nice a1c
#bloodwork 2025-02-24
Monday38 messages8 participantstimes are UTC
Highlights from this day
- verify_or_dont — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, thats just me 14:21
- septum_sal — is crp worth adding to the panel 14:38
- VialBot — Reminder for apob_over_ldl: dose day is today. Set 2 days ago. 14:41
- pbs_pip — if you only get one thing, get a fasting insulin. it is the one that becomes impossible later 15:31
- VialBot — Reminder for stable_not_volatile: dose day is today. Set 9 days ago. 16:29
my b12 is borderline, supplementing or eating differently
alt and ast coming down as you lose liver fat is common and is a good sign
i had a potassium that came back high and the repeat was normal. the tube had been knocked about, i think
crp is worth adding if you can, it moves in a useful direction on this
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, thats just me
baseline 58
wk 2 61
wk 4 64
wk 6 67
wk 8 66
wk 10 65 (held dose from wk 7)baseline, three months, then twice a year is what i settled on
what should i get at baseline before i start
a single weird electrolyte is very often a handling artefact. retest before you worry
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5, i have it written down somewhere
a1c is a ninety day average. retesting at week six tells you almost nothing
is crp worth adding to the panel
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Reminder for apob_over_ldl: dose day is today. Set 2 days ago.
a small egfr dip is often dehydration. rehydrate and retest before you panic, anyway
mine did the same
*Janoshik not the other one
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
i pay privately for fasting insulin because nobody will order it for me otherwise
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
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the FLOW result is why my nephrologist changed her position on this entirely
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
get fasting insulin at baseline. you cannot go back and get it once you have started
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
right so do you get bloods every 7 months or only when something changes
genuine question fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
retest it
before after
A1c 6.4% 5.3%
trigs 2.9 1.1
HDL 0.9 1.3
LDL-C 3.4 3.2
apoB 1.09 1.02
ALT 58 24lab error maybe
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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
apob is the better marker and it is harder to get. i track both because i can only get one reliably
fasting insulin
quick one homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
Reminder for stable_not_volatile: dose day is today. Set 9 days ago.
probably dehydration
ferritin and b12 fall quietly when you are barely eating. check them twice a year
update from 25 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
update from 8 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
see somebody
post the numbers