Type 2 Cholesterol Test

@Hammer1964 that is appalling! Your HbA1c and your fasting plasma glucose were well in the diabetic range, yet you were left without any further action. Unbelievable!

Hammer1964 said:

Hi Bulkbiker, I have asked for another cholesterol test and told they are only done once a year!
I started off on 80mg of Gliclazide a day and after two months my HbA1c was 60 but I was having hypos so reduced to 40mg a day and after 3 months (in total) HbA1c was 44. I have changed my diet, no more pasta, rice, chips, bread, cakes, biscuits or crisps. I do allow myself about 60gms of carbs a day. Tracy

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With cholesterol like yours, I would INSIST on a new test, and make sure you fast for it, with no cheating!

Hammer1964 said:

Hi Bulkbiker, I have asked for another cholesterol test and told they are only done once a year!
I started off on 80mg of Gliclazide a day and after two months my HbA1c was 60 but I was having hypos so reduced to 40mg a day and after 3 months (in total) HbA1c was 44. I have changed my diet, no more pasta, rice, chips, bread, cakes, biscuits or crisps. I do allow myself about 60gms of carbs a day. Tracy

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As I said your doc has concerns so you should ask for another test.. I tend to just book myself in for blood tests then turn up and ask for a full lipid panel. Seems to be easier than arguing with the receptionist. I just say it is for my 6 monthly review then get the results online. But I'm rather naughty like that.

bulkbiker said:

As I said your doc has concerns so you should ask for another test.. I tend to just book myself in for blood tests then turn up and ask for a full lipid panel. Seems to be easier than arguing with the receptionist. I just say it is for my 6 monthly review then get the results online. But I'm rather naughty like that.

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Not everyone can do that though. In my surgery the blood tests are ordered by the nurse (or doctor, but not in my case), and they write on the blood test form which tests are to be done. The lady taking the blood will only do what is on the form. When I asked for additional vitamin and mineral tests at my last HbA1c I rang the receptionisst, she took a note of my request, passed it to the GP who authorised it and added them to the form.

Hammer1964 said:

No it was fasting from midnight.

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Ok so in that case I would definitely ask for another one. The results from 18 months ago are not very useful for now obviously.. also the one from earlier this year doesn't have the full lipid breakdown you need to draw any informed conclusions.

Hi Hammer - I'd be more worried about the ALT (alanine aminotransferase). It's rather high. That, along with low HDL and high triglycerides, are indicators of non-alcoholic fatty liver disease, aka NAFLD.

I had similar numbers when I was diagnosed type 2 (ALT 62, HDL 1.0, TG 2.1). After I switched to LCHF, my numbers improved dramatically to ALT 19, HDL 1.7, and TG 0.72) and my HBA1C also dropped to non-diabetic levels. Unfortunately, there's no pill that will do all that, only a change of diet can.

So, no doubt you've reduced your carb intake to get your HbA1C down, so it's likely that these other numbers have improved. I think you really need a new set of tests to check that. I'm guessing you'll see a great improvement. And I wouldn't worry about the total cholesterol.

NoCrbs4Me said:

Hi Hammer - I'd be more worried about the ALT (alanine aminotransferase). It's rather high. That, along with low HDL and high triglycerides, are indicators of non-alcoholic fatty liver disease, aka NAFLD.

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Well spotted! I agree. The ALT needs watching.