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Advice, pls, before Appt to see Diabetes Nurse again
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<blockquote data-quote="Energize" data-source="post: 1299906" data-attributes="member: 28960"><p>Hi</p><p></p><p>I'm due annual review and have appt with the DN on this coming Thursday. Although I've seen myGP in Feb this year, I haven't seen any of the DNs since last Nov. During this last year, I've totally turned around my control of diabetes and so I'm looking forward to seeing how the nurse will react. </p><p></p><p>I'd appreciate some help in understanding some of my blood results, please. HbA1c is fine, down from 6.5 (previously, 8.5 as far as I can remembver) to 6.0 this month - due to LCHF - thanks to this forum <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>These are from a <strong>NON-fasting blood test</strong> (all mmol/L)</p><p>Serum Cholestrol - 4.9 [slightly up on Feb 16]</p><p>Serum HDL - 1.92 [normal range 0.9 - 1.45] good ?</p><p>Serum Triglicerides - 1.23 [0.3 - 1.8] - seems OK?</p><p>Serum Cholestrol/HDL ratio - 2.6</p><p>Calculated LDL cholestrol - 2.41 [0.0 - 4.0]</p><p>Serum non high density lipoprotein cholesterol - 2.98</p><p></p><p>So, can I take it that these are all acceptable? I appreciate Serum (total ? ) Cholestrol is not down to the 'required' 4mmol/L but I am not prepared to take Statins (previoiusly tried but got unwanted side effects) but, as my Cholestrol is up from 4.6 in Feb, I suspect the nurse will want me to try statins again. I keep telling them 'No' each year AND I've discussed it many times with GP, so I still say NO. At this level, I don't feel they're necessary - what does anyone think/</p><p></p><p>I understand the important ratio is actually HDL / Triglycerides, which I calculate to be 0.64 now [down from2.08 in Feb] I've calculated this by taking the HDL and dividing by Triglycerides. Is this way of calculating correct, please? Is my understanding that this is a better measurement than Total/Serum Cholestrol correct?</p><p></p><p>Other results, that I don't know how relevant they are, so would appreciate your opinions if you have knowledge, are - </p><p><strong>Vit B12 - below range</strong> at 165.3 ng/L [197.0 - 771.0]</p><p><strong>Folate - above range</strong> [>20.0 ug/L [4.6 - 18.7]</p><p>I understand higher levels of Folate can have a negative impact on Vit B12 but, again, I'm not confident this is correct. As these blood tests were carried out about three weeks ago, if these results are particularly relevant, I would have thought I'd have been asked to make an appt to see the GP to discuss them.</p><p></p><p>So, I appreciate I'm asking a lot here. I would really love to go 'armed' with better information and understanding, particularly as I always feel 'palmed off' by the Diabetes Nurses, in particular, so I'd like to be more confident in my expectations <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /></p><p></p><p>Many thanks.</p></blockquote><p></p>
[QUOTE="Energize, post: 1299906, member: 28960"] Hi I'm due annual review and have appt with the DN on this coming Thursday. Although I've seen myGP in Feb this year, I haven't seen any of the DNs since last Nov. During this last year, I've totally turned around my control of diabetes and so I'm looking forward to seeing how the nurse will react. I'd appreciate some help in understanding some of my blood results, please. HbA1c is fine, down from 6.5 (previously, 8.5 as far as I can remembver) to 6.0 this month - due to LCHF - thanks to this forum :) These are from a [B]NON-fasting blood test[/B] (all mmol/L) Serum Cholestrol - 4.9 [slightly up on Feb 16] Serum HDL - 1.92 [normal range 0.9 - 1.45] good ? Serum Triglicerides - 1.23 [0.3 - 1.8] - seems OK? Serum Cholestrol/HDL ratio - 2.6 Calculated LDL cholestrol - 2.41 [0.0 - 4.0] Serum non high density lipoprotein cholesterol - 2.98 So, can I take it that these are all acceptable? I appreciate Serum (total ? ) Cholestrol is not down to the 'required' 4mmol/L but I am not prepared to take Statins (previoiusly tried but got unwanted side effects) but, as my Cholestrol is up from 4.6 in Feb, I suspect the nurse will want me to try statins again. I keep telling them 'No' each year AND I've discussed it many times with GP, so I still say NO. At this level, I don't feel they're necessary - what does anyone think/ I understand the important ratio is actually HDL / Triglycerides, which I calculate to be 0.64 now [down from2.08 in Feb] I've calculated this by taking the HDL and dividing by Triglycerides. Is this way of calculating correct, please? Is my understanding that this is a better measurement than Total/Serum Cholestrol correct? Other results, that I don't know how relevant they are, so would appreciate your opinions if you have knowledge, are - [B]Vit B12 - below range[/B] at 165.3 ng/L [197.0 - 771.0] [B]Folate - above range[/B] [>20.0 ug/L [4.6 - 18.7] I understand higher levels of Folate can have a negative impact on Vit B12 but, again, I'm not confident this is correct. As these blood tests were carried out about three weeks ago, if these results are particularly relevant, I would have thought I'd have been asked to make an appt to see the GP to discuss them. So, I appreciate I'm asking a lot here. I would really love to go 'armed' with better information and understanding, particularly as I always feel 'palmed off' by the Diabetes Nurses, in particular, so I'd like to be more confident in my expectations ;) Many thanks. [/QUOTE]
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