I got the first round of results back from the blood tests I did on January 12. For the most part, I’m not seeing anything particularly interesting but that’s mainly because these are the “baseline” ones to show what a week of eating only Keto Chow and heavy cream will look like. HDL is 52, LDL is 116, LDL-P (particle count) is 1242 (which is high). Glucose is normal and my fasting insulin is 4.4 which is quite good. You can see all the results of all my tests here.

My Hemoglobin A1c (which acts as a measure of the amount of glucose my red blood cells have been exposed to over their lifetime) has been steadily going down throughout my experiments. Glycated Hb A1c is the measurement typically used for the diagnosis of Diabetes Mellitus (not to be confused with “diabetes insipidus”). In the US it’s expressed as a percentage with numbers higher than 6.5 signifying diabetes, elsewhere it’s in mmol/l with values > 48 signifying diabetes. Typically you want lower numbers with <6% or <42 mmol/l. My first test in October 2017, my A1c was 5.1; In November 2017 it was at 4.9, and now in January it’s at 4.8. I wasn’t diabetic before I started doing keto, though I had a “deranged metabolism” that didn’t handle carbohydrates properly (you can tell because I was fat) and likely would have gone that direction in a few more years.

The 2 Keto Dudes do a better job of explaining what’s going on with diabetes but the interesting thing is that most doctors will prescribe enough insulin to keep blood sugar “low” but not in an ideal range. If you use insulin to bring down blood sugar and you go too far, you’ll actually end up in a coma. The problem is that (I’m working on memory here and a search didn’t find where it’s discussed at length) for each percent of HbA1c there’s an associated increase in all-cause mortality. Meaning if you use insulin to come down to a 7.0 – you are likely to die more than a person with a 6. Dang, I’m going to have to find the reference – it may be this but I’m not sure.

People with Type 2 diabetes make too much insulin and still have high blood sugar, those with Type 1 don’t make enough. The cool thing is: insulin is just a part of the regulation of blood sugar in your body and if that’s broken, guess what? there’s a backup! Your liver is able to synthesize all the glucose needed by your body. Provided you don’t introduce extra glucose into the equation, it’ll do a very good job regulating blood sugar all by its self. This is why people can go for month long fasts and not die without eating glucose.