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Non-fasting cholesterol test?
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<blockquote data-quote="SimonCrox" data-source="post: 1619706" data-attributes="member: 388174"><p>Fasting or not fasting lipids seems a common problem; as above,, if you want to know your trigs, they are better in fasting state; otherwise the cholesterol fractions are similar if fasting or not. It may be a bother for you fasting till 11.30, but would be risky if on insulin or sulphonylurea. And unless your trigs are sky high (>10), one would address the cholesterol first.</p><p>There is merit to a fasting glucose, but if you are testing an HbA1c, then the fasting glucose would give similar information, ie not generally worth going to a lot of trouble to do. A random glucose could be done instead. </p><p>You need your eGFR, renal function which is generally in the U&Es - none of these other tests need to be fasted.</p><p>If an annual MOT, I would check liver function tests, although minor abnormalities are very common, due to fatty liver, and a Full blood count as a screen, as an abnormal haemaglobin level would invalidate the HBA1c.</p><p>Vitamin D is a good idea, although one could just assume that everyone resident in UK is deficient, or very deficient.</p><p>If you were on metformin, I would check vitamin B12 every few years or if anaemia or neuropathy or memory problems.</p><p>It is disappointing that you have not been given clear guidance on this and that you get just 10 minutes with the nurse</p><p>Best wishes</p></blockquote><p></p>
[QUOTE="SimonCrox, post: 1619706, member: 388174"] Fasting or not fasting lipids seems a common problem; as above,, if you want to know your trigs, they are better in fasting state; otherwise the cholesterol fractions are similar if fasting or not. It may be a bother for you fasting till 11.30, but would be risky if on insulin or sulphonylurea. And unless your trigs are sky high (>10), one would address the cholesterol first. There is merit to a fasting glucose, but if you are testing an HbA1c, then the fasting glucose would give similar information, ie not generally worth going to a lot of trouble to do. A random glucose could be done instead. You need your eGFR, renal function which is generally in the U&Es - none of these other tests need to be fasted. If an annual MOT, I would check liver function tests, although minor abnormalities are very common, due to fatty liver, and a Full blood count as a screen, as an abnormal haemaglobin level would invalidate the HBA1c. Vitamin D is a good idea, although one could just assume that everyone resident in UK is deficient, or very deficient. If you were on metformin, I would check vitamin B12 every few years or if anaemia or neuropathy or memory problems. It is disappointing that you have not been given clear guidance on this and that you get just 10 minutes with the nurse Best wishes [/QUOTE]
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