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#bloodwork 2025-02-06

Thursday33 messages8 participantstimes are UTC
Highlights from this day
  • third_shift — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods the most useful thing i did was get a full panel before… 17:32
  • third_shift — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 18:06
  • VialBot — Recon calculator: 20mg in 3ml = 4mg/ml. 18:08
  • third_shift — right so what should i get at baseline before i start 19:05

genuine question is there any point getting a1c if i am not diabetic

UU

i had a potassium that came back high and the repeat was normal. the tube had been knocked about, we shall see

GB

ferritin and b12 fall quietly when you are barely eating. check them twice a year

is it too early to retest a1c at week 31

a small egfr dip is often dehydration. rehydrate and retest before you panic

fasting insulin

quick one a1c is a ninety day average. retesting at week six tells you almost nothing

TS

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, happy to be corrected
a1c is a ninety day average. retesting at week six tells you almost nothing

[edited]
TS

nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
the most useful thing i did was get a full panel before i started. everything since has been comparable

🤝1

thats the 90 day thing

genuine question baseline, three months, then twice a year is what i settled on

🎉2📈1

i pay privately for fasting insulin because nobody will order it for me otherwise

anyone had a result that turned out to be a lab error

TS

homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system

Cited study
Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT)
New England Journal of Medicine · 2023
Hard cardiovascular endpoints in people with overweight or obesity and established disease.
VB

Recon calculator: 20mg in 3ml = 4mg/ml.

❤️13👀1
EE

an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not

LM

update from 16 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob

[edited]
UU

tsh moved slightly, is that a known thing
ferritin and b12 fall quietly when you are barely eating. check them twice a year

lab error maybe

AP

the FLOW result is why my nephrologist changed her position on this entirely

GB

slightly off topic but if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5

TS

right so what should i get at baseline before i start

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HM

get fasting insulin at baseline. you cannot go back and get it once you have started

TS

my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all

HM

fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests