I’ve been recently working with a client who decided to get a CGM (unknown to me), he was concerned about some post-prandial numbers (slightly above 180) but I reassured him it’s not extremely uncommon and if he wanted to get accurate tests he should see his doctor.
Low and behold his HbA1c came back at 6.1% with total cholesterol at 200 and LDL at 122. I was very surprised.
He’s in his early 30’s with a very low BMI (18-19). In general, he undereats but his diet is poor (perhaps one take out meal per day). His bodyfat level would be probably in the high teens if I was to estimate and muscle mass is relatively low.
I’m not a doctor but this seemed strange to me. The client wanted to gain muscle and put on weight, however, it appears one of the best interventions to get someone out of a prediabetic state is to drop approx 5% of bodyweight. It doesn’t seem appropriate here.
Would there be a suggestion of re-testing? I understand LDL could be high independent of BW due to excess saturated fats.