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Why are my CGM readings unusually high?

Factors affecting CGM readings

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Written by Anna Tondo
Updated over a month ago

Why are my CGM readings unusually high?

If your CGM readings look higher than expected, there are a few common explanations. Some reflect real changes in your body, while others relate to how CGMs measure glucose.


1. Physiological reasons (real glucose changes)

These are the most common causes.

  • Food and drink
    High-carbohydrate meals, sugary drinks, alcohol, or late-night eating can all push glucose higher than expected.

  • Stress, illness, or poor sleep
    Physical or emotional stress, infection, inflammation, or sleep disruption can increase stress hormones (like cortisol), which raise glucose levels.

  • Dehydration
    Being under-hydrated can lead to higher interstitial glucose readings.

  • Medications and supplements
    Some medications (such as steroids) and supplements can increase glucose levels.

  • Morning hormone response (dawn phenomenon)
    Glucose may rise in the early morning due to normal hormonal changes, even without food.


2. How CGMs measure glucose (normal CGM behaviour)

GS3 measures glucose in interstitial fluid, not directly in the blood.

  • Lag time
    There is typically a 5–10 minute delay between blood glucose and CGM readings. This is most noticeable after meals, exercise, or during rapid glucose changes.

  • Early sensor behaviour
    In the first 24 hours after applying a new sensor, readings may be less stable while the sensor settles. This usually improves on its own.

  • Compression effects
    Pressure on the sensor (for example, sleeping on it) can temporarily affect readings. When pressure is removed, readings may briefly appear higher.


3. External and environmental factors

  • Heat exposure
    Saunas, steam rooms, hot baths, or prolonged sun exposure can affect sensor performance and lead to unreliable readings.

  • Extreme cold
    Very cold environments can slow glucose movement in interstitial fluid, creating discrepancies.

  • Interfering substances
    High doses of vitamin C, some painkillers, and certain medications can falsely elevate CGM readings.


4. When to double-check

If your CGM readings:

  • Don’t match how you feel

  • Change very rapidly

  • Remain unusually high without an obvious reason

…it’s a good idea to confirm with a finger-prick blood glucose test.


5. When to contact us

If you’re seeing consistently high or erratic readings that don’t make sense after the first 24 hours — and you’ve ruled out food, stress, heat, and medication effects — your sensor may be faulty.

Please email us at contact@vively.com.au.

If there’s an inherent fault, we’ll help investigate and organise a replacement where appropriate.

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