Luckily, some companies are now offering extensive self-testing. All you have to do is choose which tests you want online, and the company will schedule an appointment at a local lab for you. I have founds some best of class self-testing operations and would like to share them here for your convenience:
Take Action! Get Your Blood and Urine Tested
While the Diabesity quiz will give you a good overall sense of how severe your condition is and an accurate assessment of whether to do the basic or advanced plan, there are a set of laboratory tests I strongly encourage you to take. There are two levels of testing to properly assess diabesity, its complications, and its causes. No matter what your quiz score indicates, if the basic tests show you have advanced diabesity (see below for interpretation) then you should still do the advanced plan.
Basic Diabesity Testing: To Diagnose Presence of Diabesity
I recommend testing for everyone who is considering following this program or who is overweight, has diabetes, or has a family history of type 2 diabetes. Have the following tests performed during the preparation phase of the program (these tests can be taken at Save on Labs.
I have created a special online guide called How to Work with Your Doctor to Get What You Need, where I provide detailed explanations for each of these tests and how to interpret the results. You can download the guide here. I believe that people can become empowered to learn about their bodies, track their own test results, and use that information to track their disease risks and their progress. I encourage you to become an active partner in your health, and that includes knowing your numbers and following them over time.
- Insulin response test—fasting, 1-hour, and 2-hour glucose and insulin levels after a 75-gram glucose load. This is like a glucose tolerance test but measures both glucose and insulin. Your blood sugar can be normal but your insulin can be sky high. Fasting insulin should be < 5 μIU/dl and 1- and 2-hour levels less than 30 μIU/dl. Fasting blood sugar should be < 90 mg/dl and 1- and 2-hour less than 120 mg/dl. Demand this test. It is the most important indicator of the presence and severity of diabesity and it is rarely done in medical practices today. That is why it is not diagnosed in 90% of people who have it. An alternative is to measure just fasting and 30 minutes post-glucose load glucose and insulin levels. If you have already been diagnosed with diabetes you don’t need to do the 2-hour glucose load test.
- Hemaglobin A1c (abnormal > 5.5 % of total hemaglobin) measures the average of the last 6 weeks of blood sugar.
- NMR lipid profile—particle size and number of LDL, HDL, and triglycerides. Small dense particles are dangerous and an indicator of diabesity, even if your overall cholesterol is normal with or without medication. You should have less than 1000 total LDL particles and less than 500 small LDL particles (the dense dangerous type). (This test is performed by Liposcience, but can be ordered through Labcorp or Quest Diagnostics, the two biggest laboratory testing companies.)
- Lipid panel— total cholesterol (ideal < 180 mg/dl), LDL (ideal < 70 mg/dl), HDL cholesterol (ideal > 60 mg/dl), and triglycerides (ideal < 100 mg/dl).
- Triglyceride/HDL ratio — abnormal is greater than 4.
- Total cholesterol/HDL ratio — abnormal is greater than 3 .
If your tests are abnormal or if any of the following results match yours, you should be on the advanced plan. If you are on cholesterol-lowering medication, you will have to rely on the insulin response test and the hemagloblin A1c to help you decide if you should be on the basic or advanced plan.
Go on the advanced plan if:
- Fasting glucose > 110 mg/dl
- Fasting insulin > 12 μIU/dl
- 1- or 2-hour glucose > 150 mg/dl
- ½ hour, 1- or 2-hour insulin > 80 μIU/dl
- Hemaglobin A1c is > 6.0 μIU/dl
- Triglycerides > 200 mg/dl
- HDL < 40 mg/dl
- Triglyceride/HDL ratio greater than 5
- Total cholesterol/HDL ratio greater than 6
Additional Tests for Diabesity: To Assess Severity or Complications of Diabesity
These tests should be part of a normal screening and evaluation if you are at risk for or think you may have diabesity. If you have been diagnosed with type 2 diabetes or you qualify for the advanced program based on the quiz or the basic tests, it’s important to make sure you get these additional tests done. I also believe they are important for everyone as part of an annual physical and check-up. I explain all of these tests in greater detail in the online guide, How to Work with Your Doctor to Get What You Need (download it here).
- High-sensitivity C-reactive protein (abnormal >1.0 mg/liter) – to assess inflammation
- Fibrinogen (abnormal >350 mg/deciliter) – to assess clotting risk and thick blood
- Lipoprotein (a) (abnormal >30 nmol/L) – to assess treatable genetic cholesterol marker
- Uric acid (abnormal >7.0 mg/dL) – to assess gout risk caused by diabesity
- Liver function tests (elevated AST, ALT, GGT are abnormal) – to assess fatty liver
- Kidney function tests (BUN abnormal >20 mg/dL, creatinine abnormal >1.2 mg/dL) – to assess kidney function
- Microalbumin (abnormal >20 mg/dl) – to assess protein in urine, an early marker for damage to kidneys
- 25 OH vitamin D (abnormal < 50 – 75 ng/dL)
- Homocysteine (abnormal > 8.0 micromoles/liter): a sensitive marker for folate deficiency
- Ferritin (abnormal >200 ng/mL) – to assess inflammation and iron status
- Thyroid hormones (abnormal TSH, free T3, free T4, TPO antibodies) – to assess thyroid function
- Sex hormones (male – total and free testosterone; and female- FSH, LH, DHEA-S, estradiol, progesterone, free testosterone and sex hormone binding globulin) – to assess sex hormones
These tests can be done through your doctor, at most hospitals or laboratories, and even ordered yourself through personal testing companies such as SaveOn Labs. They have “Blood Sugar Solution Basic and Advanced Test Panels” that allow you to order the tests yourself.
While many of the problems you suffer from may be healed by going on The Blood Sugar Solution, some of you may need additional medical assistance. Others may already be seeing a doctor for treatment of diabesity. In either case, How to Work with Your Doctor to Get What You Need will give you important information that will help you interface with your medical practitioner in the most effective way possible. Download it here.
You should also get follow-up testing done at three-month, six-month, and one-year intervals. This will allow you and your doctor to accurately monitor your progress.
Optional Testing Tools
If your budget allows, I highly recommend obtaining the following testing tools to really get the most out of your 10-Day Detox transfor- mation (see www.10daydetox.com/resources):
- A glucose monitor
- A FitBit Aria Wi-Fi Smart Scale or Wiithings scale, which uploads your weight, BMI, and body composition directly into your smartphone
- A blood pressure monitor, which similarly uploads your blood pressure privately into your smartphone for ease of tracking
- A personal movement tracker to track your daily activity and sleep, such as the FitBit, UP by Jawbone, Wiithings Pulse, or Nike FuelBand