Her A1c wasn’t measuring her glucose. It was measuring her red cells.

Last time: her insulin, glucose, inflammation and weight all improved over four years, her CGM went flat, and her A1c went up to 5.7 and parked at the prediabetes line. Here is what A1c actually is, because almost nobody is told. A1c is not a glucose test. It is the percentage of your hemoglobin that has glucose stuck ...

Everything got better. One number got worse.

Four years of work. Here is what moved. Fasting insulin 9.6 to 3.4. Fasting glucose 108 to 92. CRP 3.6 to 0.47. HOMA-IR 2.6 to 0.8. Thirty-five pounds over ideal body weight down to twenty-four. No medication for any of it. ​ And her hemoglobin A1c went from 5.3 to 5.7. Up! In the wrong ...

Your health is in your own hands, about 95 percent of it

Hey, Dr Karl here. Your health is in your own hands, about 95 percent of it. Four years. One woman. Insulin 9.6 to 3.4, glucose 108 to 92, CRP 3.6 to 0.47, HOMA-IR 2.6 to 0.8, and a move from one population into the other. She did the work. I read the numbers. Those are two different jobs and only one of them is mine. Which ...

Nobody thinks iron has anything to do with insulin resistance

Nobody thinks iron has anything to do with insulin resistance. Nobody pairs iron with insulin resistance. There is no reason to, if you are reading labs one at a time. Here is what her iron and ferritin did across four years while she was busy fixing her insulin. Iron went from 105 down to 85. Twenty points, downward, ...

She didn’t improve. She relocated.

Hey Reader, Dr Karl here. She didn't improve. She relocated. ​ This is the sentence I most want you to take from all of this. Her HOMA-IR went from 2.6 to 0.8. The easy way to describe that is "she improved." It is also the wrong way, and the difference matters more than almost anything else I could tell you. She ...