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particle test

numan43

numan43

Well-Known Member
Messages
262
Location
Glasgow
Type of diabetes
Treatment type
Tablets (oral)
seasons greetings everyone.

has anyone had or indeed been offered a cholesterol particle test on nhs as i have been reading that it is very important to get a true reading of lipids
 
I would love to have it, but haven't been offered it. The closest I got was the "promise" of a referral to a lipid specialist after my "next test" if my numbers remained the same. My numbers remained very similar, but somehow (maybe she read the links I left with her?) my GP had started paying more attention to the breakdown. No referral occurred, but her "worried face" changed to statements of "you must be delighted with those figures....".

My gob has never been so well and truly smacked! I was even speechless, which I know is unbelievable. ;)

@numan43 - Have you watched this recent one?:
 
that video was very interesting AndBreathe as after many years on statins with terrible side effects all denied by many doctors I now find that I am once again being bullied into going on them again. I came off them for three months and muscle pain has gone completely but my cholesterol has risen,
 
numan43 said:
that video was very interesting AndBreathe as after many years on statins with terrible side effects all denied by many doctors I now find that I am once again being bullied into going on them again. I came off them for three months and muscle pain has gone completely but my cholesterol has risen,
Click to expand...

What has it risen to? And do you have the breakdowns?

An earlier Professor Sikaris video, here:
talks through the various components, which could be a useful recap, if you feel it would help.

Unfortunately, many GPs, including my own, are such generalists they can't keep up with all the detail. I have left my GP with various papers and YouTube links over time, and she has quite clearly taken the time to read and watch them. I very much respect that.

When talking to her, and others, I never talk about a high fat diet. I just brings them out in a cold sweat. I talk about enough fat, and that allows them to either enquire more (and I can explain how it works), or to make up their own minds what "enough fat" is. ;) It has completely changed the tone of the conversations I have with people from an "Are you mad?!??" to a "Gosh, that's fascinating, although I might need some convincing" response. For the time being, I can live with that.

Good luck with it all.

:)
 
HbA1c: 40.0 mmol/mol (5.8%) on 08/12/2015

Blood Pressure: 119/68 mmHg on 15/12/2015


Total Cholesterol: 6.4 mmol/L on 08/12/2015


HDL Cholesterol: 0.90 mmol/L on 08/12/2015

LDL Cholesterol: 4.9 mmol/L on 08/12/2015


Triglycerides: 1.3 mmol/L on 08/12/2015
 
Only you can decide if you are happy with those numbers.

We could tell you if we'd like them, and provide internet links for, or just as equally, against?
Would you consider paying for a private test?
 
SunnyExpat said:
Only you can decide if you are happy with those numbers.

We could tell you if we'd like them, and provide internet links for, or just as equally, against?
Would you consider paying for a private test?
Click to expand...

according to the prof in the video and many others the figures mean nothing without further details like how much small dense LdL
 
I've really only seen him quoted.

But, the problem with the internet is you can find every opinion someone has put on it.
In this case, he seemed to have moved the LDL/HDL split lower than some, so effectively moving part of the LDL measurement up into the HDL range, as it were.

I took entirely the opposite view with my research.
Rather than get my results, then find out why they were good, I did extensive research, (again, on the internet, so possibly complete rubbish), and decided what targets I would like.
It applies to all my healthcare, not just cholesterol.
It's personal, and I'm not out to convince the rest of the world I'm right.

If you're in the UK, I would suggest pursuing this with your doctor, and considering paying for the test, as I believe many surgeries won't.
 
SunnyExpat said:
I've really only seen him quoted.

But, the problem with the internet is you can find every opinion someone has put on it.
In this case, he seemed to have moved the LDL/HDL split lower than some, so effectively moving part of the LDL measurement up into the HDL range, as it were.

I took entirely the opposite view with my research.
Rather than get my results, then find out why they were good, I did extensive research, (again, on the internet, so possibly complete rubbish), and decided what targets I would like.
It applies to all my healthcare, not just cholesterol.
It's personal, and I'm not out to convince the rest of the world I'm right.

If you're in the UK, I would suggest pursuing this with your doctor, and considering paying for the test, as I believe many surgeries won't.
Click to expand...
thanks for your view, can I also say that my numbers were from a non fasting blood sample, eg. full fry up 2 hours before. was told by nurse no need to fast these days, I've since found this was wrong advice.
 
numan43 said:
thanks for your view, can I also say that my numbers were from a non fasting blood sample, eg. full fry up 2 hours before. was told by nurse no need to fast these days, I've since found this was wrong advice.
Click to expand...

I also take the classic view, it has to be fasting for my baseline.

But, the other view now, as your diet doesn't in fact doesn't affect your cholesterol, ie, it's your body that produces cholesterol, saturated fat, eggs, etc, don't raise your cholesterol, so a fasting test isn't required.
 
SunnyExpat said:
I also take the classic view, it has to be fasting for my baseline.

But, the other view now, as your diet doesn't in fact doesn't affect your cholesterol, ie, it's your body that produces cholesterol, saturated fat, eggs, etc, don't raise your cholesterol, so a fasting test isn't required.
Click to expand...

It is my firmly held belief that the fasting/non-fasting question impacts on the accuracy of the triglyceride element in particular, which is important in assessing the overall scores. Similarly, fasting for over 15 hours impacts on the LDL element, if my memory serves me well.
 
AndBreathe said:
It is my firmly held belief that the fasting/non-fasting question impacts on the accuracy of the triglyceride element in particular, which is important in assessing the overall scores. Similarly, fasting for over 15 hours impacts on the LDL element, if my memory serves me well.
Click to expand...

But, if a low triglyceride is important, if it can be driven down by fasting, is it valid?
And again, if the standard test doesn't accurately measure the important good/bad LDL's, influencing the results by fasting negates the test. That would suggest a fried breakfast would indeed drive up the LDL, good, or bad types to be decided.

That's exactly the reason I come at it from the other side, I find the results, for a specific defined test, and set my target, and strive to achieve said target.
 
"When you eat, your triglyceride levels rise 20 to 30 percent, according to the Harvard Health Publications. Because this increase in triglycerides affects the outcome of the Friedewald equation significantly, it is necessary to fast before a lipid profile, individual LDL test or triglyceride screening."
 
numan43 said:
"When you eat, your triglyceride levels rise 20 to 30 percent, according to the Harvard Health Publications. Because this increase in triglycerides affects the outcome of the Friedewald equation significantly, it is necessary to fast before a lipid profile, individual LDL test or triglyceride screening."
Click to expand...

If you allow for that, you know where you are though.
As I said, I personally prefer a fasting test, but your triglycerides are still good either way.
Then again, I'm not saying any other numbers aren't, as that depends entirely on your own viewpoint.
 
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