Clinician handoff
Sugar
Designed for a 60-second scan in primary care. Use this to explain why this theory fits, what would weaken it, and which tests are most worth discussing.
Why this still fits
I want to systematically evaluate whether Sugar is contributing to my brain fog and compare it against close alternatives.
What would weaken it
- -How is reactive hypoglycemia different from diabetes if my average labs look normal?
- -Does your pattern fit Sugar more consistently than Sleep Apnea when timing, triggers, and recovery are compared side-by-side?
- -Does your pattern fit Sugar more consistently than Meds when timing, triggers, and recovery are compared side-by-side?
Key points to communicate
- •Please document what findings would confirm this cause versus lower confidence.
- •I want fasting insulin ordered alongside fasting glucose and HbA1c.
- •Please note which competing causes should be checked in parallel if results are inconclusive.
- •If HbA1c, fasting glucose, fasting insulin, HOMA-IR, and a 2-week CGM trial are all unrevealing, blood sugar is probably not the primary driver.
Tests and measurements to discuss
Need the fuller context? Use the test explainers for the measurement itself, or jump back to the tests section on the Sugar page to see how the tests fit the whole pattern.
Blood Sugar Assessment
What this helps clarify: This bundle is more useful than a single glucose marker when the story suggests post-meal crashes, normal average labs with variability, or early insulin resistance.
Range context
Panel context
How to use the result
Compare average markers with symptom timing instead of treating the panel as a pass-fail screen.
A1c + fasting glucose context review
What this helps clarify: This route is for the situation where HbA1c and fasting glucose do not fully explain a strong post-meal or fasting crash pattern.
Range context
Interpret with timing pattern
How to use the result
If the averages are normal but the crashes are repeatable, ask what test would better capture variability.
Peer-reviewed references