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. ?
Liver enzyme: Gamma glutamyl transaminase / transpeptidase enzyme rises in some liver illnesses and supposedly is the first to rise in drinkers. It's a poor screen, some folks are born with lifelong high levels, but it's better than nothing. ...Read more
Other findings?: Serum level of GGT of 67 is higher than normal and suggests injury to liver. However, an isolated lab test is not a reason to worry. What did other tests show? Do you drink? If you do, abstain for 2-3 weeks and repeat the test. Are you on any medications, including herbs and over the counter drugs? Discuss all these issues with your doctor to identify the cause of liver injury. ...Read more