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Apr. 16th, 2019 04:31 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
miss_lucy21 Ah, yes, the annual blood work. Or, let's see if anything actually looks wrong that could be causing the fatigue, etc. Thus far, no, nothing obvious is wrong. I'm just a tired person, apparently.
Good news is almost everything is completely normal. Electrolytes, liver function, iron storage, CBC, white blood cell count, etc. Red blood cell count was slightly high, but I don't think that's an actual problem. Triglycerides are better than the last time, so that's good. Total cholesterol is slightly high, but the ratio of HDL to LDL is fine, so whatever. No vitamin B12 deficiency. Still waiting on the vitamin D.
The glucose was a bit high (by current standards. By previous standards, it's still just fine). We also did an A1C, because it was borderline high the last time, too. I'm not real concerned at this point because 1) it's still just barely high. The top of the range is 99 and it was 108. This is not screaming "major insulin resistance issue". 2) I am under a ridiculous amount of stress at the moment and that, combined with my immune system going into panic mode because some trees are fornicating could be affecting things. And 3) the last several non-fasting tests, including one about 6 months ago, have always been low normal, which probably means the A1C will be normal. And if it's not, well, I'll deal. Not the end of the world. I'll be starting to train for a 4 mile race here shortly anyway (race is in October. I have more than enough time, but I want to see if I can increase speed, which means training the endurance part first), so that will most likely take care of any sort of issue, because my blood sugar has been known to *drop like a stone* when I work out.
So, the fatigue culprits still appear to be depression and chronic pain. Both of which are much more difficult to do something about than a vitamin deficiency, alas.
Edited, 8:15 pm- damn, the lab is fast- the vitamin D and A1C results just popped up in my email.
Vitamin D is at 53.8, which is fine- the low end of optimal is 33 and the high end is 100, so right in the middle-ish, apparently 4000 mg/day is the right place to be.
And! A1C is right in the middle of the range with an average glucose reading of 103. That's the average over the past...two months? Let me go look it up, I don't remember. Three months. What is especially nice about this is I have eaten like complete shit for at least three months, probably more like NINE months and haven't been exercising basically at all. So, if that's what it looks like when I'm living on cereal and candy, I'm in pretty decent shape if I, like, eat some real food and take a walk. Excellent.
[there is nothing wrong, of course, with being diabetic. My dad is diabetic. My grandparents were diabetic. My aunt and my cousin tend towards higher blood sugars. These are all some of my most favorite people. Chances are very high that at some point in my life I will develop type 2 diabetes, given the strong genetic link. I'm trying to postpone that as far as I can because 1) I already have multiple chronic illnesses and I really don't need to deal with another for as long as possible, 2) I absolutely loathe finger-sticks, so testing my blood sugar multiple times a day makes me vaguely queasy, and 3) my disordered eating history (and present, see above about cereal and candy) make diet adjustments very difficult because being "good" tends to kick off my orthorexic/anorexic tendencies and my God, I can do without that right this minute. So I'm going to continue to be pretty happy that we're still kicking the can down the road, so to speak.]
Good news is almost everything is completely normal. Electrolytes, liver function, iron storage, CBC, white blood cell count, etc. Red blood cell count was slightly high, but I don't think that's an actual problem. Triglycerides are better than the last time, so that's good. Total cholesterol is slightly high, but the ratio of HDL to LDL is fine, so whatever. No vitamin B12 deficiency. Still waiting on the vitamin D.
The glucose was a bit high (by current standards. By previous standards, it's still just fine). We also did an A1C, because it was borderline high the last time, too. I'm not real concerned at this point because 1) it's still just barely high. The top of the range is 99 and it was 108. This is not screaming "major insulin resistance issue". 2) I am under a ridiculous amount of stress at the moment and that, combined with my immune system going into panic mode because some trees are fornicating could be affecting things. And 3) the last several non-fasting tests, including one about 6 months ago, have always been low normal, which probably means the A1C will be normal. And if it's not, well, I'll deal. Not the end of the world. I'll be starting to train for a 4 mile race here shortly anyway (race is in October. I have more than enough time, but I want to see if I can increase speed, which means training the endurance part first), so that will most likely take care of any sort of issue, because my blood sugar has been known to *drop like a stone* when I work out.
So, the fatigue culprits still appear to be depression and chronic pain. Both of which are much more difficult to do something about than a vitamin deficiency, alas.
Edited, 8:15 pm- damn, the lab is fast- the vitamin D and A1C results just popped up in my email.
Vitamin D is at 53.8, which is fine- the low end of optimal is 33 and the high end is 100, so right in the middle-ish, apparently 4000 mg/day is the right place to be.
And! A1C is right in the middle of the range with an average glucose reading of 103. That's the average over the past...two months? Let me go look it up, I don't remember. Three months. What is especially nice about this is I have eaten like complete shit for at least three months, probably more like NINE months and haven't been exercising basically at all. So, if that's what it looks like when I'm living on cereal and candy, I'm in pretty decent shape if I, like, eat some real food and take a walk. Excellent.
[there is nothing wrong, of course, with being diabetic. My dad is diabetic. My grandparents were diabetic. My aunt and my cousin tend towards higher blood sugars. These are all some of my most favorite people. Chances are very high that at some point in my life I will develop type 2 diabetes, given the strong genetic link. I'm trying to postpone that as far as I can because 1) I already have multiple chronic illnesses and I really don't need to deal with another for as long as possible, 2) I absolutely loathe finger-sticks, so testing my blood sugar multiple times a day makes me vaguely queasy, and 3) my disordered eating history (and present, see above about cereal and candy) make diet adjustments very difficult because being "good" tends to kick off my orthorexic/anorexic tendencies and my God, I can do without that right this minute. So I'm going to continue to be pretty happy that we're still kicking the can down the road, so to speak.]