fasting insulin
#bloodwork 2026-06-08
- split_the_cost — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods 20:30
- split_the_cost — do you fast for the full 12 hours or is 8 enough 20:51
- iris_imports — apob is the better marker and it is harder to get. i track both because i can only get one reliably 22:31
- split_the_cost — update from 14 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob 22:32
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods
the FLOW result is why my nephrologist changed her position on this entirely
get fasting insulin at baseline. you cannot go back and get it once you have started
lab error maybe
homa-ir is fasting glucose times fasting insulin over a constant. the constant differs by unit system
a1c is a ninety day average. retesting at week six tells you almost nothing
anyone had a result that turned out to be a lab error
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do you fast for the full 12 hours or is 8 enough
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thats the 90 day thing
sorry to jump in if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5
good numbers
retest it
probably dehydration
a small egfr dip is often dehydration. rehydrate and retest before you panic
the most useful thing i did was get a full panel before i started. everything since has been comparable
my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all
most of the lipid improvement in my panel tracked the weight, not the drug
coming back to this a single weird electrolyte is very often a handling artefact. retest before you worry, ymmv
see somebody
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, ymmv
sorry to jump in triglycerides halved. is that the weight or the compound
crp is worth adding if you can, it moves in a useful direction on this, we shall see
apob or ldl, which one are you all actually tracking
is there any point getting a1c if i am not diabetic
not a chat question
apob is the better marker and it is harder to get. i track both because i can only get one reliably
update from 14 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
get a baseline
my b12 is borderline, supplementing or eating differently
tsh moved slightly, is that a known thing
fasting insulin came back higher than i expected, what does that actually mean
crp is worth adding if you can, it moves in a useful direction on this
is it too early to retest a1c at week 10