A natural rare sugar that tastes like table sugar but is barely absorbed, so it has little effect on blood sugar and about half the calories. Used in place of sugar, it lowers the blood-sugar and insulin rise after meals, is gentler on teeth, and may feed helpful gut bacteria. Digestive upset and higher uric acid are the main drawbacks. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Fasting glucose | 70–85 mg/dL | Tracks baseline and change in fasting blood sugar |
| Hemoglobin A1c (HbA1c) | < 5.3% | Captures durable change in average blood sugar |
| Fasting insulin | 2–5 µIU/mL | Gauges insulin resistance and post-meal insulin burden |
| Serum uric acid | 3.5–5.5 mg/dL | Detects the main metabolic side effect of tagatose |
| 2-hour post-meal glucose | < 120 mg/dL | Confirms the intended post-meal glucose-blunting effect |
| ALT (liver enzyme) | < 25 U/L (men), < 20 U/L (women) | Screens for the transient liver-enzyme effect at high doses |
| LDL cholesterol | < 100 mg/dL | Contextualizes the conflicting lipid findings |
Cadence: Baseline before regular use; then 4–8 weeks after starting and every 3–6 months, with more frequent checks for gout or diabetes-medication users