HbA1c lag and what it can and cannot tell you at eight weeks — one year on
On post #2 — agreed on the reasoning, with one qualification.
TSH and free hormones: TSH is a reasonable screening test but does not tell you about actual free hormone levels. If TSH is abnormal, free thyroid hormones confirm whether there is a real thyroid problem.
Reference intervals: constructed to contain the central 95% of a reference population, which means one in twenty healthy people falls outside one by definition. Add biological variation and analytical imprecision and the base rate of a meaningless flag is substantial.
On post #13 — agreed on the reasoning, with one qualification.
Biological variation: the person-to-person variation in a biomarker for a healthy person is larger than most people realize. Comparing your result to the reference interval is one thing; comparing your result today to your result from months ago is more sensitive to change.
I disagree with the reply above, and I think the disagreement is substantive rather than terminological.
The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.
Read the full topic (23 posts)
This topic was referenced in
- HbA1c lag and what it can and cannot tell you at eight weeksClinical › Bloodwork · 18 replies
- Building a sensible monitoring schedule with your prescriberClinical › Bloodwork · 108 replies
- Micronutrient status when intake falls substantially — a second datasetClinical › Bloodwork · 13 replies
Suggested topics
| Topic | Participants | Replies | Views | Activity |
|---|---|---|---|---|
|
Lipase elevation without symptoms: the interpretation problem
Lipase elevation without symptoms: the interpretation problem Writing it up because I had to work it out twice and would rather nobody else did. Asking about a population rather than about a person. The…
|
+21 | 25 | 62k | 5mo |
|
[2026 update] Building a sensible monitoring schedule with your prescriber
Posting this under the heading it deserves: Building a sensible monitoring schedule with your prescriber Everything below is what sits behind that. General question, not a request for advice about my own care…
|
+22 | 26 | 5.1k | 14mo |
|
Lipid changes during rapid weight loss: the expected trajectory
Posting this under the heading it deserves: Lipid changes during rapid weight loss: the expected trajectory Everything below is what sits behind that. General question, not a request for advice about my own…
|
+11 | 15 | 34k | 11h |
|
eGFR fluctuation and the creatinine denominator problem — the long version
eGFR fluctuation and the creatinine denominator problem — the long version — setting out what I have, and where I think it stops being reliable. Asking about a population rather than about a person. The…
|
+43 | 47 | 17k | just now |
|
Second pass at: A single out-of-range value on an otherwise normal panel
Second pass at: A single out-of-range value on an otherwise normal panel Writing it up because I had to work it out twice and would rather nobody else did. General question, not a request for advice about my…
|
+9 | 13 | 8.5k | 16mo |
Related topics — sharing the tags liver enzymes, lipase & amylase, lipid panel
| Topic | Participants | Replies | Views | Activity |
|---|---|---|---|---|
|
About the Bloodwork category
Panels, reference intervals, biological variation, and resisting the urge to over-read one result. This post is a community wiki: any member at trust level 3 or above can edit it, and every edit is recorded…
|
+4 | 8 | 4.4k | 3mo |
|
Micronutrient status when intake falls substantially
On the subject in the title: Micronutrient status when intake falls substantially Working notes rather than a conclusion. Asking about a population rather than about a person. The published trials in this…
|
+26 | 30 | 367 | 11mo |
|
Liver enzymes drifting down and what that usually means
Liver enzymes drifting down and what that usually means — setting out what I have, and where I think it stops being reliable. Asking about a population rather than about a person. The published trials in this…
|
+66 | 72 | 12k | 4mo |
|
A single out-of-range value on an otherwise normal panel
Posting this under the heading it deserves: A single out-of-range value on an otherwise normal panel Everything below is what sits behind that. General question, not a request for advice about my own care — I…
|
+70 | 75 | 20k | 6d |
|
HbA1c lag and what it can and cannot tell you at eight weeks
HbA1c lag and what it can and cannot tell you at eight weeks Writing it up because I had to work it out twice and would rather nobody else did. General question, not a request for advice about my own care — I…
|
+14 | 18 | 2.6k | 14mo |