One year On Pt 2 - too much whisky

CherryAA

Well-Known Member
Messages
2,171
Type of diabetes
Type 2
Treatment type
Diet only
One Year on Part 2

Cholesterol

My cholesterol went up to 4.3mm from 3.9 at my last reading in March - I had already predicted ( and hoped ) it would, because I reckoned that at some stage the growth in my HDL should outweigh the very low figures I was recording for triglycerides last time. Sure enough my HDL is now 1.6 mmol - towards the top end of the range, compared to a very worrying 1.0 mmol a year ago. I have always had low cholesterol and used to pride myself on it, and particularly my high HDL. Looking at the figures again I can now see I as on a downward trajectory ever since 2007 now happily reversed.


Kidney function

One year in I now know why I am being tested for creatinine and albumin and that creatinine is a waste product that needs my kidneys to clear it . I can see that my actual creatinine levels are pretty much at the best level they can be and my creatinine clearance rate is also now at a high, whereas actually it's been prone to be too low in the past leading to a build- up of creatine in my blood. This means I am now actually running with kidneys in the tip top condition of a much younger and thinner person than I actually am - that can only be a testament to my LCHF diet and new exercise regime. I can also see that whilst low creatinine is good, if I can actually increase it whilst at the same time keeping my clearance rate at the current maximum, that would indicated that I am building muscle mass and thus getting even " younger" metabolically. So I need to add in gym sessions and see what happens


Liver function


One year in and I now that know whilst my liver function was always ok and still is, these are the things I need to watch out for.


AST is a marker for Alcoholic hepatitis (severe liver inflammation caused by excessive alcohol consumption) Autoimmune hepatitis (liver inflammation caused by an autoimmune disorder) Celiac disease (small intestine damage caused by gluten). I'm pretty sure I'm not gluten intolerant and frankly historically I drank very little yet by the time I was diagnosed I was knocking up towards the upper end of the normal range ( 10-37 mmol) . Within 6 months of my LCHF lifestyle I had reduced it from a historic high of 31 to an historic low of 17. Since then it's starting to rise gradually, 3 months later 19, 6 months later 21 . I'm still on the right side of average but I can see that as I've felt healthier , I have been more outgoing and spent more time in the pub, complete with my favorite low carb tipple - whisky. Looking at these results, I guess it's time to reign in the whiskey a little!


ALT is a marker for cirrhosis of the liver and hepatitis . I've always been a light drinker and I've always been on the low side of average (range 7-41 mmol) and I still am. However my historic low of 13 in March is now creeping back up to 18 mmol - which reinforces the " limit the whiskey" point above


Bilirubin is a marker for liver disease, jaundice and the potential for gallstones and its what makes stools the colour they are. It has a normal range of 3-20 and for much of my life I've been right at the low end (or even below that) of that range commensurate with a very low alcohol lifestyle. It hit the average figure 8 on diagnosis, I can only assume that as with the everything else, my diabetes was starting to affect my liver . I got that back down to 6 by December, nowhere near as low as where I still was in 2012 (4). I am now back to 9 slightly over half way. I do not want gallstones. ****** -that whiskey really is going to have to go back in the cupboard.


GGT

I now know that high Gamma GT is a marker for diabetes, alcohol use, heart failure, liver cancer or failure, lung disease, and pancreas failure. In short the lower this damned thing is, the better. There is a range 5-36. I clearly want to be the low side of average. The last time I was under 20.5 was 2001. By the time I was diagnosed with diabetes in August 2015 the figure had increased to 35 - so I was only just in the normal range . Enter LCHF , within 6 weeks of beginning LCHF I had got that down to 22, by six months 17 and one year 14. it has never been this low for 20 odd years. thankyou HCLF !.


These improvements are clearly despite the offsetting whisky issue, so presumably if I can reduce consumption of that I can drive this down even lower.
 

Prem51

Expert
Messages
7,393
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
*
Thanks for all the detailed information, figures and explanations @CherryAA. I'm going to have to go through all my test results over the next few days to interpret them. I only understood the HbA1c and cholesterol figures.
I was interested to read that the Serum ALT level is an indicator of the likelihood of liver cirrhosis. I have been a bit concerned about my alcohol intake, HCPs usually tell me I should be drinking less, though the doctors I have known drink more than me!
My blood test results from last September show my Serum ALT level as 25 IU/L, not too high on the recommended range of 10-50 IU/L. The range is higher than yours presumably because of gender.
So it seems my liver should be ok. I haven't had any alcohol since Monday, but I might have a couple of glasses of Merlot tonight to celebrate! :)

And congratulations on your results!
 

CherryAA

Well-Known Member
Messages
2,171
Type of diabetes
Type 2
Treatment type
Diet only
Thanks for all the detailed information, figures and explanations @CherryAA. I'm going to have to go through all my test results over the next few days to interpret them. I only understood the HbA1c and cholesterol figures.
I was interested to read that the Serum ALT level is an indicator of the likelihood of liver cirrhosis. I have been a bit concerned about my alcohol intake, HCPs usually tell me I should be drinking less, though the doctors I have known drink more than me!
My blood test results from last September show my Serum ALT level as 25 IU/L, not too high on the recommended range of 10-50 IU/L. The range is higher than yours presumably because of gender.
So it seems my liver should be ok. I haven't had any alcohol since Monday, but I might have a couple of glasses of Merlot tonight to celebrate! :)

And congratulations on your results!

thanks
I decided that I should at least try and help people understand more having put all the damned effort in myself !

In practice to really get the most from this - the trick is to see if you can spot your own trends - once I had all the data in one place it became a lot easier to see what I was doing that was helpful and of course for me it was mainly getting rid of an
HCLF diets. watch out for different ranges for men compared to women, but thy will be on your own data sheets .
 
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