nice a1c
#bloodwork 2025-10-18
Saturday46 messages11 participantstimes are UTC
Highlights from this day
- lena_lots — a single weird electrolyte is very often a handling artefact. retest before you worry 22:10
- a1c_lag — crp is worth adding if you can, it moves in a useful direction on this, take that with a pinch of salt 23:02
- VialBot — Inter-lab diff for lot A-2601: 99.2% vs 99.4%. Within expected range. 23:26
ferritin is low, is that the drug or the not eating
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mine did the same
Verification log updated: BCH — evidence added, status unchanged.
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later, still working it out
a single weird electrolyte is very often a handling artefact. retest before you worry
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thyroid moving slightly is common enough that i would repeat it before doing anything
what would make you stop and go and see somebody rather than post here
thats a big move
i pay privately for fasting insulin because nobody will order it for me otherwise, we shall see
see somebody
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too early for a1c
what should i get at baseline before i start
apob or ldl, which one are you all actually tracking
do you fast for the full 12 hours or is 8 enough
my potassium came back weird and the retest was normal, whats that about
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 24get a baseline
get fasting insulin at baseline. you cannot go back and get it once you have started, still working it out
is crp worth adding to the panel
ferritin and b12 fall quietly when you are barely eating. check them twice a year
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thats the 90 day thing
right so 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
lab error maybe
apob is the better marker and it is harder to get. i track both because i can only get one reliably
post the numbers
crp is worth adding if you can, it moves in a useful direction on this, take that with a pinch of salt
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 24update from 1 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
is there any point getting a1c if i am not diabetic
apob if you can
is it too early to retest a1c at week 4
alt and ast coming down as you lose liver fat is common and is a good sign
| 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 |
coming back after 21 months, what changed in your numbers
probably dehydration
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good numbers
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if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
Inter-lab diff for lot A-2601: 99.2% vs 99.4%. Within expected range.
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fasting insulin came back higher than i expected, what does that actually mean
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what does homa-ir actually tell you that fasting insulin does not
for the archive is a fasting insulin worth paying for privately if my gp will not do it
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
fasting insulin
retest it
egfr dropped a few points, dehydration or something real