Aaron Hartman, MDFunctional Medicine Specialist | Clinical Researcher

Surprising Lab Results_ Fit Patient with Elevated A1C | Beat Hormone Chaos

24 Jun 2025 · 1 min

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0:31

A short YouTube monologue by Aaron Hartman, MD describing a fit patient whose labs show an apparently discordant profile: A1C 5.5 despite low insulin (3) and normal glucose (82). The speaker notes low leptin and normal adiponectin, and suggests biotoxin exposure and SIRS may explain why A1C alone can be misleading. The clip emphasizes caution when interpreting A1C in isolation.

Questions this video answers

5.5

3 (units not specified)

82 (units not specified)

Described as low

Described as normal

Chapters

I just had a patient today for a first follow up. The guy is fit as a fiddle. He eats incredibly well, he's managing his stress, although he hasn't done his ASP yet, so I don't really know that for sure. His A1C is 5.5, but his insulin is 3, which is optimal. His glucose is 82, which is optimal. His leptin is low. His adiponectin is normal. This is related to biotoxin is biotoxins. In his case, he's a SIRS patient and so this is a little bit esoteric, but it shows you that you can't always assume anything when you're just looking at an A1C.