Doctor insights on:
What would cause hypoglycemia (60) with high beta hydroxybutyrate 3.2 and insulin high at 7.3? Non fasted, non diabetic.
Reactive hypoglycemi: B"sd sounds like a colleague has ordered hypoglycemia evaluation. Clinical details needed for full interpretation, but the results given would be compatible with typical post-prandial reactive hypoglycemia. Often seen in states of insulin resistance which would include pre diabetes. More than happy to discuss with the details. High BH pretty much rules out insulinoma or insulin injection. ...Read more
Advice adjusting my insulin while in metabolic ketosis to lose weight.Testing both (capillary) glucose & beta-hydroxybutyrate. ?
Approximation...: HCG levels are highly variable. The correlation between the HCG level and the number of days after ovulation is only an approximation. In real life there is just too much variation pregnancy to pregnancy. I wouldn't worry about the exact number as long as it is going up as fast as it should. A dating u/s at about 8 weeks is the best way to date the pregnancy (not the HCG level) Best wishes! ...Read more