Don't Go Over the "Guardrails" of Diet
Dr. William DavisPublished on June 24, 2025
Summary authored by editor@wellifi.com
TLDR Summary
This article highlights essential blood markers, referred to as 'guard rails,' that can help assess the quality of your diet and overall health. Key markers include fasting blood glucose, insulin levels, triglycerides, and small LDL particle count, emphasizing the importance of a comprehensive approach rather than focusing on a single marker.
Key Points
- Fasting blood glucose should ideally be between 60 to 90 mg/dL.
- Fasting insulin levels should be between 0 to 4 microunits per liter.
- Postprandial blood glucose should not exceed 100 mg/dL.
- Hemoglobin A1C gives a 90-day average but is slow to respond.
- Triglyceride levels should be less than 60 mg/dL for optimal health.
- Small LDL particle count should be no higher than 200 nanomoles per liter.
- Total cholesterol and calculated LDL cholesterol are not reliable markers.
Understanding the Guard Rails of Diet: Key Blood Markers for Health
In the quest for optimal health, understanding the right dietary indicators is crucial. In this article, we will explore the concept of 'guard rails'—essential blood markers that provide insights into whether your diet is genuinely healthy. Many individuals tend to rely on a single marker or use misleading reference ranges provided by laboratories and healthcare professionals. This blog post aims to highlight the key blood markers that can help you navigate your dietary choices effectively.
The Importance of Multiple Blood Markers
Relying on a single blood marker can lead to misguided conclusions about your health. Instead, it is essential to consider a range of markers to get a complete picture of your metabolic health and dietary quality. Some of the most important markers include:
1. Fasting Blood Glucose
Your fasting blood glucose level is one of the simplest yet most informative tests available. The ideal range for fasting blood glucose is between 60 to 90 milligrams per deciliter. Values outside this range may indicate issues like insulin resistance or excessive carbohydrate intake.
2. Fasting Insulin Levels
Along with fasting glucose, it is crucial to measure fasting insulin levels, ideally between 0 to 4 microunits per liter. High insulin levels can signal insulin resistance, leading to a host of health problems, including type 2 diabetes and cardiovascular issues.
3. Postprandial Blood Glucose
This measures blood glucose levels 30 to 60 minutes after eating. Ideally, your postprandial blood glucose should not exceed 100 milligrams per deciliter. Elevated levels can lead to glycation, which can damage proteins in the body and accelerate aging and disease processes.
4. Hemoglobin A1C
This test provides a 90-day average of your blood glucose levels. While useful, it is slow to respond, making it less effective for immediate dietary feedback.
5. Triglycerides
Triglycerides are a critical marker in understanding your lipid profile. The ideal fasting triglyceride level should be less than 60 milligrams per deciliter. High triglyceride levels can indicate metabolic dysfunction and an increased risk for heart disease.
6. Small LDL Particle Count
Using advanced testing like nuclear magnetic resonance (NMR) lipoprotein panels, you can measure the number of small LDL particles in your blood. Ideally, this count should be no higher than 200 nanomoles per liter, as high levels are linked to insulin resistance and cardiovascular diseases.
Recognizing Diet-Related Health Issues
Several indicators can signal potential dietary issues, such as:
- Low HDL cholesterol (less than 60 mg/dL), which may suggest small intestinal bacterial overgrowth (SIBO).
- Elevated C-reactive protein levels (over 1.0 mg/dL) indicating inflammation, potentially linked to SIBO.
- Fecal calprotectin levels in stool tests that may suggest intestinal inflammation.
What to Ignore
It's essential to disregard outdated markers like total cholesterol and calculated LDL cholesterol. These figures do not provide accurate insights into cardiovascular risk and can mislead patients and healthcare providers alike.
Conclusion
In summary, focusing on a comprehensive set of blood markers will provide a clearer picture of your dietary health. By understanding and monitoring these guard rails, you can make informed decisions about your diet and health. Remember, optimal health is achieved by looking at the entire picture rather than relying on a single marker.