is there any point getting a1c if i am not diabetic
#bloodwork 2025-12-31
Wednesday28 messages6 participantstimes are UTC
Highlights from this day
- secretagogue_sy — my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all 22:08
- secretagogue_sy — is crp worth adding to the panel 22:34
- drawup_dee — if a result frightens you, that is a conversation with a clinician. we will help you read it, we will not tell you it is fine 22:44
- drawup_dee — i pay privately for fasting insulin because nobody will order it for me otherwise 22:46
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
*Janoshik not the other one
retest it
do you fast for the full 12 hours or is 8 enough
post the numbers
a single weird electrolyte is very often a handling artefact. retest before you worry, i could be wrong
see somebody
get fasting insulin at baseline. you cannot go back and get it once you have started
two_three_liftsa single weird electrolyte is very often a handling artefact. retest before you worry,…
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
📈10✅18👀2
crp is worth adding if you can, it moves in a useful direction on this
update from 21 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
quick one coming back after 5 months, what changed in your numbers
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
alt and ast coming down as you lose liver fat is common and is a good sign
a1c is a ninety day average. retesting at week six tells you almost nothing
👀1
good numbers
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
is crp worth adding to the panel
👍3
ferritin is low, is that the drug or the not eating
if a result frightens you, that is a conversation with a clinician. we will help you read it, we will not tell you it is fine
thats a big move
| Test | Why now |
|---|---|
| Fasting insulin | impossible to get a true baseline afterwards |
| Full lipid panel with apoB | the comparison is the whole point |
| HbA1c | 90-day average, so it lags your start |
| CMP + CBC | cheap, and the reference for everything after |
| Ferritin, B12, TSH | these fall quietly on a low intake |
i pay privately for fasting insulin because nobody will order it for me otherwise
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)too early for a1c
the most useful thing i did was get a full panel before i started. everything since has been comparable
is a fasting insulin worth paying for privately if my gp will not do it
thyroid moving slightly is common enough that i would repeat it before doing anything
most of the lipid improvement in my panel tracked the weight, not the drug