- Messages
- 8,470
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
Just had my annual MOT, and Doc is not happy.
My HbA1c was 40, down from 42 last year, and he says he wants me up around 50 because I must be getting hypo's galore at that reading. I thought he understood LC and keto, but he is treating me like an Insulin patient. I have and will push back on this since I am happy with 40.
More worrying is the annual chitchat about cholesterol. This year my TC was raised ( up to 7.7 from 7.3 last year), My HDL was 1.8, my LDL was 4.8, and my Trigs were 2.5 (all in mmol/l) My TC./HDL ratio was 4.3
I have been following an LC diet with added fat, and it is much the same as I had been following from the previous year. I am not sure why the figures have worsened like they have this time, I am not going low enough for much in the way of keto to occur, but I have done in the past. One difference this year is that last year was a non fasting blood test, and this year it was an 18 hour fasting test. I am wondering if my liver put me into fat burning mode for the test, and the LDL responded, but the HDL remained where it was. I am about to repeat the blood letting event next week and propose to do a non fasting test instead just to see. However the Trig value is still atrocious so not sure how to deal with that one.
The repeat was necessary since my other parameters show that I was either in terminal kidney decline, or possibly I was dehydrated. I have stopped my diuretic med since my sodium level was also low so we shall see. I hope it is a case of throwing the baby out with the bathwater. I wonder if being dehydrated might have affected my cholesterol panel, but can't see why it would. However, the good news is that I am no longer anemic.
Just to cap things off, I have stopped my Gliclazide medication, and my sugar levels since have remained in the ballpark so I was probably correct in surmising it was no longer doing anything for me,
Edit to add: Just consulted Dr Google, and it seems high trigs can be caused by diuretics, steroids and Beta Blocker meds which am taking for the other condition. So now I know. One major cause of trigs is of course a high carbohydrate diet, which is not applicable in my case.
My HbA1c was 40, down from 42 last year, and he says he wants me up around 50 because I must be getting hypo's galore at that reading. I thought he understood LC and keto, but he is treating me like an Insulin patient. I have and will push back on this since I am happy with 40.
More worrying is the annual chitchat about cholesterol. This year my TC was raised ( up to 7.7 from 7.3 last year), My HDL was 1.8, my LDL was 4.8, and my Trigs were 2.5 (all in mmol/l) My TC./HDL ratio was 4.3
I have been following an LC diet with added fat, and it is much the same as I had been following from the previous year. I am not sure why the figures have worsened like they have this time, I am not going low enough for much in the way of keto to occur, but I have done in the past. One difference this year is that last year was a non fasting blood test, and this year it was an 18 hour fasting test. I am wondering if my liver put me into fat burning mode for the test, and the LDL responded, but the HDL remained where it was. I am about to repeat the blood letting event next week and propose to do a non fasting test instead just to see. However the Trig value is still atrocious so not sure how to deal with that one.
The repeat was necessary since my other parameters show that I was either in terminal kidney decline, or possibly I was dehydrated. I have stopped my diuretic med since my sodium level was also low so we shall see. I hope it is a case of throwing the baby out with the bathwater. I wonder if being dehydrated might have affected my cholesterol panel, but can't see why it would. However, the good news is that I am no longer anemic.
Just to cap things off, I have stopped my Gliclazide medication, and my sugar levels since have remained in the ballpark so I was probably correct in surmising it was no longer doing anything for me,
Edit to add: Just consulted Dr Google, and it seems high trigs can be caused by diuretics, steroids and Beta Blocker meds which am taking for the other condition. So now I know. One major cause of trigs is of course a high carbohydrate diet, which is not applicable in my case.
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