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3 month checkup good & bad

M

MarkD72

Active Member
Messages
37
Type of diabetes
Type 2
Treatment type
Diet only
Diagnosed T2 in Dec at 8.1 and agreed to tackle it by diet first b4 considering any drugs.
Since then I have lost 2st and my blood pressure although was not too bad is now perfect.
Got A1C results today and 5.7 so happy with.
That's the good.
In Dec they also took a full lipid test and my triglycerides and LDL high.
I was hoping the last 3 months would also get those down but have actually increased. Doctor now wanting to speak to me probably to discuss drugs to lower them. Not a fan of statins and rather avoid them but probably be open to a fibrate. Anyone have an opinion on fibrates over a Statin.
Just for references Tryglicerides were 5.17 and LDL not calculated on results as Triglycerides over 4.5?
In Dec they were 3.84 and 5.08.
HDL same for both tests at 1.01 & 1.04.
Why would they raise if I'm smashing the A1C? Maybe hereditary?
 
My ldl is high so taking plant based sterol bemdac. Earlier my trigylecrides were high(140mg/dl). After low carbing , trigylcerides dropped to 54mg/dl(oct 22), 61mg/ldl/(jan 23). Ldl values -147mg/dl (oct 22) 161mg/dl( jan 23)
 
MarkD72 said:
Diagnosed T2 in Dec at 8.1 and agreed to tackle it by diet first b4 considering any drugs.
Since then I have lost 2st and my blood pressure although was not too bad is now perfect.
Got A1C results today and 5.7 so happy with.
That's the good.
In Dec they also took a full lipid test and my triglycerides and LDL high.
I was hoping the last 3 months would also get those down but have actually increased. Doctor now wanting to speak to me probably to discuss drugs to lower them. Not a fan of statins and rather avoid them but probably be open to a fibrate. Anyone have an opinion on fibrates over a Statin.
Just for references Tryglicerides were 5.17 and LDL not calculated on results as Triglycerides over 4.5?
In Dec they were 3.84 and 5.08.
HDL same for both tests at 1.01 & 1.04.
Why would they raise if I'm smashing the A1C? Maybe hereditary?
Click to expand...
@MarkD72 Are you on a Low Carb way of eating 'diet'? I ask because I would be concerned if I had Triglycerides that high and HDL that low.
I used to have raised Triglycerides and low HDL, but Low carb fixed both of them now the trigs are approx half what they used to be and the HDL is approx double. My LDL is also higher, but it's generally thought (though not by my GP) that LDL hould not be a concern in the context of the rest of the profile taken together with low carb.
 
ianf0ster said:
@MarkD72 Are you on a Low Carb way of eating 'diet'? I ask because I would be concerned if I had Triglycerides that high and HDL that low.
I used to have raised Triglycerides and low HDL, but Low carb fixed both of them now the trigs are approx half what they used to be and the HDL is approx double. My LDL is also higher, but it's generally thought (though not by my GP) that LDL hould not be a concern in the context of the rest of the profile taken together with low carb.
Click to expand...
Yep done low carb since diagnosis in Dec hence my A1C down from 8.2 to 5.7 purely by diet in 3 months.
My thoughts are maybe I'm eating too much animal fat as have pork scratchings every day and now I've lost 2 stone and weight where I want it can balance things out a little?
 
It's unusual for LDL and Triglycerides to increase on Low Carb, But Dave Feldman , Dr Tro and Nick Norovits were doing tests on Lean Mass Hyper-responders and discovered that in almost every case, increasing the carbs consumed slightly ( actually seems quite a big increase to me ) appeared to reduce the LDL a fair amount. Would you consider yourelf to now have a slim atheletic body ( ignoring any lack of muscle)?
I haven't tried it myself because:
A). My HDL Is good (as are my Triglycerides) and
B). My LDL is still less than the level at which the first trial of Statins suggested prescribing them and
C). I'm in T2D remission and want to stay that way.
 
ianf0ster said:
It's unusual for LDL and Triglycerides to increase on Low Carb, But Dave Feldman , Dr Tro and Nick Norovits were doing tests on Lean Mass Hyper-responders and discovered that in almost every case, increasing the carbs consumed slightly ( actually seems quite a big increase to me ) appeared to reduce the LDL a fair amount. Would you consider yourelf to now have a slim atheletic body ( ignoring any lack of muscle)?
I haven't tried it myself because:
A). My HDL Is good (as are my Triglycerides) and
B). My LDL is still less than the level at which the first trial of Statins suggested prescribing them and
C). I'm in T2D remission and want to stay that way.
Click to expand...
Not slim but down to 13.10st from 15.12st. Doctor tried to give me statin today but refused and said would accommodate a fibrate but said she cannot prescribe due to sace rules. Absolutely stupid.
She did accept my request for a C-reactive protein blood test so that's one thing I guess.
 
Last edited:
My own triglycerides went through the roof after I lowered my carbs after diagnosis, due to fats being released into the blood to get them out, and the fat was coming out of my fat cells, is my understanding. Due to the weight loss. Has your doctor or the labs said anything to you about that? That that is normal when losing a lot of weight in a short period of time in particular. It can take a few months to settle down. My trigs have been good to great ever since.
 
I second what @AloeSvea said. LDL is the White Van Man of the lipid transport system. Especially while you are shifting lipids out of storage in adipose tissue (belly fat etc) It also gets higher in ketosis since that is also using up lipids.

The Trigs is more worrying. TG is a marker for inflammation in the body. Recent research has discovered what is called small dense LDL (sdLDL) which is in effect the empty LDL bubbles left behiud after the lipids have been used up, and waiting for the recycling (HDL) to pick them up for transport to the liver for reuse. This sdLDL also occurs if there is inflammation in the body (LDL is oart of the repair kit) It also describes damaged LDL due to oxidation that is no longer recognised by the HDL so is not easily recycled. In general sdLDL forms part of the residue that TG measures.

The problem today is that mainstream medicine does not accept the feasibility of sdLDL as it assumes TG is a measure of pure cholesterol in the body. What the TG test actually measures is glycerol not cholesterol so includes sdLDL. It has been shown that sdLDL can in fact be measured in its own right by using different enzymes in the test solution in the Hitachi Blood Analyser used in the lab.. Sometimes the fringe can be found to be right., but your GP will probably dismiss it as Quackery.
en.wikipedia.org

Low-density lipoprotein - Wikipedia

en.wikipedia.org en.wikipedia.org

Since TG measures just glycerol, it is not measuring triglycerides, so the name TG or Trig is actually nonsensical. It is like measuring body fat by measuring just the material in the jackets and trousers.
 
Just an update to last months test results.
Had my yearly wellman checkup last week which due to being diabetic is now a full monty checkover, feet, urine, lipids the lot.
Also requested a C protein test.
A1C 5.7.
C protein 1
Triglycerides 1.08
HDL 1.37
Non HDL 5.81

Over the moon with trigs as reduced from over 5 in a few weeks. HDL also big increase from 1.01.

Every morning I have been having a shot of extra virgin olive oil and a cup of bitter melon tea. Nothing else changed.
 
MarkD72 said:
Just an update to last months test results.
Had my yearly wellman checkup last week which due to being diabetic is now a full monty checkover, feet, urine, lipids the lot.
Also requested a C protein test.
A1C 5.7.
C protein 1
Triglycerides 1.08
HDL 1.37
Non HDL 5.81

Over the moon with trigs as reduced from over 5 in a few weeks. HDL also big increase from 1.01.

Every morning I have been having a shot of extra virgin olive oil and a cup of bitter melon tea. Nothing else changed.
Click to expand...
C-peptide? Or c protein?
Units?
 
The CrP test results are lab dependant and each lab should publlish the range they regard as Normal as it differs from lab to lab. A 1 sounds low which is good.
 
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