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What is my true fasting level?
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<blockquote data-quote="Cocosilk" data-source="post: 2152991" data-attributes="member: 501623"><p>Good point. I managed to get a fasting insulin test done when I begged for one a few months ago and it came back at 6.3 mU/L. My fasting glucose that morning was lower than I usually get at home at 4.4 mmol so the HOMA came back at 1.2. That was 2 months postpartum and about 4 months ago. But I don't know how reliable the fasting insulin test is at knowing the whole picture. What do you think? Someone told me 6.3 mU/L fasting insulin is slightly elevated. In Australia, any HOMA under 2 is considered normal.</p><p></p><p>It is a shame that there is not more awareness about predicting problematic levels insulin resistance before it becomes a blood glucose issue...</p><p></p><p>I guess like that then it's just sensible for even those with normal blood glucose levels not to overdo it on the carbs so you aren't asking your body to make too much insulin all the time, right? </p><p></p><p>There is one test that looks at your insulin and glucose over a two hour period too, isn't there? But I doubt I qualify for that test. The doctor didn't want to let me have the fasting insulin test because the guidelines say:</p><p>"The main reason to measure insulin is to help determine the cause of low blood glucose (<a href="https://www.labtestsonline.org.au/learning/Glossary/hypoglycemia" target="_blank">hypoglycaemia</a>) in patients without diabetes when a rare insulin secreting tumour (insulinoma) is suspected.</p><p>Sometimes insulin levels are ordered to investigate “insulin resistance” either fasting or as part of an oral glucose tolerance test but there is limited evidence for this purpose."</p><p></p><p>But at least I had the fasting insulin. And today I went in for my first HbA1C, and also hs-CRP (more arm twisting with a different doc <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" />, and also the sdLDL (LDL subfractions) for my cholesterol since my levels have been a bit high for the last few years (but breastfeeding can do that so hopefully it's nothing to worry about). My trigs (0.7 mmol) and HDL (2.89 mmol) were good at last measure. Just have high LDL (5.5 mmol) and total cholesterol of 8.7 mmol. She wanted me on statins.</p><p></p><p>My cholesterol levels were more worrying to the doctor than anything to do with my insulin or blood glucose. I'm trying not to think about that at the moment. But eating low carb may have pushed my cholesterol up a bit too. I've been trying to have more olive oil and macadamia nuts but I think I still eat more a lot of saturated fat from meat and dairy. And then there's the whole argument that high cholesterol isn't anything to worry about provided the LDL particles are not mostly small and dense. I like the explanations from Ken Sikaris so far. He also says a HbA1c of 5.5 is where your risk of heart disease starts, even though no one will blink an eye at that level yet. </p><p></p><p>Anyway, I'm just hoping things come back in the normal range so I can eat a potato and a banana here and there and not think about it too much.</p></blockquote><p></p>
[QUOTE="Cocosilk, post: 2152991, member: 501623"] Good point. I managed to get a fasting insulin test done when I begged for one a few months ago and it came back at 6.3 mU/L. My fasting glucose that morning was lower than I usually get at home at 4.4 mmol so the HOMA came back at 1.2. That was 2 months postpartum and about 4 months ago. But I don't know how reliable the fasting insulin test is at knowing the whole picture. What do you think? Someone told me 6.3 mU/L fasting insulin is slightly elevated. In Australia, any HOMA under 2 is considered normal. It is a shame that there is not more awareness about predicting problematic levels insulin resistance before it becomes a blood glucose issue... I guess like that then it's just sensible for even those with normal blood glucose levels not to overdo it on the carbs so you aren't asking your body to make too much insulin all the time, right? There is one test that looks at your insulin and glucose over a two hour period too, isn't there? But I doubt I qualify for that test. The doctor didn't want to let me have the fasting insulin test because the guidelines say: "The main reason to measure insulin is to help determine the cause of low blood glucose ([URL='https://www.labtestsonline.org.au/learning/Glossary/hypoglycemia']hypoglycaemia[/URL]) in patients without diabetes when a rare insulin secreting tumour (insulinoma) is suspected. Sometimes insulin levels are ordered to investigate “insulin resistance” either fasting or as part of an oral glucose tolerance test but there is limited evidence for this purpose." But at least I had the fasting insulin. And today I went in for my first HbA1C, and also hs-CRP (more arm twisting with a different doc ;), and also the sdLDL (LDL subfractions) for my cholesterol since my levels have been a bit high for the last few years (but breastfeeding can do that so hopefully it's nothing to worry about). My trigs (0.7 mmol) and HDL (2.89 mmol) were good at last measure. Just have high LDL (5.5 mmol) and total cholesterol of 8.7 mmol. She wanted me on statins. My cholesterol levels were more worrying to the doctor than anything to do with my insulin or blood glucose. I'm trying not to think about that at the moment. But eating low carb may have pushed my cholesterol up a bit too. I've been trying to have more olive oil and macadamia nuts but I think I still eat more a lot of saturated fat from meat and dairy. And then there's the whole argument that high cholesterol isn't anything to worry about provided the LDL particles are not mostly small and dense. I like the explanations from Ken Sikaris so far. He also says a HbA1c of 5.5 is where your risk of heart disease starts, even though no one will blink an eye at that level yet. Anyway, I'm just hoping things come back in the normal range so I can eat a potato and a banana here and there and not think about it too much. [/QUOTE]
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