recent bloodwork help

[Eddie.]

Looks better i guess? It's weird how you could have impaired kidney function without having any protein in urine..who knows. Maybe the glucose is red because of jardiance?

 

[sionnach]

this was recent labs my crappy nephrologist ordered, some improvement, very slight improvement, still waiting on the Cystatin c/eGFR with creatinine test , my other more extensive tests were somehow denied by my insurance for some reason, i have to "jump through the hoops" for that, lol , also included was a urine analysis, i don't quite understand the glucose reading of +3 if anyone could shed some light on that , tia,,

Shouldn't be any glucose in your urine. Glucosuria. Glucose in the urine means your blood sugar is beyond what your kidneys can send back into the bloodstream. This can be due to several reasons - if it's temporary, you probably just ate too much carbohydrate before your test. If it happens repeatedly, it could be a signal of some other chronic issue, including diabetes. Or you might be pregnant.

 

[Nidus]

Shouldn't be any glucose in your urine. Glucosuria. Glucose in the urine means your blood sugar is beyond what your kidneys can send back into the bloodstream. This can be due to several reasons - if it's temporary, you probably just ate too much carbohydrate before your test. If it happens repeatedly, it could be a signal of some other chronic issue, including diabetes. Or you might be pregnant.

Definetly pregnant. Congrats @Ateam2023.

Jk. He's using an SLGT2, so quite normal

 

[Ateam2023]

Thanks all for sharing your thoughts, my thought is that since i am taking the jardiance its causing the glucose dump as i take the jardiance in a.m. and urine test was just a few hrs later, jardiance doin its job as thats what it does, all my other glucose readings are "ok" , accept for my fasted insulin of 22.3 (ouch) it was my first fasted insulin test , so no previous tests tocompare to, it could be a rebound from discontinued metformin use?

 

[Nidus]

Thanks all for sharing your thoughts, my thought is that since i am taking the jardiance its causing the glucose dump as i take the jardiance in a.m. and urine test was just a few hrs later, jardiance doin its job as thats what it does, all my other glucose readings are "ok" , accept for my fasted insulin of 22.3 (ouch) it was my first fasted insulin test , so no previous tests tocompare to, it could be a rebound from discontinued metformin use?

Just means youre pancreas is firing a lot, explains the glucose +3. Your body had a lot of glucose which he was trying to get rid of by pushing out insulin and peeing our glucose

22 is still below the "high", 25 and higher is considered "high"
Stopping metformin normally does not cause a rebound but when your pancreas keeps pushing out insulin it means you generally have a blood sugar issue. Also even with a slgt2 the urine glucose test should be 1-2, 3 is considered high when on a slgt2 already

Do you have any blood sugar issues? Running retra? Why did you stop the metformin? Any insulin resistance genetically known or higher bf by chance?

 

[sionnach]

it could be a rebound from discontinued metformin use?

It's possible, but at least you're off that shit. Keep an eye on future tests, for sure.

 

[Ateam2023]

Just means youre pancreas is firing a lot, explains the glucose +3. Your body had a lot of glucose which he was trying to get rid of by pushing out insulin and peeing our glucose

22 is still below the "high", 25 and higher is considered "high"
Stopping metformin normally does not cause a rebound but when your pancreas keeps pushing out insulin it means you generally have a blood sugar issue. Also even with a slgt2 the urine glucose test should be 1-2, 3 is considered high when on a slgt2 already

Do you have any blood sugar issues? Running retra? Why did you stop the metformin? Any insulin resistance genetically known or higher bf by chance?

my fbg runs @90-100 , my bf is @10% according to dexa in June, i have reta , but havent used it , i dont really want to drop anymore weight so thats why i havent started the reta, i wanted to see how effective the jardiance was with regards to my fbg, plus i wasn't really getting any #'s improvement while taking 500 mg er metformin,,

 

[Ateam2023]

is there a way to take reta without dropping a ton of weight?

 

[sionnach]

is there a way to take reta without dropping a ton of weight?

Yep. Lots of BB use it just for the GIP and GCG effects. You can eat like a horse on reta. Its GLP effects are only 1/20th of Sema.
I don't ever see a point where I'll stop taking it, and I'm not small, just leaner than ever.

 

[Nidus]

my fbg runs @90-100 , my bf is @10% according to dexa in June, i have reta , but havent used it , i dont really want to drop anymore weight so thats why i havent started the reta, i wanted to see how effective the jardiance was with regards to my fbg, plus i wasn't really getting any #'s improvement while taking 500 mg er metformin,,

If you do not tolerate Metformin well, look at adding Retra 2-4mg a week, if running jardiance at 10mg, up it to 25mg and consider a low amount of an insulin sensitizing agent such as pioglitazone or imeglemine. I would choose imeglemine for sure and run that at 1000mg morning/evening, you are very close to a pre-diabetic level there

 

[Ateam2023]

If you do not tolerate Metformin well, look at adding Retra 2-4mg a week, if running jardiance at 10mg, up it to 25mg and consider a low amount of an insulin sensitizing agent such as pioglitazone or imeglemine. I would choose imeglemine for sure and run that at 1000mg morning/evening, you are very close to a pre-diabetic level there

i really tolerate Metformin well, no issues , just wasn't moving the needle like i thought it would, i was having nighttime drops in bg while asleep according to my cgm, even with eating a small carb meal of oatmeal and glass of milk an hour before bed, since i have stopped the metformin it has been fine, maybe since the metformin is er version i should take it earlier in the day to eliminate nighttime drops in bg?

 

[sionnach]

is there a way to take reta without dropping a ton of weight?

Just adding a comment I made on another thread for a tl;dr explanation of what its doing

Reta is an awesome cheat code, for fatties and for athletes. Its activity at the GIP and GCG receptors should narrow your blood sugar limits, and put you in a 24/7 state of minor ketosis and gluconeogenesis. If you're not already <5-6% BF and hitting your protein minimum, your body will constantly produce enough ketones and glucose to power everything, regardless of the rest of your diet. It's pretty fuckin cool.

 

[Nidus]

i really tolerate Metformin well, no issues , just wasn't moving the needle like i thought it would, i was having nighttime drops in bg while asleep according to my cgm, even with eating a small carb meal of oatmeal and glass of milk an hour before bed, since i have stopped the metformin it has been fine, maybe since the metformin is er version i should take it earlier in the day to eliminate nighttime drops in bg?

I'd stick to normal metformin in that case.

I am running my own Quadruple Protocol based on my own guide:

10mg Retra a week
500mg Metformin morning/evening
45mg Pioglitazone, swapping this one out soon for Imeglimine 2x1000mg.
25mg of Jardiance

I have a genetic condition in which my body cannot utilize insulin properly so i always have a high insulin resistance but this stack helped me get down to a hab1c of 4.7 within 6 months and improved my homa big time

Blood sugar markers improved so much that i gotta run high dose of GH soon otherwise insurance wont cover my jardiance anymore

 

[Ateam2023]

I'd stick to normal metformin in that case.

I am running my own Quadruple Protocol based on my own guide:

10mg Retra a week
500mg Metformin morning/evening
45mg Pioglitazone, swapping this one out soon for Imeglimine 2x1000mg.
25mg of Jardiance

I have a genetic condition in which my body cannot utilize insulin properly so i always have a high insulin resistance but this stack helped me get down to a hab1c of 4.7 within 6 months and improved my homa big time

Blood sugar markers improved so much that i gotta run high dose of GH soon otherwise insurance wont cover my jardiance anymore

i have so much of this er metformin, couldn't i theoretically just use it say @2 pm so it doesn't drop my nighttime bg so much?

 

[Nidus]

i have so much of this er metformin, couldn't i theoretically just use it say @2 pm so it doesn't drop my nighttime bg so much?

Could give it a try otherwise you could also lower the dose to 250mg morning/evening for an example and just test the grounds

 

[Ateam2023]

Could give it a try otherwise you could also lower the dose to 250mg morning/evening for an example and just test the grounds

i sure appreciate your advice @Nidus , and everyone else that has helped with this situation,

 

[Ateam2023]

These are some test im waiting on

 

[Photon]

is there a way to take reta without dropping a ton of weight?

I'm on 15mg a week. Will be going up to 18 in 2 weeks. Maintaining weight.

With inpefa 500mg a day I also see a +3 for urine glucose.

 

[Photon]

I'd stick to normal metformin in that case.

I am running my own Quadruple Protocol based on my own guide:

10mg Retra a week
500mg Metformin morning/evening
45mg Pioglitazone, swapping this one out soon for Imeglimine 2x1000mg.
25mg of Jardiance

Imeglimine -- India pharma?

 

[BamaCrazy]

Imeglimine -- India pharma?

That’s where I got it. 1x10---$1.35 for the 500mg tablets. I bought 1,200 pills.