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ForumsMetabolic Health & DiabetesMy A1C dropped so fast my doctor thought the lab made an error — looking for input Page 3

My A1C dropped so fast my doctor thought the lab made an error — looking for input

MikeNYC_runner Mon, Feb 23, 2026 at 12:45 PM 39 replies 1,190 viewsPage 3 of 8
Dr.SportsMedIN
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Feb 28, 2026 at 8:07 AM#11
Dr.SurgeonPGH said:
Insulin sensitivity test (HOMA-IR) on glycaemic control — arguably the most important metabolic marker most people aren't tracking: HOMA-IR = (fasting…

Agreed, and one caution: a single measurement is not a measurement. Anything that moves day to day needs a trend before it means anything at all.

33 6lucas_SP_BR, lisa_labSD, adam_van and 30 others
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SandraNC_45
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Mar 1, 2026 at 9:37 AM#12
MikeFit_NJ said:
Fasting insulin is the lab my functional medicine doctor cares about most for glycaemic control: it's a much earlier marker of metabolic dysfunction…

Bookmarking. The distinction being drawn above is the one nobody else makes. I will report back once I have actually tried it.

Last edited: Mar 1, 2026 at 2:37 PM
34 7james_edin, FranDenver, Dr.BariatricHTX and 31 others
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oliver_london
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Mar 2, 2026 at 11:05 AM#13
Dr.SurgeonPGH said:
Insulin sensitivity test (HOMA-IR) on glycaemic control — arguably the most important metabolic marker most people aren't tracking: HOMA-IR = (fasting…

Pushing back on Dr.SurgeonPGH here. Pushing back on the anecdote-stacking. Twenty people reporting the same thing is twenty samples from the same self-selected pool, not twenty independent confirmations.

Last edited: Mar 2, 2026 at 12:05 PM
35 8Dr.LeslieOBGYN, MikeNYC_runner and 32 others
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BiostatsBrad
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Mar 3, 2026 at 12:34 PM#14

Adding the numbers, since they settle part of this. One practical note: write down what you did and when, before you need it. Reconstructing a timeline from memory three months later is how people end up unable to answer the one question that would have resolved it.

Last edited: Mar 3, 2026 at 1:34 PM
36 9james_edin, FranDenver, Dr.BariatricHTX and 33 others
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Admin
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Mar 4, 2026 at 2:01 PM#15

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Carry on.

37 10PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 34 others
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