Health Assessment Report
ExampleGLP-1 progress panel · 5 biomarkers
Patient details
- Name
- Lisa Hoekstra
- Gender
- Female
- Age
- 45 years
- Date of birth
- 08-02-1981
Test details
- Test Date
- 22-06-2026
- Report date
- 25-06-2026
- Location
- Groningen Centrum
- Laboratory
- Star-SHL
5
Total Markers
2
In Range
3
Needs Attention
Overall Assessment
This report compares your week 0 baseline with your week 12 check. Four of the five values have improved, and three of them moved from outside the range to inside it.
Your HbA1c fell from 44 to 38 mmol/mol, your fasting glucose from 6.4 to 5.3 mmol/L and your fasting insulin from 21.8 to 11.2 mU/L. That last one is the most important of the three: it means your body needs less insulin to hold a lower blood glucose.
Key Findings
HbA1c from 44 to 38 mmol/mol
GoodFrom above the 42 limit to comfortably below it. HbA1c reflects your average blood glucose over the past two to three months, so this fall covers almost exactly the period of your programme.
Fasting insulin halved (21.8 to 11.2 mU/L)
GoodThe most meaningful change in this report. A lower insulin alongside a lower glucose means your insulin sensitivity has improved — your body is doing more with less.
ALT normalised (38 to 26 U/L)
GoodYour liver value moved from just above the limit to well within range. Fat content in the liver usually falls with weight loss, and that is generally what you are seeing here.
Lipase stable (42 to 45 U/L) — safety check
InformationalThis value is not supposed to improve. Lipase is measured because GLP-1 medication can, rarely, cause pancreatitis. Stable and within range is exactly the desired outcome.
Detailed Analysis
Metabolic
GoodAll three metabolic values have improved.
Your HbA1c went from 44 to 38 mmol/mol. The limit is 42, so you moved from above it to below it. HbA1c measures what proportion of your hemoglobin has been glycated, which makes it lag reality — today's value describes the past two to three months.
Your fasting glucose fell from 6.4 to 5.3 mmol/L, also from above the range into it.
The most important change is your fasting insulin: from 21.8 to 11.2 mU/L. Both values fall formally within the reference range, so neither was ever flagged as abnormal. But the fall itself is what counts. A high insulin alongside a high glucose means your body is working hard to keep blood sugar in check. Now less insulin is needed for a lower glucose, and that is what insulin sensitivity means.
Liver
GoodYour ALT fell from 38 to 26 U/L, from just above the 34 upper limit to comfortably below it. A mildly raised ALT in the context of excess weight is often linked to fat accumulation in the liver, which usually decreases with weight loss.
Your lipase went from 42 to 45 U/L, staying in the middle of the 13 to 60 range. This value is not in the panel to improve. Lipase is a pancreatic enzyme and is monitored during a GLP-1 programme because this medication can, rarely, cause pancreatitis. A stable value within range is the good news here.
Recommendations
Keep measuring lipase, even now it is fine
Precisely because this value is stable, it is useful: you now have two measurements as your own baseline. Keep including it at every check while you are on the medication, and contact your doctor about persistent abdominal pain that radiates to your back.
Next check in twelve weeks
HbA1c needs roughly that long to reflect a new change. Measuring sooner mostly shows noise.
Always test fasting and at the same time of day
Glucose and insulin are sensitive to when you last ate. Only measurements taken under the same conditions are comparable; otherwise you are comparing two different mornings instead of twelve weeks of progress.
Next Steps
There is no reason to change anything about your programme. Schedule the next measurement in twelve weeks, again fasting and at the same time of day.
Contact your doctor about persistent abdominal pain radiating to your back, or about any other symptoms you attribute to the medication. This report does not replace a consultation.
Your Test Results
Liver
4Your Trend
What It Measures
Lipase is an enzyme from your pancreas, an organ behind your stomach. It helps you digest fat from your food.
Lifestyle Tips
Limiting alcohol consumption is essential, as alcohol is one of the leading causes of pancreatitis.
Your Trend
What It Measures
ALT is an enzyme that sits mainly inside your liver cells. When liver cells are damaged, ALT leaks into your blood and your level goes up.
When Levels Are High
A mildly raised result usually has a harmless cause.
The most common ones:
- Fat in the liver, which is more common if you are overweight.
- Alcohol.
- A medicine or supplement you take, including painkillers and herbal products.
Less common:
- An inflammation of the liver caused by a virus (hepatitis).
- Hard exercise in the days before the test.
What should you do?
- Your result is only a little high and you feel fine: have it retested in 1 to 3 months, without alcohol in the days before.
- Your result is very high, or your skin or the whites of your eyes turn yellow: make an appointment with your GP soon.
- It stays raised on a retest: make an appointment with your GP. They will usually test for hepatitis and look at your liver.
Lifestyle Tips
Don't drink alcohol and don't do heavy exercise in the 3 days before the test. Both can raise ALT for a short time.
Your Trend
What It Measures
Lipase is an enzyme from your pancreas, an organ behind your stomach. It helps you digest fat from your food.
Lifestyle Tips
Limiting alcohol consumption is essential, as alcohol is one of the leading causes of pancreatitis.
Your Trend
What It Measures
ALT is an enzyme that sits mainly inside your liver cells. When liver cells are damaged, ALT leaks into your blood and your level goes up.
Lifestyle Tips
Don't drink alcohol and don't do heavy exercise in the 3 days before the test. Both can raise ALT for a short time.
Metabolic
6Your Trend
What It Measures
HbA1c shows your average blood sugar over the past 2 to 3 months. Sugar sticks to your red blood cells, and this test measures how much has stuck.
When Levels Are High
A raised value means your blood sugar has been too high for a while. It needs attention, but you can often bring it down yourself.
The most common ones:
- Prediabetes, a stage before diabetes. This is common with overweight and little exercise.
- Type 2 diabetes.
Less common:
- Iron deficiency or weaker kidneys. They can make the value look higher than your real blood sugar.
What should you do?
- The result is only a little high: make an appointment with your GP. They will usually advise you to lose weight and move more, and check it again every year.
- The result is clearly high: make an appointment with your GP. A second test confirms if you have diabetes.
- You are very thirsty, pee a lot and are losing weight: call your GP the same day.
Lifestyle Tips
You don't need to fast for this test. Losing some weight and moving more every day lowers HbA1c within a few months.
Your Trend
What It Measures
Fasting glucose is the amount of sugar in your blood after a night without food. It shows how well your body keeps your blood sugar under control.
When Levels Are High
A single high value can have a temporary cause, so it needs a second test.
The most common ones:
- You were not fully fasting, for example sugar or milk in your coffee.
- Stress, illness or a medicine such as prednisone.
- Prediabetes or type 2 diabetes.
What should you do?
- You were not fully fasting: have it tested again after 8 to 10 hours without food.
- Your value is high and you were fasting: make an appointment with your GP. They will usually do a second fasting test or an HbA1c.
- You are very thirsty, pee a lot or lose weight: make an appointment with your GP soon.
Lifestyle Tips
Eat and drink nothing but water for 8 to 10 hours before the test. No sugar or milk in your coffee or tea.
Your Trend
What It Measures
Insulin is a hormone from your pancreas, an organ behind your stomach. It helps sugar move from your blood into your cells. This test measures it after a night without food.
Lifestyle Tips
Fast from the evening before and drink only water. A snack or sweet drink raises insulin for hours.
Your Trend
What It Measures
HbA1c shows your average blood sugar over the past 2 to 3 months. Sugar sticks to your red blood cells, and this test measures how much has stuck.
Lifestyle Tips
You don't need to fast for this test. Losing some weight and moving more every day lowers HbA1c within a few months.
Your Trend
What It Measures
Fasting glucose is the amount of sugar in your blood after a night without food. It shows how well your body keeps your blood sugar under control.
Lifestyle Tips
Eat and drink nothing but water for 8 to 10 hours before the test. No sugar or milk in your coffee or tea.
Your Trend
What It Measures
Insulin is a hormone from your pancreas, an organ behind your stomach. It helps sugar move from your blood into your cells. This test measures it after a night without food.
Lifestyle Tips
Fast from the evening before and drink only water. A snack or sweet drink raises insulin for hours.
Assessed by a BIG-registered doctor
This report was prepared by a BIG-registered doctor. It does not replace a personal medical consultation. Always consult your general practitioner if you have questions.