Insights

What VLDL Tells You About Your Kidneys

Intro Nephrology has, for a long time, taught patients a hard lesson. When the kidneys begin to lose function — when the eGFR starts to drift down, when creatinine starts...

VLDL and Insulin Sensitivity: Two Views of the ...

Intro Two findings almost always travel together on a lab panel. Elevated VLDL, and signs of insulin resistance — a rising fasting glucose, a creeping HbA1c, an elevated triglyceride-glucose index,...

What VLDL Actually Is, and Why the Liver Makes It

Intro To read VLDL the way we read A1C, we first have to understand what the liver is actually doing when it produces it. Not the textbook description. Not the...

Reading VLDL the Way You Read A1C

Intro A single A1C value is not a snapshot. It is an average. It reflects roughly three months of glucose handling, integrated into one number. That is why clinicians trust...

Why We Have Been Reading VLDL Wrong

Intro If the last post made the case that VLDL is the A1C of the liver, this post has to deal with the objection that almost every clinically trained reader...

VLDL: The A1C of the liver

Intro There is a number on most lab panels that almost no one is reading correctly. It sits quietly next to LDL and HDL. It rarely gets discussed. When it...