fast days as well, demonstrating that it’s not carbs or sugar, it’s just my own body fuelling myself through the peak of the day.

    It then typically starts to drop back down to just above the healthy range for the afternoon and evening.

    Today as an experiment I tried eating home made popcorn – since this is one of the few (only!?) “grains” I still eat I was keen to see how bad it is for my blood sugar.

    I only have a smallish portion, cooked in coconut oil, and then I melt some butter and dark chocolate (100% cacao nibs so the REALLY dark stuff!), and then once melted I mix in just a few drops of my sucralose coffee syrup. I watched my blood sugar after eating and it went up literally 3 points (6.1 to 6.3) over two hours which is nothing. Barely a blip!

    This second graph on the left shows the average of the nice steady, relaxed curves I see throughout the day – no sharp, jagged spikes which signal dangerous levels of glucose!

    And the “estimated A1c”, which I mentioned previously, and which is calculated based on my daily figures, is now down to a blissfully low 5.2% blood sugar (33 mmol/mol)!

    I’m getting very close to the 20 range, which is “optimum health” for a non-diabetic, let alone a diabetic! Obviously, the “real” A1c blood test is a snapshot of a much longer period – 90-120 days – so will unlikely be quite that low, but I definitely hope to be in the mid-30’s the next time I have a blood test.

    I’m genuinely feeling super positive about the whole thing. My initial concerns based on my CGM were completely unfounded and having seen how steady things are I’m ready for a few last tests this weekend before the sensor runs out – the big one is my own home made pizza!

    I make pizzas a bit differently but they’ve always been a huge hit with friends and family – even some with Italian roots! But I’ll tell you all about it when I make it!


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  • Estimated A1c from my CGM

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    One of the other features of my Continuous Glucose Monitor (CGM), which tracks my blood sugar throughout the day, is the ability to extrapolate from those readings to estimate my HbA1c.

    My HbA1c was 40mmol/mol (5.8%) when last I had it measured, on May 5th, just under two weeks ago, but down from the danger zone I was at in December – 79mmol/mol (9.6%). You may recall I was kind of hoping for a better result – something more like the mid or even early 30’s.

    Well, today my CGM finally had enough data to give me my first estimated A1c. I do need to bear in mind that it really is just an estimate, and until it gets a full 14 days of date even that will be very rough at best.

    But at the moment, as you can see, it’s reading as 34 mmol/mol (5.3%)! At this stage, getting down from 40 to the early to mid-30’s would feel absolutely fantastic!

    I’m honestly a bit surprised to see it’s so low given the readings I’ve been getting, but then I remember that I’ve set my blood sugar boundaries very strictly.

    Either way, I’ll take the estimate as a solid indicator that I’m actually doing the right things! 😊


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  • I once again have been looking at my blood sugar readings, and notably on a fasting

    day since this really is my “baseline” – ie what my body does naturally when there is no food to “artificially” raise my blood sugar.

    I’m back to my regular 36 hour fasting schedule today, and at over 12 hours into my fast, I took the screenshot on the right from the Libre Link app that receives my blood sugar reading from my Continuous Glucose Monitor (CGM), the sensor plugged into my arm..

    As you can see at that point I was sitting at around 6.2 mmol/L (~112 mg/dL in US units).

    The “safe” or “healthy” target range, represented by the light green band, is 4.6 – 5.5 mmol/L (83 – 100 mg/dL).

    As I mentioned previously, my body seems to be producing glucose by itself – which is “as designed” – it’s how we evolved to survive long famines. There is no other rational explanation. My readings were a little higher than I might like at that point, but it seems like it’s nothing to worry about.

    I posted about this on Facebook recently and someone had a similar experience, suggesting that their fasting numbers gradually lowered over a period of a few years of switching to a ketogenic diet. As he said “we spent decades beating up our body, so we have to give it time to adjust!”

    This afternoon I went for my swim, and once again you can see there was a rise in glucose – it doesn’t show smoothly since I was in the pool, away from my phone – hence the broken line. By the time I was back in range of my phone, you can see right after the broken line it was already starting to drop, and then it levelled out again but steadily sinking lower through the evening.

    At 11:30 pm, over 24 hours into my extended fast, my CGM said I had settled back down at a very healthy 4.5 mmol/L, as you can see below.

    The following morning, now about 34 hours into my 36 hour fast, I was very pleased to see I’d had a really good night.

    My glucose on waking was 4.6 mmol/L (83 mg/dL), just a fraction of a point up from when I went to bed, and as you can see from the graph to the left, it was flat all night except for one dip.

    As I’ve discussed before, these sudden dips overnight are invariably (for me!) not real blood sugar dips, they are what are referred to as “compression dips”. I often lie on my left side, cradling my head on my left arm, which is where the CGM sensor attaches. The pressure of my weight against my arm pushes some interstitial fluid away from the area, preventing the sensor from detecting all the glucose as it should, resulting in a false low reading.

    While Type 1 diabetics, or Type 2s taking insulin, might see sudden drops (hypoglycaemia) due to genuine blood sugar issues or over medicating with insulin, for a Type 2 like myself, especially one highly fat adapted, it’s incredibly unlikely that I’d see a genuine “hypo” as they are colloquially called.

    So ignoring my compression dip, as you can see my blood sugar overnight was practically perfect!

    This morning it began to climb as I awoke, but at a much slower, steadier pace than I’ve seen on some mornings; as I’ve spoken about before this is the “dawn phenomenon” where your body prepares itself for the day by releasing cortisol and adrenaline to wake you up, resulting in the liver releasing glucose to provide energy.

    But today it was really very slow and gentle, rising from 4.6 to 5.4 but then levelled off at 5.2 as you can see from the screenshot to the right.

    I must confess I’m still struggling a little to interpret my results, as sometimes, like yesterday and overnight, it does exactly what I might expect, but at other times it completely surprises me.

    Clearly, it’s not quite as straightforward as I hoped it might be.


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  • I had another great swim today – as you’ve seen I’ve been gradually building up to longer intervals, starting out from 4 x 250m, then 2 x 500m, then 750m before finally hitting 1km in my set on Monday, finishing up that set with another 500m to make it a full mile.

    Today I did another full mile but this time the first set was 1.2km! I then finished up with another 300m to keep to a mile.

    I’m so close now to a full mile of swimming (1.5km is a “swimmers’ mile”!). A few more weeks and I’ll get there. I’m really not planning to swim any further than that, due to my history of shoulder issues.


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  • The ups and downs of a CGM

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    I finally got my free trial CGM (continuous glucose monitor) this week, after weeks of waiting. I’ve been very excited to get into the details of my blood sugar, but now that it’s here it’s been a bit of a mixed bag.

    The sensor attaches to the rear of your arm, by the tricep muscle, and is designed to simply stay there for 15 days. After initially pairing with my phone via it’s NFC sensor it then provided updates automatically via Bluetooth.

    There’s an initial settling period of an hour, after which it looked like I was in the strict

    blood sugar “safe” range recommended by Dr Richard Bernstein – which is between 4.6 and 5.5 mmol/L or 83 to 100 mg/dL.

    To the right you can see my settled number from last night, 4.6mmol/L (83 mg/dl) which is right at the bottom end of Bernstein’s target, which came as no surprise to me given that I was about 22 hrs into a 36hr fast at that stage!

    Worrying blips

    The morning gave me my first worrying blip as I woke up to find my blood sugar apparently dangerously low at 2.9 mmol/L!

    In fact, this is a very common phenomenon often seen during sleep, and it certainly can be slightly worrying at first, as it looks like a low sugar hypoglycaemia event, when in fact it’s nothing of the sort.

    As you can see from the graph to the right, illustrating the progress to this false low, my blood sugar seemed to drop alarmingly rapidly after a very steady and stable period overnight, but in reality, what had happened was I had woken up with my head lying on my left arm, the arm that has the sensor in.

    The “compression” caused by the weight of my head on my arm caused the blood in the region to get “stuck,” fooling the sensor into thinking there is low blood sugar. Within a minute of changing position to take the weight off my arm, the numbers recovered to a very healthy 3.9 mmol/L.

    Dawn phenomenon

    The “compression low” was then followed very shortly after what I took to be just a minor second blip. The inevitable “dawn phenomenon”. This took me up to 6.4 mmol/L (115.2 for the US readers).

    This is another standard morning phenomenon, which is part of the body’s normal preparation to wake up – cortisol and glucose are released into the bloodstream to help us wake up and function.

    However, this “blip” persisted for most of the day, peaking at over 7!

    Now, that being said, I was told to ignore the first day of readings as the sensor stabilises and settles, but also while my body gets used to having what amounts to a permanent foreign object in my arm.

    Today has been my second day with the CGM, and is my second full 36hr fast day of the week. This morning the “dawn phenomenon” was much weaker, although I was still surprised to see my levels rise to above the “safe” range for much of the morning – albeit, just hovering above 5.5 mmol/L / 100mg/dL.

    While it seems odd that someone fasting could have such high blood sugar, from what I understand, this is not uncommon. Having been aggressilely fasting for many months now alongside eating a strict ketogenic diet while also fuelling regular, intense exercise my body has become “fat adapted”.

    What that means is that I am naturally converting my body fat to energy to make up for the loss in dietary carbohydrates. Because my body is very efficient at fuelling me it is keeping me well stocked up to ensure I have enough glucose to deal with any sudden call made for energy by my exercise regime.

    This afternoon it has dropped back down to the safety zone – currently around 4.6mmol/L or 83 mg/dL. Hopefully, it will stay that way overnight and tomorrow I’ll get a clearer picture of my “feeding day” baseline.

    The plan for my CGM

    Now that I have it the plan is to monitor for the two weeks the sensor lasts, first of all getting a clear view of how my regular scheduled activities affect my blood sugar – sleep, exercise, fasting, and eating. And of course, with a special focus on any particular foods that might be spiking my blood sugar more than I might expect.

    More updates over the coming days.


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  • Yesterday was my regular 36-hour fast and all went well. Then, in the afternoon, I went for my Monday swim. It’s always much quieter at the pool in the afternoon, and there was only one other person in the “fast lane” (which is effectively two lanes combined), so we each had our own space, which was brilliant.

    I was planning to repeat the same 1.5km set as last week: $1 x 750m, 1 x 500m, 1 x 250m. However, I got into the zone quickly and felt so strong at the 30-length mark (750m) that I decided to push it straight to 40 lengths – a full 1km. I finished strong, took 1.5 minutes to rest and stretch, and then banged out the remaining 500m to finish the entire 1.5km in just two sets.

    Then came Tuesday.

    To be honest, I wasn’t feeling great most of the day. I was dealing with some frustrating issues with my new Continuous Glucose Monitor (CGM) – more on that in a later post—and I kept procrastinating my run until it was past 7:00 PM. The great thing about this time of year is the brighter evenings, with sunset not until 8:45 PM, so it turned out to be a beautiful evening: still sunny and not too breezy.

    But right before I headed out the door, a devastating email landed. It was a rejection from the company I considered my best, most promising post-redundancy job opportunity. I genuinely felt the role was a perfect match for my skills and experience, and the first two interviews had gone incredibly well. I was fully expecting to move to the next rounds, so it was a massive kick in the nuts to be told they had already chosen another candidate.

    It was under the shadow of that news that I laced up my running shoes. I’ll be honest: I was mad.

    Instead of letting that anger simmer, I pushed it directly into my legs and decided it was time to level up. I bypassed my planned 2.5-minute intervals and programmed the watch for the next milestone: 3-minute runs with 1-minute recovery walks.

    The run went brilliantly. The 3-minute sets felt entirely manageable. I had to extend a couple of the 1-minute walk recoveries, but not because I was struggling – it was purely logistical due to gates and footbridges on my riverside route forcing a temporary pause. On each of the five running sets, I felt significantly stronger than expected, right up to the final second.

    Chuffed with the run, I came home and kept the momentum moving straight into my GMB Fitness Mobility session. I’ve been gradually introducing two of these 15–20 minute sessions each week to build up my joint strength. Today’s lineup was the ultimate locomotor trio: The Monkey, The Bear, and The Frogger.

    On paper, these animal movements look straightforward, but moving through them has always been a challenge. Today’s prescription was one-minute intervals of each exercise, back-to-back, for three full rounds. In the past, I’ve always had to stop-start these sets or cut them short. Today, for the first time, I locked down three full minutes for each movement and felt strong throughout the entire circuit.

    Life seems determined to throw obstacles in my way right now, and truth be told, they are highly anxiety-inducing. But my response to that is simple: fuck that shit. I am determined to remain consistent no matter what the universe throws at me, and the data speaks for itself. I may be redundant and temporarily unemployed, but I am a darned sight fitter, stronger, and more resilient this week than I have been in a very long time.


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  • My Saturday weigh-in was, on the surface, a little disappointing. My weight had fluctuated up this week, with Tuesday’s weigh-in showing a completely unexpected 3.1 lbs / 1.4 kg increase!

    While I did cut my Monday 36-hour fast short, I had two 36hr fasts the previous week, and stuck to strict keto principles – as well as increasing my swimming, running, and introducing cycling and more mobility and strength work! So, a weight gain was not something I had factored in at all! But maybe I should have.

    As we’ve discussed before, the body is not a simple machine of inputs and outputs – it’s a complex metabolic maze – a puzzle at times. While on paper I am maintaining a calorie deficit, I’m also increasing exercise, which requires muscle repair, which in turn requires water.

    Think of it like building a wall. 🧱

    You need bricks (essential proteins), sand, and cement (the hormonal signals and micronutrients that bind it all together), and also water to get the right consistency. So the body retains extra water to build the muscle.

    It takes energy to put up the brickwork, and likewise, it takes energy to build muscle. But how is that possible if I’m fasting and therefore at a calorie deficit? There’s a common misconception that you have to be in a calorie surplus / excess in order to build muscle, but that’s simply not the case. As long as you have fuel and the right building blocks you can build muscle.

    We use fat to fuel everyday bodily functions during ketosis, and we use the same fat to build the wall, which increases the deficit.

    Only once the muscle is built is any excess water released. But since we’re tearing down the walls and building new ones (more exercise, resulting in stronger, more efficient muscles) every week, the body is never too eager to let go of its building materials.

    “Muscle is heavier than fat”…isn’t it?

    We often hear that ‘muscle weighs more than fat,’ but of course that’s nonsense – a pound of feathers weighs the same as a pound of iron!🪶⚖️

    But it is true that muscle is denser than fat. Almost 20% denser, so muscle on your body takes up 20% more space than your body fat did. That is why my jeans are falling off me even though the scale is holding steady at 99.6kg!

    Plus, there’s a massive metabolic cheat code here: muscle is active tissue. Every pound of muscle I build burns about three times more calories at rest than fat does. By trading fat for muscle, I’m building a bigger, hungrier engine that burns calories even while I sleep.

    The mirror, tape, and scale

    When we exercise while also maintaining a calorie deficit, it’s therefore important that we relegate the scale to more of a general guideline.

    The mirror and the measuring tape are more reliable sources of data than our body weight. As we’ve seen in the past, my weight fluctuates a lot, even over a day or two, far more than is possible due to fat gain and loss. I “gained” 3.1 lbs / 1.4 kg in just 3 days, then “lost” 2.3 lbs / 1 kg in four days. Neither fat nor muscle are gained or lost that rapidly.

    What we’re doing when we exercise is not about weight loss, it’s about body recomposition. We are literally converting body fat into muscle, and that requires water, which CAN fluctuate hugely over the course of a few hours let alone days.

    So over time, there will definitely be a net loss in weight, as we lose fat and turn it into muscle, which in turn burns more energy – but while we’re rebuilding, the scales might tell us otherwise.

    What I’ve really noticed this week is how much better I look in the mirror. I can see my abs and oblique muscles starting to show, and a lot more size as well as definition in my legs.

    So, the net result of this week’s recomposition effort is that I’m back down to 15st 9.5lbs (219.5lb/99.6kg). So I’m still under that 100kg mark, but also a much more svelte-looking version!

    Progress Update: May 9, 2026

    Week 20

    HbA1c: 42 mmol/mol

    Remission as of 30/03/2026

    15 St 9.5 lbs

    219.5 lbs / 99.6kg

    Total loss (since December):
    2st 10.4lbs (38.4lb/17.4kg)
    Total loss (since Diagnosis):
    3st 4lbs (46lb/20.9kg)

    Exercise

    Monday: None Bank Holiday brain fart!
    Tuesday: Swim: 1 x 750m, 1 x 500m, 1 x 250m (1.5km) Mile swim!
    Wednesday: Run: 6×2.5min run / 1 min walk Solid run
    Thursday: Cycle: 30 min / 10km easy, Swim: 4x250m (1km) Easy bike ride and recovery swim
    Friday: Run: 2 min run, 1 min walk, GMB Fitness Mobility 15 mins TBD
    Saturday: Swim: 1 x 750m, 1 x 500m, 1 x 250m (1.5km) TBD !

    Fasting

    Monday: 24 hr fast Caved
    Wednesday: 40 hr fast Completed second fast of the week successfully
    Friday: 36 hr fast Completed 3rd fast of the week successfuly!

    Blood Pressure

    Tuesday: AM 148/97 PM 148/88 (66bpm) BP very high during GP appt so asked to keep BP diary
    Wednesday: AM 135/88 (61 bpm) PM 137/80 (72 bpm) Definitely better today
    Thursday: AM 144/92 (67 bpm) PM 119/85 (75 bpm) High this morning but amazing this evening!
    Friday: AM 143/92 (62 bpm) PM 129/88 (67 bpm) Once again, high in the morning, but pretty good in the evening
    Saturday: AM 127/84 (61 bpm) PM xx/xx (xx bpm) Amazing morning reading, one of my best!

    Target: 12st 12 lbs (180lbs / 82kg)

    Remaining: 39.5 lbs / 17.9kg

    54%

    Anyway, I’m going to worry less about the scales, and more about my recomposition efforts – plenty of high-quality protein, lots of exercise, intermittent fasting, and plenty of rest. The rest will take care of itself.


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  • Following my diabetic check-up on Tuesday, my clinician asked me to keep a week-long morning and evening BP diary. It has been an incredibly eye-opening exercise.

    Normally, I only test in the morning. But looking at the full day’s data, I realized my morning readings are heavily impacted by the “morning surge.” As we wake up, our systems are flooded with cortisol to wake us up, which often leads to elevated readings.

    Throughout the day, my vascular system is actually in much better shape than I thought!

    The Big Takeaways:

    • The “Initial shock”: My first reading is almost always high (constricted vessels). This can be caused by the very mild shock of just putting the BP cuff on and thinking about the logistics of taking the reading, but also demonstrates I’m usually not fully relaxed. By the second or third reading, it drops significantly.
    • Exercise is Medicine: On Thursday, after my bike ride, my BP dropped to 120/76—literally a normal, healthy reading!
    • The Ultimate Morning Victory: This Saturday morning, I hit a resting average of 120/80 with a resting pulse of 60 bpm! For my age and where I started, that is incredible.

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  • So, I finally got my results back from my HbA1c after my interim diabetic checkup, and it wasn’t great news.

    As I’ve discussed, having dropped from a dangerously high blood sugar reading of 79 mmol/mol (9.4%) in December to an amazing 42 (6.0%) on 30th March, I was fully expecting to have continued on that same trajectory, which would have taken me down to the mid 30s in mmol/mol (5.3-5.6%)!

    Best case, I was hoping maybe to be even in the early 30’s (5.0-5.2%). A very optimistic part of me was hoping that I’d hit the late 20’s (4.6-4.8%), taking me very close to my ultimate goal which is a “normal/healthy” A1c!

    So I was really quite crestfallen to see my new number was 40 (5.8%)! Just 2 points down from my last test which was six weeks before.

    Now, it must be said that in that period, I had a couple of pretty bad “cheat days” – one just aroudn ten days before my test – and the way the HbA1c test works, it does “prioritise” the more recent results. But it was just one or two meals out of six weeks, in which I was still fasting for 36hrs three days a week, eating strict keto and had increased my exercise to a solid 6 days a week pretty consistently.

    Still, it’s a bit of a surprise, and not a good one.

    The one thing I have to remember is that the HbA1c is just an average. I only realised after recently joining some diabetic Facebook groups that most diabetics test their blood sugar throughout the day, and so I’m getting myself a cotinuous glucose monitor – this is a sensor that attaches to your arm and reads your blood sugar continuously (hence the name! 🤪) throughout the day and sends the results in near real time to your phone.

    This will give me a much more accurate picture of what my blood sugar is actually doing to keep me from dropping my number more rapidly.


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  • I finally got back on the saddle this week! After losing some gear during the Cambridgeshire move and replacing a damaged helmet, there were no more excuses.

    I plotted a “cycle-friendly” route on my Garmin, but 15 minutes in, the road literally ended at a gated private farm. I had to pivot (literally, turn around and go back the way I came!😜), but it was still a great 30-minute, 10km ride to blow off the cobwebs. Best of all? I was 38 hours into a fast and felt fantastic.

    I also fit in my recovery swim later that afternoon. I’m working on bilateral breathing (taking 5 strokes instead of 3 between breaths), which is a work in progress, but the core/upper body focus felt great after the morning cycle.

    The Protein Focus

    Fasting for 36 hours and exercising twice a day means I really have to think about my nutrition on feeding days. I’ve been worried I’m not getting enough protein in particular, so I’m making a conscious effort to ramp it up:

    • Breakfast: A massive 4-egg omelette with red onion, mushrooms, avocado, 3 chicken chipolatas, and nitrate-free bacon.
    • Afternoon: A Greek yogurt and keto granola smoothie boosted with an extra half-scoop of whey protein.
    • Dinner: 650g of diced chicken breast air fried in Korean spices served with broccoli, cauliflower and spinach. The chicken was actually so much I had to split it over a “main meal” and then a late snack!


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