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Cholesterol and diabetes

Just want to bring down my cholesterol but suppose I should find an exact figure first so I know where to go
Without knowing why you want to bring down your cholesterol then messing with it might not be a great idea.
Here is a whole load of new research highlighting that lowering cholesterol is not a great idea especially for women and especially for older women. I have no idea of your age but lowering it could well not be the best thing for you to do.
I'm afraid you need to do some research.
 
Your body makes around 80 - 85% of your cholesterol. Every cell needs them, pregnancy for example is impossible without good levels, as is the vital functioning of the brain which has loads. As @bulkbiker said, a CAC examination sees the disease that you may be worried about whereas numbers are super confused and persons who have even had LDL numbers of 9, have had perfect non-clogged arteries - Framingham scores if provided have also turned out to be close to useless.

We do not in the UK get an NMR test which can tell more about the quality of the LDL particles that may be a concern, so we are worried without all of the facts. If weight is being lost, cholesterol numbers will naturally go up as they as the cholesterol is decanted into the blood stream. Triglyceride to HDL ratio is regarded as a key metric. HiiT and walking can reduce numbers. Statins apparently work for circa 1 in 100 if a heart attack has already happened (an aspirin circa 1 in 83 (with no side affects) Dr Aseem Malhotra). For me what it comes down to is which science do you believe, the science that says carbs and sugar create the Triglycerides which create the plaque within your arteries or that dietary FAT is the cause; if it is the former you believe then LCHF should be protective. It is is ok to be confused, but I have read and listed to so much information, personally I am satisfied that carbs and sugar are not artery friendly.

If you are interested in a CAC here's a place for £300.00 which will do the test https://www.pallmallmedical.co.uk/tests-scans-and-diagnostics/ct-calcium-score, an alternative reputable company in other medical areas (my wife works with them) https://www.nuffieldhealth.com/tests-scans/ct-calcium-scoring-or-cardiac-calcium-scoring.
 
what is this?

I find most of the articles and discussions on here go over my head because i dont understand the terminology and science-speak.

Hiit is High Intensity Interval Training.
I’m the same as you, a lot of the science goes over my head!
 
I find it all hard to retain. My brain leaks - its probably the statins !!! :rolleyes:
 
what is this?

I find most of the articles and discussions on here go over my head because i dont understand the terminology and science-speak.
High Intensity Interval Training. Rather than killing oneself with say 30 minutes of exercise, one can focus on say 30 seconds of sprinting on a bike, followed by 2 minutes of rest, then repeat 3 to 5 times. It is a draining exercise but the benefits are immense - brilliant for VO2 max, heart health and visceral fat reduction. Any exercise can be turned to HiiT but I think static cycling is the safest, least likely to cause an injury. If anyone reading this is going to try consult your Doctor first. A variation on the cycling protocol used successfully in Australia is to cycle at low intensity for 20 seconds, then at the same resistance flat out for 8 seconds, repeat around 8 times.
 
Thanks for the explanation. I dont think I could attempt that. I have CFS plus some other health stuff : (
 
Your body makes around 80 - 85% of your cholesterol. Every cell needs them, pregnancy for example is impossible without good levels, as is the vital functioning of the brain which has loads. As @bulkbiker said, a CAC examination sees the disease that you may be worried about whereas numbers are super confused and persons who have even had LDL numbers of 9, have had perfect non-clogged arteries - Framingham scores if provided have also turned out to be close to useless.

We do not in the UK get an NMR test which can tell more about the quality of the LDL particles that may be a concern, so we are worried without all of the facts. If weight is being lost, cholesterol numbers will naturally go up as they as the cholesterol is decanted into the blood stream. Triglyceride to HDL ratio is regarded as a key metric. HiiT and walking can reduce numbers. Statins apparently work for circa 1 in 100 if a heart attack has already happened (an aspirin circa 1 in 83 (with no side affects) Dr Aseem Malhotra). For me what it comes down to is which science do you believe, the science that says carbs and sugar create the Triglycerides which create the plaque within your arteries or that dietary FAT is the cause; if it is the former you believe then LCHF should be protective. It is is ok to be confused, but I have read and listed to so much information, personally I am satisfied that carbs and sugar are not artery friendly.

If you are interested in a CAC here's a place for £300.00 which will do the test https://www.pallmallmedical.co.uk/tests-scans-and-diagnostics/ct-calcium-score, an alternative reputable company in other medical areas (my wife works with them) https://www.nuffieldhealth.com/tests-scans/ct-calcium-scoring-or-cardiac-calcium-scoring.
Thanks for all this info but it strengthens my feeling that I'm going have to read up on this myself as it doesn't make sense because I don't understand all the abbreviations
 
High Intensity Interval Training.
I really like the 4x4 system recommended by the Norwegian University of Science and Technology. They argue that for the best benefit to the heart the high intensity intervals should not be shorter than 4 minutes. They intersperse them with 3 minute low intensity recoveries.
https://www.ntnu.edu/cerg/advice
I am very much in favour of HIT, except when it is promoted as saving time, as if one could just bang out a few brief but intense intervals without any warmup. IMO everyone needs to warm up thoroughly before jumping in to high intensity activity, and the older/less athletic the person the longer the warmup needed. Personally, I always warm up with a half mile walk followed by a mile of reasonably gentle run/walk before even thinking about anything more demanding.
 
Thanks for the explanation. I dont think I could attempt that. I have CFS plus some other health stuff : (
Chronic Fatigue Syndrome? Sorry about that. Some studies demonstrating the efficacy of exercise after meals to lower bg found that gentle exercise had as good an effect as moderate for this purpose. However, I have to admit that I often feel even gentle walking after my evening meal in particular is a step too far, and I expect you must feel the same.
 
Thanks for all this info but it strengthens my feeling that I'm going have to read up on this myself as it doesn't make sense because I don't understand all the abbreviations

It does get very confusing, I think the bottom line is that no one can know for sure. With every study I read citing one argument there’s another that says the opposite! Anyway back to your original question I’ll let you know if the Benecol has any effect on my results.
 
But aren't we just supposed to do what we're told by Dr GP..they don't seem to like informed patients very much..
To be fair (rushing to the defence of GPs, for one night only) they can't do right for doing wrong. So many people do prefer, even demand, that their doctors decide everything for them and not upset them with the grisly/complicated details. A friend of mine had to decide whether to take HRT. I explained that she would have to weigh up her priorities and her family history. Did they all die of heart failure, or of cancer? Was she more concerned abut the risks or the benefits? She looked at me as if I was mad. "Oh no, I'll let my GP decide". And this was a highly educated woman.
 
Statins apparently work for circa 1 in 100 if a heart attack has already happened (an aspirin circa 1 in 83 (with no side affects) Dr Aseem Malhotra).
I'm not sure if this is saying that aspirin works and has no side effects on 1 in 83, or that it works for 1 in 83 with no side effects on any. I believe aspirin has quite dangerous side effects on many people, causing internal bleeding.
 
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I’m the same as you, a lot of the science goes over my head!
I just want someone to tell me what to do for the best! Unfortunately it doesn't work like that so I tend to put my head in the sand :( where there is too much conflicting advice. I know LC works for me and I'm losing weight so I'm going to leave it at that for now. I'll see where my cholesterol is when I've stabilised at my desired weight.
 
I just want someone to tell me what to do for the best! Unfortunately it doesn't work like that so I tend to put my head in the sand :( where there is too much conflicting advice. I know LC works for me and I'm losing weight so I'm going to leave it at that for now. I'll see where my cholesterol is when I've stabilised at my desired weight.
Sounds a good plan to me. I've only had one blood test since I started LCHF and my LDL was up (but HDL was also up, and trigs down). I'm convinced that lowering my bg takes precedence over lowering my LDL. I know by my own experience that LC lowers my bg, though not as much so far as I'd like. I don't think anyone would dispute that lowering one's bg in the direction of normal is a good thing. I have myself experienced a marked improvement in various symptoms since I began that process. On the other hand, the harms to be expected from a high LDL are controversial. I'd still prefer to have a low LDL as well as a low bg.
 
IMO everyone needs to warm up thoroughly before jumping in to high intensity activity, and the older/less athletic the person the longer the warmup needed.
Warmups are essential before strenuous/high intensity activity and should be 'warmups' to gently mobilise the joints etc, and NOT stretches. Cool downs are equally important and can include stretches. I gave my husband the walking plan from the low carb programme and his fitness level has improved so much!
 
I've only had one blood test since I started LCHF and my LDL was up (but HDL was also up, and trigs down).
The DN forgot to request cholesterol etc tests for me with my last HbA1c. She has since issued the paperwork, but I've 'forgotten' to go and get the test done! I've reduced my HbA1c from 52 to 35 and lost over 2 stone since diagnosis all on LCHF and exercise. I can't take on anything else at the moment, but agree that long term it would be good to get my LDL down. Maybe after my next HbA1c....... but I don't want to take statins as my husband suffers really badly from muscle aches/pains probably due to taking statins and I'm scared!
 
I'm not sure if this is saying that aspirin works and has no side effects on 1 in 83, or that it works for 1 in 83 with no side effects on any. I belileve aspirin has quite dangerous side effects on many people, causing internal bleeding.
The stats are for those who have had a heart attack and the side effects for aspirin were in the context of say getting diabetes compared to statins.
 
The DN forgot to request cholesterol etc tests for me with my last HbA1c. She has since issued the paperwork, but I've 'forgotten' to go and get the test done! I've reduced my HbA1c from 52 to 35 and lost over 2 stone since diagnosis all on LCHF and exercise. I can't take on anything else at the moment, but agree that long term it would be good to get my LDL down. Maybe after my next HbA1c....... but I don't want to take statins as my husband suffers really badly from muscle aches/pains probably due to taking statins and I'm scared!

My nurse forgot the cholesterol tests when I had my last HbAqc check too! It’s given me more breathing space to avoid the statin convo. I’m hoping the Benecol and slow down of weight loss will show an improvement in my figures. However if they’re not better I’ll continue to use the weight loss causing cholesterol results to deteriorate argument!
 
Thanks for all this info but it strengthens my feeling that I'm going have to read up on this myself as it doesn't make sense because I don't understand all the abbreviations
Don't blame you, this should be all about you anyway and your n=1 study. I was not satisfied with LCHF until I got several blood tests including full panels for comparison every 6 months. I was like one of those people at the swimming pool who just dips their toe in the water, before committing - you have to be comfortable.

This might be of use:
 
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