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Key Theia Terminology & Graphs

Essential metabolic health and Theia-related terms

This article will review key terminology and chart types used throughout Theia's scoring system, dashboards, and reference ranges.


Terminology

Metabolic Health: How your body utilizes energy from all your inputs (food, water, sleep, exercise etc)

Glucose: One of the primary fuel sources that power our bodies at the cellular level (Ketones is the other). This is currently the primary biomarker Theia uses to analyze and help you interpret client data.

Glucose Spikes: Blood glucose naturally rises and falls, however when Theia's platform refers to a "Glucose Spike" we are referring to any glucose spike of more than 30mg/dl or a spike above 140mg/dl.

Glucose Dips: Theia's platform refers to a "Glucose Dip" when glucose dips more than 30mg/dl or a dips below 70mg/dl.

Fasting Glucose: generally refers to the level of glucose (sugar) in your blood after you haven't eaten for at least eight hours, typically overnight. Standard measurements do this via a blood test, but this is calculated a bit differently with a CGM.

Time To Baseline: You will hear this reference talked about in training videos - it refers to how long it takes a glucose spike to come back to the baseline where it started from.

Time In Range: Whatever is set as a healthy range for the user is defined as their "healthy range". Thus, time in range means what % of time are they in their healthy zone.

Note: Out of the box the time in range differs for the daily graph vs. the activity graphs. The reason for the difference is that daily the glucose range is tighter whereas when logging activities it's normal to have some reaction in glucose, thus providing a larger range for glucose to come up and down.

Daily Graph

The range set here is 72-110 as optimal based on clinical trials in healthy individuals using CGM tech, as per our explanation earlier in the document.

Activity Graph

The range set here is 72-140 as optimal to allow for natural glucose spikes with logged activities.


Daily Metabolic Score

This is Theia's daily score it gives all users.

Think of this score as a "check engine light' for the body. The way it works is it's a score from 0-100, with 100 being the best. This was done on purpose to utilize user-learned behavior since grade one where all of us learned that 100 is the highest mark we can get on a test.

There is also a ring around the daily metabolic score which changes color from red to yellow to green. The higher the metabolic score the closer and the darker the green becomes. The lower the score, the more red it becomes.

The parameters set for someone to score positive on a daily score are as follows (within a 24 hour time range):

  • Glucose stability (not a lot of ups and downs)

  • Time in range (Glucose stays within 72-110mg/dl)

  • Avg glucose remains between 85-110mg/dl

Example of a low scoring daily metabolic score

  • Lots of glucose variability (constant ups and downs)

  • Less than half of time in range

  • Avg glucose well over 110mg/dl

Example of a moderately high scoring daily metabolic score

  • Decent amount of glucose variability (although not as much as the example above)

  • Good amount of time in range

  • Avg glucose stayed within 85-110mg/dl

Example of a high scoring daily metabolic score

  • Low glucose variability (no real ups and downs)

  • Very high time in range

  • Avg glucose stayed within 85-110mg/dl

*The daily score updates in real time depending on the variables listed above. This is important when reviewing the scores as you may not notice a fluctuation if you are looking at same day data. We lock the final score in for the day at midnight - which can be reviewed historically.

**All daily scores take into consideration something called a healthy spike which we define in the next section.


Activity Score

When using Theia, clients log activities throughout the day, all of which are given their own score. These activities can be anything from food, exercise or other.

The parameters set for someone to score positive on an activity are as follows (NOTE: This is for Theia's default activity scoring profile - you can change these parameters by creating/changing score profiles):

  • Glucose spikes less than 30mg/dl from baseline

  • Glucose doesn't spike over 140mg/dl

  • Glucose does not dip below 72mg/dl

  • Time in range stays within 72-140mg/dl

  • Glucose stabilizes to starting baseline within 90 minutes

  • The analysis for a complete activity score is over 3 hours

    • This gives Theia enough time to measure the body's response to the input as typically glucose levels stabilize within this time period

The scoring system is similar to how daily scores work, just using different variables. We are going to walk you through the variables and how to interpret activity score data.

Example of an activity that scored poorly

You will notice that this brunch meal scored 35/100 and that the band is red. That is for the following reasons:

  • Glucose spiked over 140mg/dl

    • Not only did it spike over 140mg/dl, it went up to 160mg/dl (thus impacting the score more than a spike that say went to 145mg/dl)

  • Glucose spiked way over 30 mg/dl from one activity (impacting score more than had it spiked 32mg/dl from baseline)

  • The activity took over 90 minutes to stabilize back to baseline

    • Time in range was relatively low given that a lot of the 3 hours was spent outside of the green zone

For all of the reasons above, this activity scored low.

Example of an activity that scored moderately well

This popcorn shrimp meal scored 77/100 with the band showing in yellow/orange. Here were the reasons for the score:

  • Glucose spiked over 140mg/dl

    • In this case spike to 144mg/dl vs. the 160mg/dl in the previous example (thus impacting the score less)

  • Glucose spiked over 30 mg/dl above baseline

  • The activity took a significant amount of time to stabilize back to baseline, however, time in range was still high

Example of an activity that scored extremely well

This breakfast scored a very high 95/100 and has a green band. Here is a breakdown of the score:

  • Minimal spike in glucose

  • 100% time in range

  • Only 1 hour to stabilize


Healthy spikes

Some activities create glucose spikes which are healthy in nature. Here is a list:

  • High heat (Sauna's or long hikes in high temperatures)

  • High cold (Cold plunges or other cold exposure therapy)

  • High intensity exercise (HIIT)

The parameters in the default Theia activity score are as follows:

  • Glucose spike of up to 50mg/dl from baseline

  • 75 minutes post activity to stabilize

If someone goes outside of the above parameters, Theia starts to deduct points as the healthy activity starts to show too much strain on the body.
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*Theia can only account for healthy spikes if the user logs them, otherwise the data won't be as clean.

**The healthy spikes are also accounted for in the daily metabolic score.


Score Profiles

Theia allows you to customize the scoring algorithm for both the daily metabolic score as well as the activity scores.

Every daily and activity score have a "profile" attached to them - always starting with Theia's out of the box profiles.

The reason score profiles were created is so you can cater to different clientele (type 2 diabetics vs a healthy client). The point of scores and score profiles is to meet the client where they are and motivate them to achieve better health.

Theia's out of the box algorithm is very good for lots of cases, however this is something to explore if you feel the algorithm isn't meeting the client where they are. To explore how to setup customized profiles please click here.


What's Next?

Learn more about how to analyze data in Theia here.


Need Help?

Our support team can be reached via [email protected] or through the 'Help' button in the bottom right corner of the Theia mobile app if you need any assistance!

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