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Nutrition15 min read

CONTINUOUS GLUCOSE MONITORS FOR CYCLISTS: WHAT THE DATA ACTUALLY TELLS YOU AND WHAT IS JUST NOISE

By anthony-walsh

WHO THIS IS FOR

IS THIS YOU?

  • The data-curious rider who has seen CGM patches on every Strava feed and is wondering whether to try one
  • The cyclist already wearing a CGM who is not sure what the numbers actually mean for their riding
  • The masters athlete with a family history of type 2 diabetes considering a CGM for health screening
  • The rider spending over a hundred pounds a month on sensors and wondering whether that money would be better spent elsewhere

THE ROADMAN VIEW

The Roadman View

  • I got caught up in the CGM hype like everyone else. The data is properly interesting — but interesting and useful are not the same thing, and I wish someone had told me that before I spent three months obsessing over post-porridge glucose curves.
  • Mid-ride CGM data arrives too late to change anything. The real value is in what it tells you off the bike — how different breakfasts affect your energy, how sleep changes your fasting glucose.
  • For most of us, a single consultation with a sports dietitian would produce more performance benefit than a year of CGM data.

Eighteen months ago, continuous glucose monitors were medical devices worn by diabetics. Today they are content accessories for endurance athletes. Open Strava and someone in your feed has a glucose graph overlaid on their ride. Open a cycling podcast and within three episodes you will hear a CGM sponsor read. Open Instagram and an influencer is showing you their post-porridge glucose curve like it explains why they dropped you on the last club ride.

The technology itself is real. The data it produces is real. The question that does not get asked nearly often enough: does any of this make you faster?

For most amateur cyclists, the honest answer is more complicated than the marketing suggests. A CGM can tell you useful things about how your body responds to food. It can also drown you in data that looks important, feels important, and changes nothing about your performance. The difference between those two outcomes depends entirely on what you do with what you see -- and whether you know which numbers matter and which ones are noise.

What a CGM Actually Measures

A continuous glucose monitor does not measure blood glucose. This is the first thing most cyclists get wrong, and it matters.

The sensor -- a thin filament inserted just under the skin, usually on the back of your upper arm -- sits in the interstitial fluid between your cells. It measures the glucose concentration in that fluid, not in your blood. An algorithm then converts the interstitial reading into an estimated blood glucose value, which your phone app displays as a neat graph updated every one to five minutes depending on the device.

The problem is timing. Interstitial glucose lags behind blood glucose by somewhere between five and fifteen minutes, depending on the direction and speed of change. When your blood glucose is rising quickly -- after eating a gel, for example -- the interstitial reading has not caught up yet. When blood glucose is falling -- during a hard effort -- the sensor is still showing you where you were, not where you are. Louise Burke, one of the most respected sports dietitians in the world and head of nutrition strategy at the Australian Institute of Sport, has made this point repeatedly: CGM data during exercise is retrospective data presented as if it were real-time.

This lag is not a bug that better technology will fix. It is a fundamental property of how glucose moves from blood to interstitial space. The physics cannot be engineered around. What the companies can do -- and have done -- is make the display look immediate. The graph updates in real time. The numbers refresh constantly. The user experience creates the impression of live monitoring when the underlying measurement is always looking backward.

For a diabetic managing insulin dosing across the day, this lag is clinically acceptable. The decisions happen over hours, not minutes, and the trend matters more than any single reading. For a cyclist trying to make a fuelling decision mid-interval, fifteen minutes of lag makes the data useless for the purpose it appears to serve.

Where CGM Data Is Actually Useful

None of this means a CGM has no value for cyclists. It does. But the value is concentrated in places most riders are not looking.

Individual meal responses. This is the strongest use case for a non-diabetic cyclist. The same pre-ride breakfast does not produce the same glucose response in every rider. Two bowls of porridge with banana, eaten by two riders of similar weight and fitness. One rider sees a stable glucose curve -- a gentle rise, a plateau, a slow return to baseline over ninety minutes. The other sees a spike to 10 mmol/L within forty minutes followed by a reactive dip to 3.5 mmol/L -- and that dip corresponds exactly to the foggy, flat feeling they get ninety minutes into a ride. Without a CGM, the second rider just thinks they have "bad energy" on morning rides. With two weeks of data, they can see that the porridge-and-banana combination triggers a glucose pattern that undermines their riding. Switch to eggs and sourdough, or add protein and fat to the porridge, and the curve flattens. Problem identified, behaviour changed, performance improved.

Asker Jeukendrup, one of the foremost sports nutrition researchers and the man behind the glucose-fructose dual-transport fuelling strategy that changed professional cycling, has acknowledged this as a legitimate use case. Individual carbohydrate tolerance varies more than most athletes realise, and a CGM is the most practical way to see your own pattern.

Sleep and fasting glucose. Your fasting glucose -- the reading when you wake up before eating -- is influenced by sleep quality, stress, alcohol, and illness. Over two weeks, a CGM shows you how a bad night's sleep raises your fasting glucose by 0.5-1.0 mmol/L, how two glasses of wine the night before pushes your morning baseline up, and how these elevated readings correspond to days where training feels harder than it should. None of this is visible without the sensor. All of it is actionable.

Post-ride recovery nutrition. When you finish a hard session, your muscles are primed to absorb glucose for glycogen replenishment. A CGM can show you how quickly different post-ride meals restore your glucose to baseline and how that correlates with your readiness for the next session. Riders who eat a proper recovery meal within thirty minutes see a different glucose pattern from those who shower first and eat an hour later. The difference is visible on the graph and, over weeks of training, visible in performance.

Metabolic health screening. For riders over forty -- and this is a significant portion of the masters cycling population -- a CGM provides a window into metabolic health that a single fasting blood glucose test at your annual check-up cannot match. A fasting glucose of 5.2 mmol/L looks normal on a lab report. But if a CGM shows that same rider spending four hours a day above 8 mmol/L after meals, that is a different picture entirely. For riders with a family history of type 2 diabetes, this kind of continuous data is worth bringing to a GP. Not for performance reasons. For health reasons.

Where CGM Data Is Noise

Here is the thing nobody tells you about wearing a CGM during a ride: the data will make you worse at fuelling, not better.

Mid-ride glucose monitoring. The lag problem described earlier does not just create inaccuracy. It creates anxiety. You are two hours into a sportive, you glance at your arm or your phone, and your glucose reads 4.0 mmol/L and falling. Panic. You eat two gels immediately. But that 4.0 reading was your glucose fifteen minutes ago. By now it might have stabilised. Or it might have dropped further. You cannot know in real time. What you can know is that the two panic gels you just ate will spike your glucose in twenty minutes, the sensor will show the spike in thirty-five minutes, and you will spend the rest of the ride reacting to delayed information rather than fuelling by plan.

The best fuelling strategy for amateur cyclists remains time-based: take on 60-90g of carbohydrate per hour, split into regular twenty- to thirty-minute intervals, starting from the first hour. This strategy works because it prevents the deficit from forming rather than trying to detect and correct it. A CGM measures the deficit. Time-based fuelling prevents it. Prevention is always better than detection.

Hepatic glucose output during exercise. When you ride hard -- threshold efforts, VO2max intervals, sprints -- your liver dumps glucose into the bloodstream to meet the demand. This is normal physiology. Your body is mobilising its fuel reserves. On a CGM, this shows as a glucose spike during high-intensity efforts. Riders see the spike, assume they have eaten too much or something has gone wrong, and start second-guessing their fuelling. Nothing has gone wrong. Their liver is doing exactly what it should. But the data, stripped of context, looks like a problem.

The false reassurance problem. A CGM measures blood glucose. It does not measure muscle glycogen. You can have normal blood glucose while your muscle glycogen stores are severely depleted -- because the liver is maintaining blood glucose at the expense of other reserves. A rider who sees a "normal" glucose reading on their CGM and concludes they do not need to eat is heading for a bonk. Blood glucose is the last domino to fall, not the first. By the time blood glucose drops on a CGM, the glycogen depletion that caused it happened thirty to forty-five minutes earlier.

Normal variability misread as pathology. Healthy, non-diabetic individuals see glucose fluctuate between roughly 3.5 and 8.5 mmol/L throughout the day. After a carbohydrate-rich meal, a spike to 8-9 mmol/L followed by a return to baseline within ninety minutes to two hours is entirely normal. A glucose of 4.0 mmol/L before lunch is not hypoglycaemia -- it is your body working as designed. But when an app presents that 4.0 in yellow or red, and a notification says "your glucose is low," and a recommendation says "eat a snack to stabilise," a healthy person starts treating normal physiology as a condition requiring intervention.

The Marketing Problem

CGM companies targeting the wellness and fitness market have a structural incentive to make you worry about your glucose. A calm user who sees normal numbers and concludes they are fine does not renew their $200-per-month subscription. An anxious user who sees normal fluctuations interpreted as problems to solve renews indefinitely.

The "glucose score" feature common to most consumer CGM apps rewards stable, flat glucose curves. Eat a big bowl of rice? Score drops. Have a banana before a ride? Score drops. The highest scores go to users who eat low-carbohydrate, high-fat meals that produce minimal glucose excursions. For a sedentary office worker concerned about metabolic health, there might be something to that. For an endurance cyclist who needs 60-120g of carbohydrate per hour on the bike and 400-600g per day during heavy training blocks, optimising for a flat glucose curve is directly counterproductive. You need glucose. You need it to spike after meals so your muscles can absorb it. Penalising post-meal glucose rises in an athlete is like penalising heart rate rises during intervals -- it confuses the signal for the problem.

James Morton, former head of nutrition at Team Sky and now at Liverpool John Moores University, has been pointed about this. The metabolic health messaging that surrounds consumer CGMs is built on population-level data about sedentary, overweight adults. Applying those frameworks to trained endurance athletes who are insulin-sensitive, glycogen-depleted from training, and consuming carbohydrate strategically is, as he has put it, a category error. What looks problematic in a sedentary person -- a post-meal glucose spike to 9 mmol/L -- is a sign that an athlete's body is efficiently absorbing the fuel it needs.

The result is a product that simultaneously markets itself as a performance tool for athletes and scores athletes poorly for doing what athletes need to do. That tension does not get resolved in the app. It gets resolved when you stop looking at the app.

The Two-Week Experiment

If you want to use a CGM as a cyclist, this is the approach that extracts the most value for the least cost and the least risk of falling down a data rabbit hole.

Buy a single sensor. Most last fourteen days. Total cost: $75-100 depending on the service. Do not sign up for the monthly subscription yet.

Week one: your normal routine. Change nothing. Eat your usual meals. Ride your usual rides. Sleep your usual hours. The purpose of week one is to see your baseline patterns without interference. Pay particular attention to three things: what your fasting glucose looks like each morning, how your standard pre-ride meals affect your glucose curve, and how your glucose behaves during and after rides of different intensities.

Week two: test your variables. Now change one thing at a time. Try a different breakfast before your long ride. Try adding protein to your pre-ride porridge. Try your race-day fuelling strategy on a training ride and see how your glucose responds. Test whether eating thirty minutes before riding produces a different curve from eating ninety minutes before. Test your favourite gels versus your favourite real food. One variable per day. Note what you learn.

At the end of two weeks, you will have a personal glucose profile. You will know which meals keep you stable. You will know which pre-ride foods work for your body specifically, not for the average body in a study. You will know whether your overnight glucose suggests any metabolic flags worth raising with your GP.

Then take the sensor off. Apply what you learned. You do not need ongoing monitoring to remember that eggs-on-toast keeps you stable and a sugary granola sends you on a glucose rollercoaster. The two-week experiment gives you the knowledge. The knowledge changes your behaviour. The behaviour does not require continuous monitoring to maintain.

Ongoing CGM use beyond the experiment costs $150-200 per month. For most amateur cyclists, the marginal insight from month two onward is small. You are paying to see the same patterns you already identified. Unless your diet changes dramatically or a health concern emerges, the sensor becomes an expensive confirmation of what you already know.

When It Is Worth the Ongoing Investment

There are riders for whom ongoing CGM monitoring provides value beyond the two-week experiment. They are a smaller group than the marketing suggests, but they are real.

Riders over 40 with metabolic risk factors. If you have a family history of type 2 diabetes, if you carry excess weight around your midsection, or if previous blood work has shown elevated fasting glucose or HbA1c at the upper end of normal, a CGM provides a density of metabolic data that periodic blood tests cannot match. This is not performance data. This is health data. And it is worth discussing with your GP before and after wearing the sensor. A two-week wear every six months, rather than continuous monitoring, is probably sufficient for tracking trends.

Riders with unexplained energy crashes. Some cyclists fuel correctly by the numbers -- adequate carbohydrate, proper timing, appropriate hydration -- and still hit walls mid-ride. If structured fuelling has not solved the problem, a CGM can reveal whether the issue is glucose-related. Reactive hypoglycaemia -- an exaggerated glucose crash after eating -- affects a small percentage of the population and is virtually impossible to identify without continuous monitoring. If this is you, the data is valuable and should go to a sports dietitian, not be interpreted through an app.

Riders preparing for multi-day events. Stage races, multi-day sportives, transcontinental ultra events. When fuelling failure on day one cascades into performance collapse on day three, the precision of knowing your personal glucose patterns around overnight recovery and pre-stage meals has concrete value. A CGM worn during a training camp that simulates your event gives data that applies directly to race week. This is the closest a CGM gets to being a true performance tool for amateurs -- but even here, the value comes from pre-event analysis, not from staring at the sensor mid-stage.

The Better Investment

For the majority of amateur cyclists who train eight to twelve hours a week, race a handful of events per year, and want to get faster without adding complexity -- the CGM budget produces better returns elsewhere.

A single consultation with a qualified sports dietitian costs $150-200. In ninety minutes, a good dietitian will build you a fuelling framework tailored to your training load, your event calendar, your body composition goals, and your food preferences. That framework will serve you for an entire season. It will tell you more about what to eat and when than six months of CGM data interpreted through an app designed to sell you another sensor.

Better quality race fuel matters more than monitoring the fuel you already have. The difference between a cheap maltodextrin gel and a properly formulated glucose-fructose product is not trivial. Spending $50-75 per month on fuel that absorbs efficiently, sits well in your gut, and delivers the right carbohydrate blend at the right concentration is a direct performance investment. You do not need a CGM to tell you the fuel works. You will feel it on the bike.

Structured fuelling practice in training -- actually rehearsing your race-day nutrition on long rides and hard sessions -- costs nothing except attention. The best fuelling tool most cyclists have never used is a kitchen timer set to twenty minutes. When it goes off, eat. Reset it. Repeat. Do this on every ride over ninety minutes for a month and you will build a fuelling habit that prevents more bonks than any glucose graph ever could.

The data a CGM produces is interesting. That is not in dispute. The question is whether interesting data translates into being faster. For a small number of riders in specific circumstances, it does. For the majority, the same money, attention, and effort spent on proven cycling nutrition fundamentals -- eating enough, eating on time, eating the right things -- will move the needle further.

Your body already has a continuous glucose monitor. It is called hunger, energy, and perceived effort. Learn to read those signals well, fuel by plan rather than by panic, and save the sensor for the two weeks when it teaches you something you did not already know.

If you are working through your fuelling strategy and want structured guidance from riders and coaches who have tested this stuff in training and on race day, the Roadman Cycling community on Skool is where those conversations happen. No glucose graphs required -- just practical nutrition frameworks that work on the road. Join at https://www.skool.com/roadmancycling.

FAQ

FREQUENTLY ASKED QUESTIONS

Do professional cyclists use CGMs?
Some do, primarily during Grand Tours and stage races where fuelling across multiple days is critical. Teams like Ineos Grenadiers and Jumbo-Visma have experimented with CGMs for race nutrition planning. But even at the elite level, the data informs post-ride analysis more than real-time decisions — riders still fuel by plan and feel during races.
Will a CGM help me avoid bonking?
Not in real time. The 10-15 minute lag between blood glucose and interstitial glucose means a CGM cannot warn you fast enough to prevent a bonk that is already developing. Structured time-based fuelling — taking on carbohydrates every 20-30 minutes from the first hour — remains more reliable than reactive glucose monitoring.
How much does a CGM cost for a non-diabetic cyclist?
Consumer CGM services typically cost $150-200 per month for the sensor patches and companion app. Each sensor lasts 10-14 days. Some services require a telehealth consultation. For a two-week experiment to learn your glucose patterns, the cost is reasonable. As an ongoing expense, most amateur cyclists would see better return from investing in sports nutrition coaching.
Is it normal for glucose to spike after eating?
Yes. A post-meal rise to 7-9 mmol/L in a healthy individual is entirely normal physiology. Glucose should return to baseline within one to two hours. CGM marketing often frames normal post-meal excursions as problems requiring intervention. If you are concerned, discuss your patterns with your GP rather than relying on app-based interpretation.
Should I wear a CGM during races?
For most amateur events, no. The data arrives too late to inform real-time decisions, and adding another data stream to monitor during a race divides attention from power, heart rate, and perceived effort — the inputs that actually dictate pacing. For multi-day events or training camps, a CGM worn for analysis purposes can reveal useful patterns about overnight recovery and pre-stage fuelling.

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ANTHONY WALSH

Host of the Roadman Cycling Podcast