what does homa-ir actually tell you that fasting insulin does not
#bloodwork 2026-06-10
Wednesday43 messages8 participantstimes are UTC
Highlights from this day
- month_six_me — is a fasting insulin worth paying for privately if my gp will not do it 18:32
- month_six_me — do you get bloods every 2 months or only when something changes 18:49
- private_script_pri — thyroid moving slightly is common enough that i would repeat it before doing anything 19:08
- private_script_pri — nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, for what its worth 19:31
- elm_escalates — what should i get at baseline before i start 19:34
nice a1c
if your glucose is in mg/dL the divisor is 405. if it is mmol/L it is 22.5, for what its worth
fast properly or do not bother. an eight hour fast and a twelve hour fast are different tests
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
anyone have before and after numbers they are willing to post
post the numbers
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get fasting insulin at baseline. you cannot go back and get it once you have started
egfr dropped a few points, dehydration or something real
apob if you can
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my numbers: a1c and triglycerides both moved a lot, ldl barely moved at all, from memory
an isolated lipase a bit over range with no symptoms is usually nothing. lipase with severe pain is not
is a fasting insulin worth paying for privately if my gp will not do it
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get a baseline
is it too early to retest a1c at week 14
apob is the better marker and it is harder to get. i track both because i can only get one reliably
do you get bloods every 2 months or only when something changes
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crp is worth adding if you can, it moves in a useful direction on this
amsterdam_aliquotif a result frightens you, that is a conversation with a clinician. we will help you…
for the archive my potassium came back weird and the retest was normal, whats that about
if you only get one thing, get a fasting insulin. it is the one that becomes impossible later
thyroid moving slightly is common enough that i would repeat it before doing anything
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good numbers
alt and ast coming down as you lose liver fat is common and is a good sign
nobody here is reading your bloods as a clinician. we are reading them as people who have had a lot of bloods, for what its worth
what should i get at baseline before i start
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baseline, three months, then twice a year is what i settled on
mine did the same
thats a big move
anyone had a result that turned out to be a lab error
most of the lipid improvement in my panel tracked the weight, not the drug
lab error maybe
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is there any point getting a1c if i am not diabetic
probably dehydration
a single weird electrolyte is very often a handling artefact. retest before you worry
a small egfr dip is often dehydration. rehydrate and retest before you panic
not a chat question
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fasting insulin came back higher than i expected, what does that actually mean
my alt has come down a lot since i started losing, is that expected
is crp worth adding to the panel
update from 1 months ago: a1c down, apob unchanged, and i am genuinely annoyed about the apob
do you fast for the full 12 hours or is 8 enough
*Janoshik not the other one