You have all probably heard by now about the trials I've been going through with my blood sugar. When I went into the doctor's office on October 20, 2020 my Hgb A1c S (hemoglobin average blood sugar) was at 6.7. Pre-diabetic is 6.0 - 6.4 and 6.5 and up is considered full on diabetes. My weight at the time was 210 pounds (95.25 kg). I immediately went on my intermittent fasting diet and when I got my results back on Wednesday for my Dec. 23 visit, my number was down to 5.9 and my weight was at 193 pounds (87.5 kg). So I'm not even considered pre-diabetic any longer. But I have to stay on top of things or they could get out of control again.
But that's not why I'm making this post. A couple of other numbers jumped out at me when I started looking at my lab results.
I've had 5 labs drawn in this office. The first was 10/04/2017. Then it was 03/29/2019, 10/22/2019, 10/20/2020, & finally 12/23/2020. At one of my last appointments they told me I needed to "cut back on my drinking". We laughed because I don't drink. I distinctly remember the doctor looking at me funny but thought not much about it. Until today.
There are three things that jump out at me. For the record, this may be nothing and it may be something to look at. I'm calling my doctor tomorrow to ask. They are: ALT, AST, & Bilirubin.
ALT is a test used to determine enzymes in the blood. Basically, how well is the liver doing its thing. AST does the same thing, testing different enzymes. Together they are often referred to as a ratio of your overall liver health.
The next test that I looked at is the Bilirubin test. For those that don't know, bilirubin is the waste that you get when your liver is working right and sends it to your poop. If your liver isn't doing its thing, the bilirubin gets put into the blood stream.
Okay, so here's where my history makes a difference.
Test | 10/04/2017 Result | 03/29/2019 Result | 10/22/2019 Result | 10/20/2020 Result | 12/23/2020 Result |
ALT (7-52 Normal) | 28 | 40 | 58 | 48 | 57 |
AST (15-41 Normal) | 26 | 28 | 37 | 38 | 39 |
Bilirubin (0.3 - 1.0 Normal) | 1.2 | 1.5 | 1.4 | 1.9 | 1.7 |
My AST/ALT ratios have been: 0.92, 0.7, 0.63, 0.79, & 0.68. All are within acceptable ranges, as you want to stay below 1.0. In fact, my worst test was the first one, but both numbers were WELL inside acceptable so it didn't matter. What is concerning to me is the progression. There's no track for the bilirubin, but there's definite growth of my ALT/AST numbers.
I know. I KNOW! I'm not a doctor. And my doctor's office didn't bother saying anything to me at all. But I'm a stats guy - a numbers guy. And they don't lie. Something is up with my liver. At the risk of being "that guy" I've been doing some studying and ran it past a nurse friend of mine who was very surprised that (a) my doctor's office didn't at least look INTO this considering the numbers and (b) that I reached the same conclusion that she did. Made me feel pretty good that I wasn't just doing the "does this look infected?" thing. (In fact, I'm not the one who said anything to her as I think doing that is crass - her husband brought her in on the conversation.)
So what did I come up with?
Non-alcoholic Fatty Liver Disease (NAFLD). Can be brought on by sedentary lifestyle, weight issues, and exacerbated by diabetes or pre-diabetes. It's controllable by diet and exercise, but is also the leading cause of liver transplantation in the US. I would be at a higher risk of all sorts of things, including cardiovascular issues and liver cirrhosis.
In short, I gotta get off my ass & start exercising again along with this diet.