DrKrupka.com

I had a patient come in a couple of weeks ago with an interesting situation on his blood work that I wanted to share. And this is all surrounding blood sugar, type two diabetes, A1C, that kind of stuff.

So he had had blood done at his previous doctor's office and came in for some general wellness work. And in going through reviewing his labs I noticed that there were some tests that I normally like to see that were not included in his labs. And he was told by his previous doctor that he was pre-diabetic and they had put him on metformin. So in looking through his labs and getting the new ones to fill in the blanks he had already shown up with a fasting blood sugar of about 106 and his hemoglobin A1C was sitting at 6.0. That's why he was told he was pre-diabetic.

So in doing our labs I looked at a few other things. His triglycerides were 165, which indicates that there's probably some problem with blood sugar and we already knew that, but we looked at his fasting insulin...