an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
#bloodwork 2024-10-05
Saturday26 messages9 participantstimes are UTC
Highlights from this day
- surpass_two — i pay privately for fasting insulin because nobody will order it for me otherwise 20:47
- customs_owl — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 21:09
- lean_mass_lex — what does homa-ir actually tell you that fasting insulin does not 21:50
post the numbers
i pay privately for fasting insulin because nobody will order it for me otherwise
| 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 |
quick one egfr dropped a few points, dehydration or something real
ok so if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
i had a potassium that came back high and the repeat was normal. the tube had been knocked about
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
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follow up if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
[edited]baseline, three months, then twice a year is what i settled on
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
right so is a fasting insulin worth paying for privately if my gp will not do it
coa-e-2205.pdf
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fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
a small egfr dip is often dehydration. rehydrate and retest before you panic
not a chat question
update on the earlier thing 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
sorry to jump in a single weird electrolyte is very often a handling artefact. retest before you worry
the FLOW result is why my nephrologist changed her position on this entirely, still working it out
what does homa-ir actually tell you that fasting insulin does not
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)the most useful thing i did was get a full panel before i started. everything since has been comparable
alt and ast coming down as you lose liver fat is common and is a good sign
update from 4 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
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ferritin and b12 fall quietly when you are barely eating. check them twice a year
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slightly off topic but crp is worth adding if you can, it moves in a useful direction on this, i think
is crp worth adding to the panel