Your Diabetic Risk Assessment Report
You have your Diabetic Risk Assessment Report results.
Now What?
Dr. William Cromwell, M.D., our Chief Medical Officer, walks you through a summary of your Diabetic Risk Assessment Report. Our goal with this report is to provide you a risk assessment scrore that you can use to build a plan of action for better health.
Your diabetic risk report is set up in sections. The first page is a summary page. The second is a page that captures your values over time. The third section is an unpacking of each part of the first page of the report. Finally, there's some overall information that you need to know about insulin resistance, cardiovascular disease, and diabetes.
Page one of your diabetic risk summary begins with glucose. The fasting glucose is divided into three categories: there's:
Normal, which is less than 100 mg/dL
Pre-diabetes, which is 100 to 125 mg/dL
Diabetes, which is 126 mg/dL or higher.
The second section looks at insulin resistance and specifically the NMR LipoProtein insulin resistance score, or LP-IR score. This score reflects your insulin resistance. Insulin sensitivity is a low number; insulin resistance is a higher number—the higher your insulin resistance, the greater your risk for diabetes over time.
The third section actually puts together your glucose and your insulin resistance score. Together these two things tell you what your risk of diabetes is over an eight-year period of time. For example, if you have an insulin resistance score that is very high, you will have a higher risk of diabetes at any glucose value. At any given insulin resistance score, the higher the glucose, the higher your risk of diabetes. The last section of the report looks at how modifiable your risk of diabetes really is. You can lower your risk of diabetes in two ways. One, you can decrease your glucose levels. At any given insulin resistant value as you decrease glucose, your risk of diabetes also decreases. Secondly, you can improve your insulin resistance score. As you lower your insulin resistance score, there's a significant reduction in your future risk of diabetes.
At the end of the day, our goal is for you to have enough information to have the conversation you need with your healthcare team to come up with a personalized treatment plan, as well as an opportunity to follow how well you're responding to that plan so that changes can be made if necessary.
Want to learn even more about fasting glucose & insulin resistance?
Check out our Deeper Dive Video!
Dr. William Cromwell, M.D., has over 30 years of clinical and research experience managing lipoprotein disorders. As a leader in cardiometabolic science, his work has appeared in 30 peer-reviewed publications, reviews, or books addressing assessment and management of lipoprotein disorders. He is a Fellow of the American Heart Association Council on Atherosclerosis, Thrombosis and Vascular Biology (ATVB), the National Lipid Association, and the American Academy of Family Physicians in addition to being a Diplomat of the American Board of Clinical Lipidology (ABCL) and the American Board of Family Medicine.