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Use a flexible tape measure Measure just above the belly button each morning Keep the tape level and snug but not tight Waist should be 7.8 mmol/L after meals Observe how specific foods affect you Tailor your intake accordingly If your glucose spikes after bread, rice, beer, or fruit juice and you have a high waist:height ratio its highly likely you have CSP , and would benefit from long-term reduction in high-glycaemic carbohydrates

Abbreviations AGEs: Advanced glycation end products AMP: Adenosine monophosphate BMI: Body mass index EMA: European Medicines Agency FDA: Food and Drug Administration FSH: Follicle-stimulating hormone GDM: Gestational diabetes mellitus GIP: Glucose-dependent insulinotropic polypeptide GLP-1: Glucagon-like peptide-1 GLP-1R: Glucagon-like peptide-1 receptor GLP-1 RA: Glucagon-like peptide-1 receptor agonist LH: Luteinizing hormone MetS: Metabolic syndrome NCDs: Non-communicable diseases OGTT: Oral Glucose Tolerance Test PCOS: Polycystic ovarian syndrome T2D: Type two diabetes References Chooi YC, Ding C, Magkos F

Some clinics skipped labs altogether

However, if you notice changes in cycle timing, flow, or symptoms after adjusting your dose schedule, mention this to your healthcare provider