Should have noted that last shot was on the 18th (Thurs) with blood drawn on the 22nd (Mon).
I have a family history of type 2 diabetes, and I definitely enjoy more sweets than I should. Improving my egfr, a1c, and LDL are my new focus.
It’s never too late to turn that stuff around, but the sooner the better the long term benefits will be, like compound interest.
Cardiovascular disease is the reaper that’s stalking you, like it is for most people, and between that LDL, family history of diabetes, and gear use you’re squarely in the “high risk” category that even conservative guidelines would advise targeting <55 LDL.
Exercise is important, but you’ve obviously got that covered.
Diet matters, but I’m going to go against the grain here and point out genetics plays the largest role in both diabetes and cardiovascular disease, by far.
Even if you kept doing exactly what you’re doing, the optimal modern pharma protocol is capable of nearly disconnecting diet from cardiovascular and to a lesser extent diabetes risk. It may offend someone’s sensibilities, but it’s objectively true.
So don’t wait until your diet is dialed in to start on compounds to optimize your lipids, BP, and get that A1C down. Each will have a positive crossover impact.
In other words, take advantage of modern pharmaceutical science to “cheat” your way to a longer, healthier life.
Also, next test get Lp(A) and HS-CRP checked.