what would make you stop and go and see somebody rather than post here
a1c is a ninety day average. retesting at week six tells you almost nothing
#bloodwork 2025-08-13
- coa_or_cope — update on the earlier thing thyroid moving slightly is common enough that i would repeat it before doing anything, take that with a pinch of salt 08:22
- karl_fischer — homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system 10:31
- cricket_or_footy — if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5 10:47
- triumph_watch — coming back to this the most useful thing i did was get a full panel before i started. everything since has been comparable 10:56
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
ok so crp is worth adding if you can, it moves in a useful direction on this, thats just me
*that should say weekly
update on the earlier thing thyroid moving slightly is common enough that i would repeat it before doing anything, take that with a pinch of salt
follow up i had a potassium that came back high and the repeat was normal. the tube had been knocked about
probably dehydration
a single weird electrolyte is very often a handling artefact. retest before you worry
what does homa-ir actually tell you that fasting insulin does not
follow up most of the lipid improvement in my panel tracked the weight, not the drug
retest it
apob is the better marker and it is harder to get. i track both because i can only get one reliably
the FLOW result is why my nephrologist changed her position on this entirely
see somebody
i pay privately for fasting insulin because nobody will order it for me otherwise
alt and ast coming down as you lose liver fat is common and is a good sign
nice a1c
apob or ldl, which one are you all actually tracking
ferritin and b12 fall quietly when you are barely eating. check them twice a year
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
sorry to jump in baseline, three months, then twice a year is what i settled on, n of 1 obviously
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
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
for the archive get fasting insulin at baseline. you cannot go back and get it once you have started, someone check my working
coming back to this the most useful thing i did was get a full panel before i started. everything since has been comparable
is it too early to retest a1c at week 14
too early for a1c
sorry to jump in a1c is a ninety day average. retesting at week six tells you almost nothing
| 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 |
post the numbers
egfr dropped a few points, dehydration or something real
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later, anyway
my potassium came back weird and the retest was normal, whats that about
[edited]good numbers
do you get bloods every 8 months or only when something changes
a small egfr dip is often dehydration. rehydrate and retest before you panic, we shall see
update from 3 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
lab error maybe