What do you need to do before the DDF Challenge?
This section of the FAQ addresses all your questions.
- 2.1 When Is the Next DDF Challenge?
- 2.3 What Do I Need to Buy?
- 2.4 Would A Continuous Glucose Monitor Be Better?
- 2.5 How Do I Test My Blood Glucose?
- 2.6 How Should I Adjust My Medications When I Start Fasting?
- 2.7 Will DDF Work If I Have Type 1 Diabetes?
- 2.8 Should I Check My Ketones When Fasting?
- 2.9 I’ve Been Doing OMAD/ADF/EF. What Should I Do in Baselining?
2.1 When Is the Next DDF Challenge?
The dates for the upcoming challenges are listed below. Click here to join the next challenge to get access to all the materials immediately.
- 25 February 2023
- 8 April 2023
- 20 May 2023
- 1 July 2023
- 12 August 2023
- 7 October 2023
- 25 November 2023
2.3 What Do I Need to Buy?
Blood glucose meter
In the Data-Driven Fasting 30-Day Challenge, you will use your blood glucose to optimise your intermittent fasting routine.
Accuracy is crucial because you will use glucose to guide your meal timing. If you don’t already have one, some accurate, cost-effective blood glucose meter options are available.
A great option in terms of features and accuracy is Contour Next One, which comes with a smartphone app to help you analyse your data. It’s everything you’d hope a modern blood glucose meter would be!
You can even program the app to give you a happy flashing green light when you are below Your trigger. You’ll get a nice dopamine hit from the green light rather than those less-than-optimal comfort foods!
Test strips are often sold separately. You will need at least 100 test strips for the Data-Driven Fasting 30-Day Challenge and up to 200 if you want to test more regularly.
Many people are squeamish about measuring their blood sugars initially, but once they start, they love seeing the data and want to test more! This is great initially, but after the first week or two, we encourage people to use the minimum dose of testing required to validate their hunger and live their lives rather than worrying about minor fluctuations in their blood glucose.
To get the most out of the Data-Driven Fasting 30-Day Challenge, we recommend using a bioimpedance body weight scale that tracks your body fat and lean mass. Most modern digital scales will do this. There is a range of options that have various features. Many people find the Renpho a great option in terms of consistency and value for money.
Your waist-to-height ratio is an excellent indicator of your overall metabolic health. We recommend measuring your waist each week. A simple tape measure is an excellent investment.
2.4 Would A Continuous Glucose Monitor Be Better?
Continuous glucose monitors (CGM) are quickly becoming the most sought-after biohacker toy, and here are a few options available.
The Dexcom is the gold standard for Type-1 Diabetes management, and it sends a reading to your phone or other devices every five minutes. The Freestyle Libre (used by NutriSense and Levels Health) is cheaper but requires you to swipe the reader (or your phone) across your sensor. A CGM is fine if you already have one, but not necessary for Data-Driven Fasting.
Keep in mind that CGM sensors are not painless to insert, and you will have to change them every week or so. CGMs are also not cheap over the long term, especially if you don’t have insurance coverage!
While you can calibrate the Dexcom with your glucometer, you can’t calibrate the Freestyle Libre. Most people find that the Freestyle Libre reads significantly lower than an accurate glucometer. People also often see different readings when they change sensors, which throws out the consistency and accuracy of the data, which is important for Data-Driven Fasting.
The ultimate goal of Data-Driven Fasting is to retrain your appetite by using your glucose to validate your hunger before you eat. If you can see your current blood glucose all the time, you’re more likely to eat even if you’re not hungry because your blood glucose has dropped below your trigger.
Excessive focus on minimising the rise of blood glucose after meals often leads people to low-satiety, high-fat foods that will slow fat loss from their bodies. Unfortunately, more stable blood glucose does not align with lower body weight or healthier waking blood glucose. That’s why we focus on reducing your pre-meal blood sugars in Data-Driven Fasting, which allows you to reduce your insulin and blood sugar across the whole day.
Focusing excessively on your blood glucose rise after meals can drive people to opt for more low-satiety, nutrient-poor, high-fat foods. While fat does not raise your blood glucose much in the short-term, excessive dietary fat will stop your blood glucose from returning to below your trigger as quickly.
Your liver will release glucose from storage into your bloodstream to stabilise your blood glucose. Your blood glucose may even rise in anticipation of food. Unfortunately, many people get confused when they check their CGM when hungry and later find that their blood glucose has risen by the time they have prepared their meal and are ready to eat.
Remember, the goal is to verify your hunger with your blood glucose. If you can see your blood glucose in real-time, you may be tempted to refuel because your blood glucose dropped below your trigger — even if you’re not hungry.
There are also benefits in the slight hassle of doing the finger prick and recording your blood glucose before eating. Taking a moment to check your blood sugars works as a pattern interrupt to ensure you are hungry enough to eat. After a couple of weeks, most people only need to check their blood glucose twice a day.
If you’re interested in learning more, check out:
- How to Make the Most of Your Continuous Glucose Monitor (CGM) Data,
- How to use a continuous glucose monitor for weight loss (and why your CGM could be making you fat),
- Glucose Revolution by Jessie Inchauspe (the Glucose Goddess): Review, and
- How to lose weight using a continuous glucose monitor (CGM) and Data-Driven Fasting.
2.5 How Do I Test My Blood Glucose?
While it might seem a little scary the first time, testing your blood sugar is pretty straightforward and painless.
- Insert the test strip into the glucometer.
- Use the lancet to draw a small amount of blood.
- Move the test strip to the tiny drop of blood. The strip will suck up the blood.
- Wait a few seconds to get a reading on your metre. During this time, you can wipe off any excess blood and close the test strip container
- Record the value in the DDF App.
Because you’ll be taking regular measurements, you want to keep it as simple as possible.
- Most people use their fingers, but using other areas (like your forearm) can be much less painful. While different parts of your body can give slightly different glucose readings, you only need to be consistent for the purposes of DDF.
- There is no need to worry about calibration solutions outside a clinical/hospital setting.
- So long as you’re not testing on your hands after eating or cooking, there’s no real need to wash your hands before every test. But you should ensure you don’t have food on your fingers when you test.
- You will need to remove the end of the lancing device the first time to insert a lancet. So long as you are not sharing your lancing device, you don’t need to change the lancet after each test. However, after a few weeks, they can get a bit blunt and hence a little more painful, so it is helpful to change the lancet then.
- You can dial the depth of the lancet up or down to get just enough blood to fill the test strip while minimising the pain.
- Meters like the Contour Next will allow you to add more blood if you don’t initially get enough the first time. You can push down with the lancing device (without pricking again) to get more blood.
- Having warm hands and being well-hydrated will help. Try shaking your hands to bring more blood to your fingers first.
- Before you prick yourself, it’s a good idea to rub your skin a little bit to mobilise the blood.
- If you get a blood glucose reading significantly different from what you expected, you can retest again. After that, accept it, record the one that makes the most sense, and move on. Don’t keep testing or second-guessing.
2.6 How Should I Adjust My Medications When I Start Fasting?
Generally, you should continue taking your regular medications throughout the DDF Challenge.
Many people are on metformin (or berberine), which can help reduce blood sugars. However, during the DDF Challenge, we focus on your pre-meal blood sugars to address the root cause (excess body fat).
If you take any diabetes-related medications (e.g., injected insulin, sulfonylureas or glipizide that encourage your pancreas to produce more insulin), you should pay particular attention to your blood glucose as you extend the time between meals.
Many people find they can progressively dial back their diabetes medications as they continue with Data-Driven Fasting. However, this needs to be done progressively and carefully.
Work with your healthcare team to adjust your dosing to ensure that your blood glucose doesn’t go lower than you feel comfortable (e.g., below 4.0 mmol/L or 72 mg/dL). Not only will you feel unwell below this level, but you will also want to eat anything and everything until your blood glucose returns to normal.
Because insulin works in your body to hold body fat and glycogen in storage, injecting insulin to reduce blood sugars can make it harder to lose unwanted body fat because it pushes your glucose lower, and you feel hungrier earlier.
Excess-injected insulin causes your body to hold fat and glycogen in storage, making you hungrier. As your blood sugar reduces and your body starts to burn off your excess body fat stores, you may need to dial back your basal and bolus insulin.
A predictable routine is critical, even more so if you take diabetes medications. If you radically change your eating pattern by skipping a whole day of eating or engaging in a multi-day fast, your insulin needs will plummet, and you will risk low blood glucose (hypoglycaemia). In contrast, Data-Driven Fasting will guide you to make incremental changes to your eating routine, which will allow you to dial back your medications slowly.
During this transition period, it may be prudent to dial back your insulin dosing and allow your average blood glucose to run a little higher to avoid lows. Once your glucose variability reduces, you can tweak your insulin dosing to maintain lower average blood glucose. For more detail, see:
2.7 Will DDF Work If I Have Type 1 Diabetes?
Data-Driven Fasting has been heavily inspired by watching my wife Monica’s closed-loop CGM-insulin pump system that adjusts insulin dosing based on blood sugar data from her CGM.
Many people with Type 1 Diabetes have great success with the Data-Driven Fasting approach, significantly reducing weight and daily insulin requirements.
It doesn’t make sense to eat if your blood sugar is high and if you have plenty of energy already in your bloodstream. However, the one caveat is that you ‘cheat the system’ and rapidly bring your blood glucose down with injected insulin. Unfortunately, this will be counterproductive.
Rather than injecting more insulin to bring your blood sugars below Your trigger, Data-Driven Fasting will encourage you to wait a little longer to eat. This will lead to lower daily insulin requirements and improved insulin sensitivity.
2.8 Should I Check My Ketones When Fasting?
As you fast for longer, your blood glucose will tend to decrease. This is because your blood ketones (BHB) increase as your body starts to burn stored fat for fuel.
The chart below shows how blood glucose and ketones change during a seven-day fast – blood glucose trends downward as ketones rise.
However, you don’t need to be measuring ketones to verify you are burning body fat. As your glucose decreases, you will be using more fat for fuel. If you are not overdoing your dietary fat intake, more of the fat you are using will be from your body.
It’s also important to note that, especially over the longer term, elevated ketones are not a valuable indication of your fat burning! People who carry more muscle and are more metabolically healthy have more efficient monocarboxylate transporters, meaning that they can more effectively clear lactate and ketones from the blood. So, as your metabolic health improves, you will likely see your ketone levels decrease as the energy in your bloodstream from fat, glucose, and ketones all decrease.
As shown in the chart below from Optimisers in our first Masterclass, people tend to see their blood ketone values increase for a few weeks. But after that, they continue to decrease as they continue to lose weight.
As with many things, more is not necessarily better when it comes to ketones. Blood ketones (BHB) that we measure are the storage and transport form of ketones. On the other hand, your level of breath ketones (i.e., breath acetone or BrAce) is a better indicator of whether you are burning ketones rather than forcing them to build up in your bloodstream.
If your goal is to understand if you use ketones for energy rather than storing them, tracking your breath acetone may be more helpful. But again, you don’t need to worry about ketones to confirm you are using body fat if you are chasing a lower premeal blood sugar.
While there has been plenty of excitement over keto in recent years, tracking your blood ketones is unnecessary and doesn’t provide you with actionable data because there is no way of knowing if the ketones are from your body fat or the fat in your diet.
Sadly, tracking ketones often leads people to consume more fat than they require in the pursuit of ‘optimal ketosis’. Ketone test strips are also expensive. So, unless you are curious because everyone else is doing it or you have some excess cash to burn, save your money and skip the blood ketone testing!
2.9 I’ve Been Doing OMAD/ADF/EF. What Should I Do in Baselining?
There are some nuances to the DDF process depending on previous eating habits.
Stalling out on longer fasting routines is common due to a slowed metabolic rate and a loss of muscle mass due to inadequate protein intake.
While it is possible to get your daily protein requirements in one meal, it is not easy, and few people manage to achieve it. More frequent eating is less stressful for your body (i.e., less cortisol and less digestive hassle). Many people find their weight loss restarts when they get more than one meal a day in our Data-Driven Fasting Challenges.
As a minimum, we recommend hitting the minimum daily protein shown in the table below in the lead-up to the Data-Driven Fasting 30-Day Challenge (based on 1.4 g/kg LBM).
|height (cm)||height (inches)||female protein (g)||male protein (g)|
You can track your current protein intake in an app like Cronometer. If you want to dial in your macros, you may find our Macros Masterclass helpful once you’ve completed one round of Data-Driven Fasting.
If you have been undereating protein for a while, don’t be surprised if your body weight goes up a little until your muscles hoover up the protein they need. However, you may find your clothes fit better, your waist circumference is dropping, and your body fat is dropping. Remember, metabolic health is not just about having a lower body weight.
- Data-Driven Fasting: How to Use your Blood Glucose as a Fuel Gauge
- Data-Driven Fasting
- Data-Driven Fasting Challenge
- Data-Driven Fasting Program
- Data-Driven Fasting app
- Get the DDF Manual
- DDF QuickStart Guide
- The DDF app User Guide
- Join Our Community
- Frequently Asked Questions