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Continuous Glucose Monitoring (CGM)
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The Most Useful Metabolic Data You’ve Never Seen
Most people think they understand their metabolism.
Until they see what their glucose does after “healthy” meals, poor sleep, stress, workouts, alcohol, or a single late-night snack.
At James Clinic, we use Continuous Glucose Monitoring (CGM) to reveal what standard labs can’t: your real-time metabolic response.
We use Stelo® by Dexcom, an over-the-counter glucose biosensor system designed for adults who want actionable insights without a prescription
This isn’t a toy.
It’s a metabolic truth serum.
What Is Continuous Glucose Monitoring?
A CGM is a small wearable sensor that continuously measures glucose trends throughout the day and night, allowing you to see patterns instead of isolated snapshots. Stelo tracks glucose 24/7 and sends readings to a smartphone app.
Stelo is an OTC integrated CGM intended for adults (18+) who are not using insulin.
Why This Matters
Traditional blood sugar testing gives you a still photo.
CGM gives you the movie:
- How your body responds to meals (even “clean” ones)
- How stress changes glucose without food
- Whether exercise stabilizes you or spikes you
- How sleep impacts insulin sensitivity
- Your personal patterns for crashes, cravings, and fatigue
For high performers, metabolic efficiency is performance.
For everyone else, it’s prevention.
Stelo® at a Glance
Stelo is worn on the back of the upper arm and provides continuous glucose information through the Stelo app
Key device details (Stelo by Dexcom):
- Up to 15-day expected wear time (with a 12-hour grace period)
- 30-minute warmup
- Waterproof rating (designed to tolerate water exposure per product specs)
Products & Services
We highly recommend using the Stelo as part of a concierge plan with us, so we can provide full support in troubleshooting and data interpretation.
More Information
Who This Is For
CGM is ideal for patients who want to:
- Reverse or prevent metabolic syndrome
- Improve energy, body composition, and performance
- Understand glucose patterns driving cravings and fatigue
- Support longevity and cardiometabolic health
- Make food choices based on data, not diet trends
Stelo is intended for adults 18+ who are not on insulin.
(If you are on insulin or have complex diabetes management needs, we’ll guide you to the right device and structure.)
We Don’t Sell Sensors. We Build Strategy.
This is the difference between information and intervention.
CGMs are everywhere now. Most people wear one, glance at a graph, and learn almost nothing.
At James Clinic, CGM is part of a structured metabolic optimization process:
- We identify your triggers and patterns
- We interpret your data clinically
- We translate insights into a plan that saves time, money, and failed attempts
What You’ll Learn With CGM at James Clinic
You’ll walk away knowing:
- Your personal glucose response to carbohydrates, protein, fat, fiber
- Your tolerance to “healthy” foods that may not be healthy for you
- Your exercise response curve (what helps, what backfires)
- Your sleep and stress signature
- Your best meal timing strategy for stable energy
- Your highest-yield changes (not a 40-rule program)
What to Expect
The James Clinic CGM Process
1) Baseline Setup
We help you apply Stelo, set targets, and establish a clean baseline.
2) Data Collection (Real Life, Not a Lab)
You eat, train, sleep, work, travel… and your glucose tells the truth.
3) Clinical Interpretation
We review patterns and identify the metabolic bottlenecks driving symptoms and risk.
4) Precision Plan
Targeted adjustments to:
- Nutrition and timing
- Movement strategy
- Sleep and recovery
- Supplements and metabolic support (when appropriate)
- Next-step testing if needed
5) Recheck + Recalibration
We use follow-up data to confirm improvements instead of guessing.
FAQ
Safety Note
Stelo’s labeling notes that users are not intended to take medical action based on device output without consultation with a qualified healthcare professional.
That’s exactly why we do this the James Clinic way: clinically guided.
Is Stelo the same as prescription Dexcom CGMs?
Stelo is an OTC integrated CGM intended for adults not using insulin, while prescription systems like Dexcom G7 are indicated for people with diabetes (including insulin users) under clinician-directed care.
How long does a Stelo sensor last?
Stelo is indicated for up to 15 days of wear with a grace period at the end of a session; product materials also note that not every sensor lasts the full duration.
Who should not use Stelo?
Stelo is intended for adults (18+) not on insulin.
If you use insulin, have recurrent hypoglycemia, or have complex glucose management needs, we’ll help select the right approach.
Do I need a prescription?
No. Stelo is available over-the-counter without a prescription
Is CGM only for diabetes?
No. CGM can be useful for people with prediabetes, metabolic risk, or performance goals. Yale Medicine notes the OTC CGM category is aimed at adults with type 2 diabetes not on insulin or prediabetes.
Wear the Data. Keep the Advantage.
If you’re ready to stop guessing and start optimizing:
Because the fastest way to change your metabolism is to finally see it.
EXCELLENT Based on 57 reviews Posted on Joanne CurranTrustindex verifies that the original source of the review is Google. NPs Justina Timms and Sarah Taylor are always incredibly well prepared, knowledgeable and take all the time needed to explain labs and test results to me in ways that I can understand. Their professionalism and expertise continue to astound me. They also check in after procedures or explanations with well documented follow up. In addition, every nurse at the clinic is warm, friendly, personable, knowledgeable and professional to the Nth degree! Theresa, Michelle, Whitney, Lauren, Brenda, Mary and Chelsea all work hard and are extremely timely when completing procedures such as HBOT and MDI treatments. I have nothing but the highest regard for the James Clinic and all who work there including their lead Dr. Mollie James. My gratitude runs deep for their services.Posted on Mark YorkTrustindex verifies that the original source of the review is Google. Cutting edge technology. Highly trained and professional staff who love to serve. They are FRIENDLY too! Cured my cancer and making great progress on diabetes. The only way you can go wrong is to not give these folks a shot!Posted on Stephen NewlonTrustindex verifies that the original source of the review is Google. I used to be super active — then COVID hit, and everything fell apart. I felt blindsided. My life shrank to the floor, and walking to the kitchen became a challenge. I had health insurance, but no real care. After searching online, I found Dr. James. She offered something I desperately needed: hope — and just as importantly, genuine understanding. We tried different approaches, I improved a little, and I began to accept that this might just be my new normal. But Dr. James didn't give up. She researched, consulted colleagues, and kept pushing. No doctor had ever invested that much effort in helping me. Then one day, she mentioned MDI. I was skeptical, but willing to try. Eight sessions later, I have my life back. That's not an overstatement — imagine going from barely existing to truly living again. The road to recovery isn't easy, especially given everything we're up against today. But I'm back, and it's because of Dr. James.Posted on Susan FosterTrustindex verifies that the original source of the review is Google. Dr. james and the entire staff show such compassion and genuinely care for their patients. We are so thankful for the time they spend on our treatment plans, as well as the knowledge they have. Always give us hope. Blessed to have them as part of our medical team!!!Posted on Michelle HarrellTrustindex verifies that the original source of the review is Google. I love being able to go to the James Clinic and they have been a blessing to me over the last 3 years. Everyone there really listens to you and is always respectful. This is how medicine should be and is hopefully changing the status quo going forward. They are very interested in getting to the root cause of your symptoms and offering outside of the box treatments that I would never have been offered from conventional medicine.Posted on Jessica OTrustindex verifies that the original source of the review is Google. When I was diagnosed with cancer summer of 2025, my sister found out about the James Clinic. I called and got myself set up and they were so helpful! Whenever I have had a question or issue with anything Dr. James and her staff respond back quickly which is very much appreciated! I have been getting hbot and IV therapy for 7 months now. The past 3.5 months I have been going through conventional treatment and I repeatedly get told by the oncologist on how well I am doing. Also, a big shout out to the clinic IV nurses they have been fantastic! I am so very thankful to have the James Clinic supporting me through this diagnosis.Posted on Angela NorrisTrustindex verifies that the original source of the review is Google. The James Clinic team is phenomenal! After searching for years for a physician to assist me in getting to the root of my underlying condition, I finally found Sarah at James Clinic. Their clinic approach is whole person and patient centered which allows for individualized care. It is very empowering because you are heard and part of the healing process.Posted on Melissa IahnTrustindex verifies that the original source of the review is Google. I cannot praise Dr. James and her incredible staff enough! This is the only practice that has truly listened to my concerns, truthfully considered treatments/benefits/risks, and honored my personal health goals all while considering my lifestyle preferences when treating my health. I am grateful to have such a supportive and encouraging doctor who truly cares about my wellness! Everyone should have a doctor as caring as Dr. James to help them make the most important choices about their health!Posted on Betty Jo PotterTrustindex verifies that the original source of the review is Google. After years of researching functional and integrative medical professionals, I found Dr.James - and after following her work and continuing my own research, I knew she was the right physician for me. Her depth of knowledge is exceptional. She thoroughly analyzes complex laboratory data, listens carefully to her patients, and provides clear, evidence-based recommendations. She utilizes advanced technology and current research to address underlying problems. This is comprehensive, patient-centered care, and it sets a standard that is difficult to find in today's healthcare system. Beyond her clinical expertise, she is a genuinely good person who consistently gives back and supports communities in need. This combination of medical excellence and integrity is rare. She and her team truly care about the good of humanity and making a difference through their approach to healthcare.Posted on A Gathering Place - Cindy GoodnetterTrustindex verifies that the original source of the review is Google. Debbie Kent, RN, was instrumental in sharing resources about the James Clinic. She suggested the IV Infusion program to boost my immune system and other supplements to support my health and well-being. Debbie is passionate about healthy living and all the James Clinic has to offer. Her knowledge and enthusiasm convinced me to check out the offerings at the Clinic. A definite part of my health regimen!