A1c scale

Hi Folks - I just want to share another non-scale victory!
Today I got my blood work back and my A1C is now sitting at a very healthy, non-diabetic 5.2!
(For the purpose of screening for the presence of diabetes, an A1C of < 5.7 is consistent with the absence of diabetes, 5.7 - 6.4 is consistent with increased risk for diabetes or prediabetes, and > or = 6.5 is consistent with diabetes)
For context, back in November of 2023, my A1C was at 10.6. I was on fast acting and long acting insulin to try and control my blood sugar. As I was staring at my glucose meter and trying to figure out how much insulin to inject, I thought "WTF am I doing?" and wanted to find a better way. After some researching, I decided to give the Ketogenic lifestyle a try beginning on 1/1. Since then, in February my A1C was already down to 7.6, and today it is at 5.2. I also haven't had to take any insulin in over 8 weeks.
In addition to the scale-victory of losing 46 pounds to date (50M, 5' 10", now 193 lbs), I've had the non-scale-victories of also being able to come off one depression medication, I've dropped two pant sizes, my wedding ring fits again, and I can coach through an entire soccer practice without having to sit down. With the increased energy, I've been able to add walking and lifting weights to my day. There's been many other benefits, but it all started with simply keeping (and measuring and tracking) my daily intake of carbs under 20g. My only regret is that I didn't start sooner.
I'd like to once again thank the members of this sub. The knowledge has been so helpful to me (*cough* electrolytes *cough*) and stories motivational. Much appreciated!

Maybe I am too sensitive but tbh didn't know where else to post this so please just delete if inappropriate.
Been diagnosed with type 2 since I was 14. Changed my diet Completely, exercise consistently, etc but my A1C never gets out of pre diabetic range. I'm also on metformin that I take twice a day. when I was first diagnosed I started to count my calories constantly too. visualizing a scale of what was making my levels higher and what might kill me (dramatic I know but I was 14 lol). I ended up losing a ton of weight because I was over regulating my eating.
Idk I was looking for small businesses to get a graduation cake for my sister next month and somebody has that their mascot is called Dia B. Tease and it just left a bad bad taste in my mouth. like I know it's a small joke that this owner thinks nothing of and my case of diabetes isn't as bad as others but it still rubs me the wrong way sometimes. I fully acknowledge that this is just a issue to me but also does small stuff like this bother anyone else?

I've seen a lot of posts about Metformin. Here's my story!
I lost my thyroid to Graves Disease about 20 years ago and have been on Synthroid ever since. About a year and a half ago, I noticed that I was exhausted ALL of the TIME and had gained about 40 pounds. I also hardly ate anything at all!
I started walking five days a week at four miles a pop--and it was FAST walking. Over the course of three months, I had only dropped a few pounds. I was still exhausted, foggy, falling asleep at my desk, and struggling to stay awake while driving. And I was starving all of the time. Although my thyroid levels were normal, I insisted that my primary care doc send me to an Endocrinologist.
She tested my blood glucose and A1C. Lo and behold, I was insulin resistant. She put me on Metformin ER (500 twice a day). I've been on Metformin for six months and have lost 33 pounds. Note that she increased my dosage to 750 x 2 in January. I was averaging about 5 lbs of weight loss a month and then the scale just stalled. She increased it to 1000 x 2 and the scale is moving again. Yes, I had some gastro issues for the first few days but a little imodium did wonders.
It's important to note that I was NOT eating enough food to start with! I've incorporated protein, vegetables, and fruit into my diet. I stay away from massive carbs and sugar. Will I have a bite now and then if I really want something? Yes. However, the Metformin has eliminated that 'food noise' and the cravings that I had previously. I do not crave sugar and if I do have a bite of something, I have no desire to eat the whole thing! I'm power walking 4-5 days a week a little over 5 miles at a time. As a reference, I started at 180 lbs and my goal is 135 lbs! I'm at 147 now...11 to go!!

Hello, everyone, I'm 5'7" 41/F SW: 273 CW: 251 GW:199 (for now). I started changing my diet at the end of March, but ended up evolving into low-carb, 1200 calorie OMAD around April 1^st of this year. It's so much easier than trying to plan 3 small meals every day.
This is the most success I've ever had on any type of diet, and it's relatively easy to stick to. I've slipped up here and there, but it feels like a lifestyle change this time.
This time last year, I was around 300lbs and I was drinking heavily on a daily basis. I celebrated my one year alcohol-free this April and I still wasn't feeling as good as I wanted to, so I knew it was time to change something else. I went to the doctor and my blood tests showed I was inflamed and prediabetic (A1C was 6.1). Since then, my inflammation results have gone down. I'm thinking that when she tests me again at the end of the month, I will be showing progress with my A1C, too.
I love watching the numbers on the scale go down so quickly and I feel great! I'm really happy with how much it's helped me to improve my life!
Reading success stories online motivates me so much. I love seeing those!

Hi everyone. I’ve posted here before, and I want to thank you all for your patience and understanding. You've been kind and have taught me a lot, and I value it more than you know.
This is a longer post. I appreciate anyone who takes the time to read it. I do have questions at the end, if anyone would be generous enough to help a little.
I first learned one year ago that my A1C was “a bit high” after going from bodybuilding, to being in bed with a broken knee, and then one of the most stressful years I’ve ever had with a familial blowup. Angry, in full denial, and determined, I brought my A1C down in three months as fast and as far as physically possible from April to July 2023. Then I had minor foot surgery in November, and it started to creep up again. I was convinced it was major stress, no physical activity, terrible sleep, etc…
I DO have a predisposition to Diabetes. I’m now a 50 year old man weighing around 180lbs. Healthy or not, it was bound to catch up with me regardless of my years at the gym and eating a balanced diet, and all it took was one horrific year to tip the scales against me. I went from all perfect numbers and great health, to an A1C that was a bit high (never over 8), but not an “emergency.” This was a driving force that led me to believe that I could reverse it completely and go back to normal. I obsessively tested with finger pricks every morning and evening for months, and I had red each morning - dawn phenomenon, and green after eating. I had to stop testing so much, I was going crazy, unable to do anything more.
I don’t want to lose weight. I am not going to starve myself and skip meals, as I had an ED when I was younger. I also have a hiatal hernia/GERD and can't make up for a whole day's calories all at once. I'm a smaller-meals-throughout-the-day person which manages that beautifully. I’ve read about some people losing weight to lower A1C, amd it starts leveling off …until it’s NOT level again and then having to lose more weight, etc. It’s a concern, and I just can’t do that. I’ve also talked to people who are heavier than I am who have kept things in check very successfully. It’s not my weight that got me here, it’s not years of an imbalanced lifestyle that caught up with me, so I’m not going to blame myself or let anyone else blame me, either. (Which has made me very angry, when it has happened.) This just finally caught up with me. I don't know how many people are in the same boat as I am. The “you messed up/did this to yourself” stigma is absolutely brutal for ANYONE to receive, and doesn’t help me in the least. :(
I’m not telling anybody irl about any of this, except my spouse. I am not going to wear a monitor unless it becomes an emergency, I don't want anyone seeing it, or knowing my medical business. As someone with OCD and PTSD, I also can’t handle the constant obsession about readings after everything I do and eat all the time. I do not feel highs and lows, I don’t have crashes. I’ve had a year of wrapping my head around this, and someone once said something like “someone without Diabetes can eat all ice cream they want, but once you have Diabetes, your body will always react.” And that made me realize there’s no getting off this train even if I get back to, and stay in, remission. That was HARD to take.
So that hopefully rounds up where I’m at, and might answer some questions ahead of my own questions:
Question #1 - Can anything really be done about the dawn phenomenon? I’ve read so many ideas that “may help” but solutions are still out of reach.
Question #2 - How do you know if/when Foot Neuropathy may NOT due to T2? Is there a difference in feeling when it'snot due to T2? In my life I have had various foot problems from sprained ankles, orthotics for a few years until my feet changed, a fractured ankle, and plantar fasciitis, etc. The foot surgery was a plantar’s wart. - After a trip to NYC in May 2022 (a full year before while my numbers were still perfect) I came home with the bottoms of my feet tingling and sore. I wore old running shoes that I thought were good enough, but it was an insane amount of walking, all on cement. I was told it should go away on its own, but now I don't just want it blamed on my blood glucose. What happened then, that didn’t go away? I don't know. - My A1C initially rose in April 2023 after months of knee recovery. I honestly can say the foot problem started before any of this, and I’m worried about a different problem being ignored. - They’re not usually tingling/hot in the mornings, worse after a long day, sometimes stretching my calves/hips helps. The tingling (but not always hot) is not always in the same spot. If I’m on a recliner and it’s pressing on my calves, it’s from the heel and straight up the middle. Lying sideways, it tingles along the side of the foot pressing on the bed/couch. - It can be worse right after a workout (but not today) and better the next day. I don’t know if this is typical of a T2 neuropathy, or if something else is happening that started a full year before, when my numbers were all fine?? I even wonder if it's something stupid like I'm tying my shoes too tight, or trapped nerves, or not stretching enough for better circulation.
Thank you for reading, and for your time. I appreciate any help at this point.
** I am not on any meds, doing the back-to-my-lifestyle managing until my doc says otherwise.

F 57, 5'7" CW: 237.2 SW: 245 GW: 150
First I want to say, I'm only a week in but this is the kindest, most supportive subreddit I've EVER been in, so thank you everyone, drop-ins, mods, long-timers, everyone!
I'm on 2.5 with Emerge/Hallinndale. I've never had the brand name of anything since the Wegovy my doc prescribed was immediately rejected by my insurance. I didn't have enough of the dibeetus to qualify (A1c 5.7 almost a year ago). Kinda messed up, but that's for another post.
My question is about food tracking. That's always been one of the hardest things for me to do, because it took so much time, since I don't eat a lot of prepackaged stuff while I'm paying attention to what I eat. So it's basically spending a ton of time calculating how much of each ingredient goes into whatever I make and dividing the whole recipe into serving sizes, etc. Math has never been fun for me, and that part is always an annoying chore.
The time and effort also increased my obsession with food, which eventually made me burn out & quit any efforts to lose or maintain weight. I realized toward the end of the first week on tirz that I need to be aware of what I'm eating after a hypoglycemic episode, and the hunch that I may not be eating quite enough, for once.
So I'm putting food into Samsung Health, which is syncing with my new body composition scale. It's a lot cooler than the old days of the hand-written WW food journals, but still a PITA. Is there an easier way??? I eat mostly Mediterranean, so maybe once I get everything in the system it'll go faster? I still can't help but think that paying attention to and writing down every bite one takes is counter-productive to my overall health. I've lost weight before on the Mediterranean diet (22lbs in 2 months, 2 years ago) ahead of a big trip we took, and didn't pay much attention to how much I ate, just WHAT I ate. But as soon as the trip was over and the stress at work intensified, I gained it all back +5.
So, how does everyone feel about food tracking, and can it be a positive thing? Is there a way to make it feel more natural and less like a math test? Do we all have to track food forever??

HW 380 11/23 SW 363 2/24 CW 298 5/8 GW 200 Really excited to share the obligatory milestone post. Started Mounjaro in February of this year. Was diagnosed type 2 diabetes after finally seeing a doctor. Between 11/2023 and 2/2024 I had RSV, Mono, and whooping cough so lost a bit of weight from being sick so it forced me to get a PCP cause I was so weak. Ran a bunch of bloodwork and A1C was 8.6 with a weight of 363. Started Mounjaro, Metformin, and Jardiance. I started a low carb diet that day and have stuck with it. Today I weighed in at 298lbs, A1C at 5.1. I have a long way to go but I’ll be damned if I ever step on that scale again and see over 300lbs again in my life. I feel the best I have ever felt in my life. That’s to this subreddit for all the advice helping me along the way.

Talking online with other diabetics, comparing numbers.
I offer mine, 100-120, they offer back 5-6.
huh?
I'm in the US, and today I learned we use mg/dL (to where it basically can be a percentage as 100 is the sweet spot, I'm crawling around looking for sugar at 30-40%)
Seemingly everyone else I've talked to uses mmol/L (which looks like the same scale as A1C)
Is there a reason for the different units of measure? I would have expected the world to use the same in the modern age, and I'm clearly in the minority it seems.

Had a followup appointment with my doctor yesterday & I am down 17 POUNDS from when I last saw him in March.. great news because the scale I have at home barely works and I finally feel like I have something worth working towards.. the plan is to retest my A1C in mid July (I made a mistake on previous posts and thought it was June) so here’s to hoping I get numbers back in a normal range.. he told me yesterday my numbers were at 6.4!! So right on the verge of diabetes.. hopefully once I’m back in the normal range I’ll feel much better.. then I can keep working from there.

So for context I got diagnosed last year at what the test result showed as >14.5. as in they didn't have a scale for how bad it was I guess??
How did they even measure that? Does that mean I was just 14.5?
Btw, within 1-2 months of diagnosis I was off insulin and all other meds except metformin. So I'm very happy with that.
My a1c was to 5.6, 3 months after that. Then 5.9 because I got a little too comfy. So I'm trying to build more sustainable habits now to get it back down even further. My goal is to reduce my metformin to 500mg from 1500mg.
I'm doing some additional tests like insulin resistance and calculating my beta cell function.

I am a little obsessive about my teeth — I use a Philips Sonicare consistently, floss 2x daily (helps to do it in the shower!) with flossers, and I’m almost always up to date with cleanings and procedures. I have always had healthy teeth and still have no cavities in my mid-thirties. I occasionally whiten my teeth. I have always been told at cleanings that my routine is working and to keep doing what I’m doing. I have had all my wisdom teeth out, and I would describe myself as otherwise physically healthy, although I have OSA that I treat with a CPAP and good sleep/exercise scale.
I was late for my last cleaning by about six weeks — so 8mo. vs. my standard 6mo. I have gone to the same practice for 8y. and have a good working relationship with my team. My teeth were in excellent condition except that my two back lower teeth registered a 7 on the periodontal chart. My dentist took x-rays and my teeth look fine. They recommended more frequent cleaning and for me to have my A1C levels checked given that I bled during the procedure. I haven’t experienced any bleeding at home in ages, but the hygienist was new (to me) and it felt like she was going especially hard with the curette.
I’m freaked out. I’m going to have the A1C tested this week but at my last blood test a few months back, everything was fine so this would be a wild curveball. And my teeth feel fine — no pain, no redness or swelling, no sensitivity. They felt a little inflamed after the procedure, but quickly came down. What could the cause of these measurements be? Is this heart failure or something to really worry about? I’m very nervous and I’m really confused. Finally — is there any lifestyle change I am missing that I can add in? I want to preserve my teeth as long as possible.

Hi, I have been suffering with some issues for a while and I'm at a point where I lack motivation to get going in the day to day, even hanging out with my best friend feels like it would be too much effort. Let me explain the events as they happened:
First, I'm Male, 23, I'm a super picky eater and not necessarily super healthy. I'm skinny, like 140 pounds.
In September of 2021 I believe, I had an episode of dehydration that felt like a heart attack. This apparently gave me health anxiety and I was stressed for months over every little pain.
In winter of 2022-2023, my stomach started to hurt kinda funny, it started on Christmas day. I went to a doctor that gave me Omeprazole and I took it. I was also a bit dizzy later in the days during this point, and that dizziness was chocked up to anxiety over my job. It stopped about once the summer came around.
Early summer of 23, I got COVID that was real hard on me, and I started going to the gym worried that it had worn me out. I was neurotic again but exercised into fair shape. I sorta stopped the gym around august. In like October or so my dizziness started to occur again, and again, I went to a doctor who told me it was likely anxiety. She told me my A1C was fine and glucose too, I had fair iron levels, none of my tests were bad. My heart was healthy, lungs sounded fine.
Here I am today extremely depressed because the dizziness is hard on me to the point I can't even go out and try to improve myself or anything. I drink lots of water. I'm now on Lexapro which, only a few days in, it feels like my dizziness has worsened.
I'm wondering if it actually was diabetes, as my dizziness still does vary in intensity throughout the day. I could go a few weeks without dizziness but other times I'm bad. I have lost my appetite because I'm worried I'm diabetic but it could be other things too, I'm sure-
It could be a stomach issue. My family has a history of heartburn and acid reflux and such. I am not sure if it got better or not with my Omeprazole use.
I guess it's possible it's anxiety but I was in a car wreck this year that made me more anxious than I've ever been, and I never felt dizzy through that day.
Recently I've been stumbling on my words, even typing words wrong and struggling, which makes me feel so stupid. Even my thoughts feel empty at times and I zone out a lot.
So I'm worried it's something along the lines of a brain tumor, diabetes, stomach problems, my vision is janky, or I have anxiety. Could anyone help me figure out what might be happening to me?
Also, again, I'm using Lexapro - but my kidneys aches a little yesterday and today. Still getting used to Lexapro so it could be related. Wasn't a kidney stone, though, I know for sure.
Edit - also wanna mention my weight when working out was 150 at peak (on a gym scale). I know water weight can fluctuate - though, my current weight the last couple of nights, I've gotten a read at home of 137-140.

A1C of 5.8, LDL of 143 with total cholesterol 202, first major gout flare up couple of month ago and daughter and wife have celiac. I’m 6’6 and weighed 220lbs (BMI=25+).
PCP said to drop weight, eat better and exercise. Podiatrist (gout) said to drop weight and avoid red meats, sugars (added and hfcs) and alcohol. Celiac means no gluten in the house and if I do have gluten it’s a big deal with cross contamination.
Holy crap… it’s difficult to figure out what to put in the table for dinner.
I have been doing a decent job of dropping weight. Now scaling in at 210 lbs in the mornings. So yay for me… my goal is 200 lbs and I believe I will get there this year. I do bike to work (4 miles or 20 minutes each way) at least 3-4 times a week.
My breakfasts are mainly : Greek non fat yoghurt with keto granola and some blueberries or blackberries. I plan to add egg/spinach/onion scramble. Oh and a scoop of psyllium husk powder. Looking to add chia seeds to breakfast.
Side note : the impossible happened. I’m drinking coffee without sugar. 😳
My lunch and dinners have been focused on reducing added sugars and adding lots of salads. The protein is mainly chicken. I need to do better at adding chicken breast rather than chicken thighs which is 🤮😢. Trying to keep saturated fat at minimum. Guacamole, smoked sockeye salmon and the like. Minimizing my intake of rice and noodles and unfortunately not using coconut milk (no Thai curries 😭). I will be adding more fish to my diet (salmon).
Snacks are nuts or guac sometimes with piece of apple with skin or celery/carrot. Unfortunately keeping cheese out of the mix due to cholesterol.
My challenge is how to attack both prediabetes and cholesterol. Summer is coming which means I have plenty access to amazing quality fruits and veggies.
This is hard. I really did eat like a pig the last 2 years and I don’t mind the yoghurt, non sugar coffee and salads+protein dinners. I hope I can keep this up.
I will have a new blood test in about 5 months. Hoping for the best.
I guess my question is how do you folks do this juggling of cholesterol and prediabetes?

I am so happy for the people who are losing weight and who have lost weight on tirzepatide. It is a wonderful feeling and an awesome benefit of this medication. I have lost almost 20 lbs after seven weeks and am so glad I found tirzepatide. However, I am really looking forward to my next lab work. I know weight loss is for many of us the first step toward all the other health improvements, but I started this medication because I was prediabetic did not want to become fully diabetic (I used to work as a dialysis technician and have seen what diabetes can do to a body). I am also really psyched that I can now walk longer distances without as much hip soreness or back pain. Stairs are easier. Heck, even getting out of bed is easier! I don't see as many posts about lower A1Cs, other improved labs, or improved heart health (for example) compared to the number of posts about just weight loss. (Before I get the rebuttals, yes, I know there are some.) I'd love to hear your A1C victory stories or other health-related stories beyond just the number on the scale!

I had an A1C of 97 (UK scale) but doctors were confused as to whether it's type 2 or LADA (adult type 10) so was put on insulin whilst waiting 6 weeks (!) for specialist blood tests. I think it is type 2, so trying to relearn about all this. I am quite IR as I need about twice the amount of insulin as the standard dose to adjust for carb intake, and that is fairly low carb diet.
It seems vital to understand what the true cause of IR is to overcome it, and there is a lot of conflicting information out there. Some like Jason Fung say it's an excess of insulin (so me injecting it would make it worse) others say it's excessive fat intake, and studies back that up as well. I can see on my glucose monitor that eating more fat especially saturated makes my blood sugar stay higher so must be causing more IR as fat itself shouldn't raise blood sugar.
What is the current consensus on the actual cause of IR, or is there one?

My boyfriend was celebrating his older sisters birthday today with his family and he ended up in the ER. Blood sugar was at 550 and the ER staff tested his A1C and it was 14. I have a general idea of what these numbers mean since my dad studies diabetes, and it’s quite worrying. He’s not diagnosed as a diabetic yet, however his sister is T1. I’ve been noticing many symptoms the last few months maybe even longer such as frequent urinarion, sweating, always thirsty, and the family history. I would mention them to him and idk I guess he was in denial about these things. I think he took it more as a joke especially because I would sometimes poke fun at his diet. A few days ago he told me he had lost a lot of weight since the last time he stepped on a scale and my worrying got worse. I told him to immediately tell his mom because she a nurse and she would probably better understand than me. He ended up telling his family a few days later which is now his sisters birthday. She immediately tested his blood sugar as she is a diabetic and with the 550 they went straight to the hospital. To say the least I am extremely worried about him. I wish I was more clear about how serious I am about the changes I’ve noticed in him. He’s staying overnight at the hospital and I’m wondering what I should know. He said the doctors aren’t giving him insulin they just put him on saline. Is there any advice you can give? How do I help him cope with this? I know this will be a big and difficult change in his life and I want to support him

https://journalofmetabolichealth.org/index.php/jmh/article/view/93

Abstract

The use of therapeutic carbohydrate restriction (TCR) in the form of a ketogenic diet (KD) in neurodegenerative disorders such as Parkinson’s disease (PD) is increasing as an alternative treatment for primary and secondary symptoms. There exists a gap in the literature on symptoms of PD in the setting of metabolic syndrome (MetSyn) and possible comorbid impact on symptoms, biomarkers of health, cardiac risk, depression and anxiety. This case report documents a 24-week KD intervention for a 53-year-old man with multiple comorbid diagnoses, PD (Hoehn-Yahr stage IIa) with a history of morbid obesity with increased waist circumference, prediabetes, hyperinsulinaemia and significantly impaired mobility with chronic back pain, anxiety disorder and depression. Baseline cardiac risk ratios (CRR = triglycerides/HDL) were calculated and compared. The KD approach involved a well-formulated, ketogenic diet (fats 70%; protein 25%; carbohydrates 5% according to total daily energy intake for 24 weeks). Baseline, 12-week and 24-week biomarkers and scores on scales were compared. Clinically significant results were found when baseline biomarker results and scales were compared with 12-week results. Positive trends were seen for all variables at 24 weeks. Improvements in health biomarkers, including HbA1C, high sensitivity C-reactive protein (hs-CRP), triglycerides, fasting insulin, weight loss, waist circumference and cardiac risk were observed at 12 and 24 weeks. Some improvements in scores on an anxiety scale were seen. Based on our findings, KD is safe and effective for improving health biomarkers and symptoms of MetSyn, depression, anxiety and symptoms of PD. Future clinical trial studies for more generalisable results are needed.

35F Height: 5’8 SW:95kg CW: 96.5kg GW: 70kg T2D A1C: 9%
Hi everyone. Took my second 2.5mg shot yesterday. Have gained 1.5kg this week despite making healthier choices and reduced food and sugar consumption. Made these changes despite no reduction in food noise or reduced appetite. My side effects have mainly been nausea, fatigue, feeling very very cold and harder stools than usual.
However, my fasting sugar numbers have reduced from the 220s to the 180s in the last week so I’m staying hopeful. Got 178 this morning after yesterday’s shot.
I’ve read posts about others gaining on 2.5 too and also how it takes a little longer for T2D as we first need to get glucose control. So staying positive and hoping for the best. But definitely a little bummed today seeing the number on the scale. Haven’t gone above 95kg in a few years now so was totally taken aback to see 96.5kg this morning.
Will happily take any words of wisdom from those who have been through this!

Hey. I’m (m22) only diagnosed just before Christmas. I’ve learned a lot, I count carbs, I know my ratios, I’m on MDI and finger pokes… well I do have a cgm for 2 weeks but I don’t think I’ll keep it. I’ve set up a PCP and had initial visit with lab work. Haven’t gotten an endo yet. A1C 7.7 2 months after diagnosis of 15+… all this to say I feel like I’m doing good with everything. This post isn’t about me or at least not in the moment. It’s just curiosity….
My carb ratio is 1:10. When I correct it’s always 1 for 40mg/dl plus 3u because any correction without food trigger my glycogen reserves and I end up back or higher than I started if I don’t add those 3u. But will this change someday? Why would it. I understand exercise temporarily effects it (1:12 for me). I understand that sensitivity and resistance is a scale to the whims of wisdom beyond my knowledge but say I keep the same BMI. My heart, lungs, kidneys and liver stays healthy. Could it change? Are my ratios bad? I’m 6foot 180lbs. I read people on here with 1:4 to 1:60. They don’t say enough information about themselves for me to see a distinction. Is the 1:60 some seriously lucky honeymooning? Is the 1:4 on the verge of type 2 as well? What long term things could someone try to increase it? I’m at my ideal weight but not my ideal strength. I’d happily replace 20lbs of fat for muscle at least before diebetes I would… but now I’m worried I wouldn’t have any injection sites. Just some curiousity. Hope to hear any insights! Thanks!

CW- 169
GW-135
LW-110
Height 5'7 Age- 22 Energy Expediter (2000-3500 in a day according to my Apple Watch and Fitbit (tried both of them and they are fairly consistent in that I burn that much per day with my gym routine)
Hey I was diagnosed with hashimottos thyroid disease two years ago at some of my lowest weights, 120. Got on 25, than 50, now 75 mcg of levothyroxine.
I have tried intermittent fasting and gained weight and I have tried the 5:2 method of fasting where I don't eat for two or three days at a time. I tried eating 1200 and maintained my weight, tried 600 and than caused weight loss than came back on plus another 15 pounds after I stopped. I feel drowsy and unproductive, I can't focus and I feel horrible in my body.
I begged my doctor to add the T3 to my diet and I got labs on March 30 and my TSH is 3.87, T3 Free- 2.6, T3 total- 81, Thyroid Perioxidase Antibodies are 71 which is downward from two years ago when they were over 600!
I am gained and gaining in the last 2.5 mo I gained 35 pounds!!
I am also iron deficient and VD deficient but I am supplementing that.
I will cut my arm off to get this weight off!!
I calorie count and since I am burning 2500-3500 every single day I eat around 1900-2300 per day. I weigh my food with a food scale, count every drink I have and all the dressings and nuts and even the calories in the gummy supplements so I know I am counting right. I even take my food scale to restaurants cause I like to eat out occasionally.
My gym routine is every other day I do the treadmill at incline 12 and speed 3 which burns about 700 calories in an hour. I do that hour every other day and I weight lift heavy every day for about 30-35 minutes. On non 12-3-60 days I do the stair stepper for 25 minutes than I do the heavy weight lifting I take an extra slow walk outside in the evenings if I have time too.
I tried fasting I tried calorie deficits, I tested my labs, and I am so lost. I tried GF and keto too and it made me feel worse. When I was 16 (SW-210) I ate 1200 calories lost a bunch of weight and than go rid of another 20 pounds by doing 1450 and 1250 which I would gradually increase it in 7 months to 1800 and 2200. My exercise schedule was way less rigorous too, I'd do an hour of body weight exercises and cardio every other day (hence the higher calories on some days)
My glucose is under 100 fasting and my A1C is 5.3. Is there something I'm missing? Please help! I lost my period for two years but now I get it monthly for the last 7 months. I don't want to go to my lowest weight again but I absolutely loved myself at 135 but I gained weight so quickly.
Also my einophils were 11 and my absolute eosinophils were 517 but my doctor never explained that.
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For what it is worth, I thought I would share my latest blood work results since results were interesting! I have been on various GLPs due to insurance step therapy since Oct 2022. I started Mounjaro Oct 2022, then Ozempic, Trulicity and then Mounjaro again in December 2023. I am currently on 10mg dose.
I am T2D with reactive hypoglycemia and have Sjogren's autoimmune. When I started GLPs I was healthy with mild bradycardia and insane post menopausal hot flashes/night sweats. The only other medication I am on is Imvexxy. I had an extreme RNY GBP in 2003. I am 17lbs from goal weight and glucose is almost completely under control. Due to lack of absorption from so much intestine being removed, I have taken a Vitamin D supplement daily since my surgery. My blood work is always normal to low for Vitamin D.
Fast forward to this week, my vitamin D, 25 Hydroxy level was 146 on a scale of 30 – 100. My endo obviously told me to stop taking the Viactiv and eat fewer foods high in Vitamin D. I questioned how this was even possible since I absorb zero D post RNY surgery. Delayed gastric emptying from the Mounjaro is the likely cause but we are keeping an eye on it since I am post menopause. This may explain why my last bone density test I had increased density, maybe? I thought it was strange because I was under the impression once you lose density you can not regain it.
Also, A1C was 5.5, Triglycerides were down from last lab work but still high at 207, all cholesterol was perfect, Carbon Dioxide was a little low and Alkaline Phosphatase was a little elevated (makes sense with the Vit D). Everything else was perfect. I only have a small amount of neuropathy in my hands, zero in my feet, bradycardia is resolved but I was throwing an extra heartbeat in during my EKG. I see my cardiologist in May.