Monday, April 2, 2012

Ahh... blood.

I received my labwork on my phone. I had the patience to wait until they pinged me and said it was ready. It was hard to wait... it took 5 days to reach my phone, but only 24 hours to get to my docs.

It was exciting because I was seeing a lot more blue ink, indicating more/new numbers that were out of normal range. Even my blood glucose of 105 mg/dl was marked as "high". Did Dr. Bernstein get to them?

I don't have to do an at home A1C this month because I did an "official" one in the last few days of March. This time it was 6.3. I had guessed that it would be that number, because I had looked at my recent sensor/meter readings. I don't really regard the A1C as a suspenseful data point anymore, I can see the trend and pretty much guess it. I would venture to say, our sensor/meter data is more useful than an A1C these days.

Other things I was looking forward to seeing:
1) Thyroid Function- I asked my doctor to order a TSH test to see where I was with that. I had been fine in Sept., but during the last 6 months I felt that I was showing signs of slower metabolism. I wasn't eating very much, still maintaining weight, etc.  As it turns out, it was high, which means it's likely that I have some sort of low thyroid issue. Possibly low-iodine intake. I understand that there are various reasons why Type 1 diabetics also have hypothyroid issues. I'll see what route my doc wants to take to correct it.
2) For the same reasons pondered above- I wanted to have my testosterone checked. I figured the metabolism question might be related to one of the two hormones. It was not the problem, it was a tad higher than normal, which could be the reason why I have felt pretty decent despite low thyroid function. I've never come across as a high-test kind of guy, but, I like knowing it's on the high-side for health/aging reasons. Insulin sensitivity goes up with testosterone levels.

Other interesting data: 
  • There was low creatinine in my urine, which would only be interesting if I had an abnormally high number in my blood. Since I don't, it likely just means my kidneys are working well. 
  • The bloodwork also showed a high-ish ratio of albumin/globulin. This ratio was 2.1(the upper edge) last time and now it's 2.3. Seems like a marginal change. The things I read didn't make it seem like a sole indicator of anything in particular, but if other things were out of whack, it might help shed some light. It is usually related to liver and kidney issues.
  • My cholesterol is higher than last time, but I have read that hypothyroidism can have an impact on cholesterol, so that may be tied in together. I had expected my improvements in my glucose control to impact my cholesterol positively, but, I guess there's always multiple factors at play. My triglycerides: HDL ratio is still solid, so I'm not worried about any of the lipids right now.
So, that's all the excitement for now. It will be interesting to see if my doctor orders any more lab work to clarify my results at all. I will see him in mid-April, so that will be when I might get some more info on it.


  1. The relationship between testosterone levels and insulin sensitivity is not linear- past some testosterone level, it can hurt insulin sensitivity. When my testosterone levels were at their measured highest (around 1400 total T) was also when I had my greatest insulin dosages. When my testosterone levels are in the upper end of the normal male range is when I've taken the least insulin.

    They should be testing you for thyroid antibodies, if they haven't already. Do you eat the kind of diet that would put you at risk of an iodine deficiency?

    1. Interesting about the testosterone levels, I had just heard that getting the levels to the middle to upper range always has a positive metabolic effect, and improves glucose control. However, that was in Type 2 diabetics, who clearly have a metabolic derangement.

      I have a feeling my doctor might have more tests done because of my auto-immune history. It could be auto-immune hypothyroiditis.

      I don't have any significant sources of iodine in my diet besides occasional tuna and things like that. Our salt at home is kosher, and I don't think I've used iodized salt in a long time.
      I looked at this list( and didn't see things I regularly eat. So, I guess there's a good chance I'm on the wrong side of that mineral.

  2. Congrats on a fantastic A1c! Thanks for sharing the other data. It's interesting to see how someone breaks it down for themselves. I agree they should test you for thyroid antibodies. Hashimoto's is extremely common in longtime type 1 diabetics. I worried about my iodine intake a while back and started buying iodized sea salt. Iodine deficiency runs in my family so I thought I'd be careful. I also crumble up different dried seaweeds and add them to my salads.