Which is why I used a "good" ratio all measured in mmol/l the 0.87 I mentioned is in mmol/l.
For mg/dl the level is different for exactly the reason you listed.
Hi guys, i initially thought the same as the ratios whether in mg or mmol should be the same if divided in any units, and was happy with my low ratio however then i bumped into this calculator page https://www.omnicalculator.com/health/cholesterol-units and it explains why we can't calculate TG/HDL ratios in mmol simply because conversion from mg to mmol ratios are different for TGs. Please read the article for details.
excerpt:
The rules for converting cholesterol units of TC (total cholesterol), HDL (high-density lipoprotein) and LDL (low-density lipoprotein) are the same:
Conversion for TG (triglycerides) is calculated differently:
- To get from mmol/L to mg/dL, you need to multiply by 38.67.
- To get from mg/dL to mmol/L multiply by 0.02586.
- To get from mmol/L to mg/dL multiply by 88.57.
- To get from mg/dL to mmol/L multiply by 0.01129.
The meter I use is a Veri-q which has the option to measure a full lipid panel, total cholesterol, LDL, HDL, trigs and also shows the ratios, a different test strip (cheaper) can be used to test just cholesterol against HDL. There is a third test strip which just checks glucose but haven't tried these. The equipment was quite expensive as are the test strips and when compared against the bloods taken at the hospital which were done within half an hour of my own testing, the results were lower than what the hospital found, so I was a little bit disappointed but at the same time its a good way for me to keep a basic check on my cholesterol. I don't test very often because of the cost of strips 5 test strips for £29.95. .
As I said in my previous post, I am not sure that diet actually changed anything. or if it was simply due to the passage of time. I still eat a fair amount of saturated fat basically just changed to extra virgin olive oil for cooking and stopped snacking on butter. Did much what @LaoDan has said, I eat a lot more fish and avocados. Also my results could have quite easily been due to just what my cholesterol was on the day. Cholesterol is very dynamic as shown by Dave Feldman at cholesterolcode.com. I actually tested his "Feldman Protocol" and sure enough when I ate very low calorie my cholesterol went up but eating lots of fat and lots of calories my cholesterol went down. Currently its around the same as what my cholesterol was in November so no obvious improvement for a few months.
Thank you for sharing the info. How off was the Veri-q reading compared to your lab reading? Can you give example of both readings? 20% is a standard deviation in all these strips anyway which is legally accepted.
Unfortunately it hasn't.
My lipid doctor takes no notice of HDL or Trig ratios, she is only interested in what my non-HDL markers are and my level of LDL and she see those numbers as being far too high.Why do you think it's unfortunate?
Great Trig/HDL ratio whichever figures you use..
0.693 or 0.631 nothing to worry about there.
My lipid doctor takes no notice of HDL or Trig ratios, she is only interested in what my non-HDL markers are and my level of LDL and she see those numbers as being far too high.
Time for a new "lipid doctor"?My lipid doctor takes no notice of HDL or Trig ratios, she is only interested in what my non-HDL markers are and my level of LDL and she see those numbers as being far too high.
Its the only one I am likely to ever get to see, and whilst she wouldn't do any genetic testing she did add ApoB and lipoprotein (a) to the blood panel test she arranged, for which I am thankful however, my next appointment is likely to be my last as I am too uncooperative for them.Time for a new "lipid doctor"?
Thank you for the encouragement and the sound commonsense.Hi Ryhia, I know it's easier said than done and we are all different but honestly you really do not have to bow down to your GPs views on statins or your cholesterol. She may well focus only on your LDL (as does mine) but I could not care less, in fact these days I cut her off immediately when she starts going on. I just ask her to explain why my ratios are all well under normal, why my HDL is 2.45, why my trigs are low and if that doesn't matter, then why do they bother recording ratios? When you put them on the spot for a medical explanation they will start to say things like 'heart health and clogged arteries', I say 'So give me an artery test then if you think they are clogged' and then she says 'No need, you are healthy'. I'm not advocating for anyone to ignore their GPs but if you are satisfied with your levels and have come to an educated decision, do not let her intimidate you. I recall you talking about lipid DNA testing, insist on that before you will even consider statins and see what she says.
Thank you @AndBreathe . However, i see you have excellent TGs and well above 2 HDL. My TGs and HDL are still borderlines. I have started low carb on Jan 1st this year and was 72 KGs. I went to 55 KGs in April and since then my weight is stable. So shouldn't i be over with my transient hypercholesterolemia by the time i was tested on June 25th? Also do you think improvement on HDL from .88 to 1.2 in 6 months is good enough from your experience?@zamalik - Lipids can seem a bit mystical, and oftentimes I think they are as much a mystery to our GPs as they can be for us. I know I have certainly had some "interesting" conversations with GPs.
These are my historic lipid levels. I have had a more recent set, which have been discussed, but I haven't yet had the consultant's letter with the numbers in it:
View attachment 50294
The most recent bloods I have had done broadly reflect recent years, with the Total Cholesterol coming in at 7.6, if I recall correctly, and trigs at 0.8. Those bloods were done as part of my participation in a research study (which is still recruiting), looking at cardiac failure in those living with T2. I have no history of cardiac issues of any sort.
I had extensive tests - EGC, Stress/Exercise ECG, CT Scan, including an arterial calcium scan, then MRI and extended MRI, including an Adenosine stress test.
In discussing my results (and watching my own heart beat), the cardiologists were supremely unconcerned by my lipid panel. He was keen to emphasize he might view it differently had I had any form of cardiac event or have other underlying cardiac challenges. I took enormous heart from that.
I would urge you to expand your learning on lipids. If you haven't done so already, you might find some of Professor Ken Sikaris's presentations on YouTube to be helpful. He presentation style is very relaxed and clear.
As has been said, if you are in a weight loss phase, please don't be too quick to draw conclusions where your lipids are concerned. You may find your numbers moderate as your waistline slims.
@Jo123 thanks. I started losing weight at the start of this Jen till the mid April and now stable for almost over 2 months at 55 kgs. Waistline is at 28 inches, insulin resistance is gone (fasting insulin of 3). So do you think i should have been over with transient hypercholesterolemia by June 25th when blood was drawn? Can you please tell what was your pattern of increased and then normalizing your LDL, how much and how much time it took to get normalized after weight stabilization ?@zamalik my ldl went up quite a bit when I first low carbed, I’ve reduced it, keeping my haba1c normal, by changing my fat source, lots of nuts, extra virgin olive oil, oily fish, avocados, I do eat a little cheese and 5% fat yoghurt. It's constantly at a level my gp is happy with, my trigs are very low and my hdl is good.
I have done listening to several of Sikaris vids and he also says the LDL to HDL ratio is important that's my worrying point. I still seem to have a high ratio.@zamalik - Lipids can seem a bit mystical, and oftentimes I think they are as much a mystery to our GPs as they can be for us. I know I have certainly had some "interesting" conversations with GPs.
These are my historic lipid levels. I have had a more recent set, which have been discussed, but I haven't yet had the consultant's letter with the numbers in it:
View attachment 50294
The most recent bloods I have had done broadly reflect recent years, with the Total Cholesterol coming in at 7.6, if I recall correctly, and trigs at 0.8. Those bloods were done as part of my participation in a research study (which is still recruiting), looking at cardiac failure in those living with T2. I have no history of cardiac issues of any sort.
I had extensive tests - EGC, Stress/Exercise ECG, CT Scan, including an arterial calcium scan, then MRI and extended MRI, including an Adenosine stress test.
In discussing my results (and watching my own heart beat), the cardiologists were supremely unconcerned by my lipid panel. He was keen to emphasize he might view it differently had I had any form of cardiac event or have other underlying cardiac challenges. I took enormous heart from that.
I would urge you to expand your learning on lipids. If you haven't done so already, you might find some of Professor Ken Sikaris's presentations on YouTube to be helpful. He presentation style is very relaxed and clear.
As has been said, if you are in a weight loss phase, please don't be too quick to draw conclusions where your lipids are concerned. You may find your numbers moderate as your waistline slims.
@Jo123 "by changing my fat source" this is something i am working on now. I had a lot of full fat cream, clotted cream and almond flour cakes and things of that sort including butter, sour cream etc. Is that what you are referring to by changing fat sources? which one's helped you most?@zamalik my ldl went up quite a bit when I first low carbed, I’ve reduced it, keeping my haba1c normal, by changing my fat source, lots of nuts, extra virgin olive oil, oily fish, avocados, I do eat a little cheese and 5% fat yoghurt. It's constantly at a level my gp is happy with, my trigs are very low and my hdl is good.
@Jo123 thanks. I started losing weight at the start of this Jen till the mid April and now stable for almost over 2 months at 55 kgs. Waistline is at 28 inches, insulin resistance is gone (fasting insulin of 3). So do you think i should have been over with transient hypercholesterolemia by June 25th when blood was drawn? Can you please tell what was your pattern of increased and then normalizing your LDL, how much and how much time it took to get normalized after weight stabilization ?
@Jo123 "by changing my fat source" this is something i am working on now. I had a lot of full fat cream, clotted cream and almond flour cakes and things of that sort including butter, sour cream etc. Is that what you are referring to by changing fat sources? which one's helped you most?
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