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Help with cholesterol ratios.....

Discussion in 'Diabetes Discussions' started by BibaBee, Nov 11, 2018.

  1. BibaBee

    BibaBee Family member · Well-Known Member

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    Hi, I'm hoping that someone can help decipher my husband's cholesterol results. We are over the moon with his latest HBA1c result of 41 just over 5 months after diagnosis and a score of 122! We just need to prepare for *that* conversation tomorrow at his diabetes review. Can anyone help make sense of the numbers for us? Serum cholesterol up from 5.2 in June, up to 5.4 in July and now to 5.8. He has also lost a whopping 20kg since diagnosis, so could this be at play here ? And this wasn't a fasting cholesterol test......should it have been? @bulkbiker can you help?

    Serum cholesterol
    5.8 mmol/L
    Abnormal

    Serum HDL cholesterol level
    1.3 mmol/L
    Normal

    Serum triglycerides
    2.0 mmol/L
    Abnormal

    Serum LDL cholesterol level
    3.6 mmol/L
    Abnormal

    Serum cholesterol/HDL ratio
    4.46
    Normal
    06 Nov 2018

    Se non HDL cholesterol level
    4.5 mmol/L
    N/A
     
  2. xfieldok

    xfieldok Type 2 · Well-Known Member

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  3. bulkbiker

    bulkbiker Type 2 · Oracle

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    Hi @BibaBee
    If it wasn't fasting then I'm afraid its pretty meaningless..I'm surprised they did a full lipid panel if he hadn't fasted beforehand.
    The things I would usually look at would be the Triglyceride/HDL ratio but as the trigs can be artificially elevated by eating before the blood is taken then I'm afraid in this case no conclusions should be drawn.
    If he doesn't want the dreaded statins then he is quite at liberty to listen to the GP but then decide not to have them. I would ask for another three months and then have another test done and this time fast for 10-14 hours beforehand.
    My last total cholesterol was 6.3 but even my GP who called for that "statin" conversation didn't seem that fussed about it so in your husbands case make a big play about the weight loss and HbA1c improvement and then stall for time.
    If you really want to freak the GP out the ask if your hubs can have a CAC scan which will show up any arterial plaque and is a far better indicator of future heart disease than "cholesterol" ( mainly because without cholesterol we'd all be dead!).

    I have a detailed thread about why I don't think statins are a good idea for almost anyone.. it's here if you want to delve deeper.

    https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/
     
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  4. BibaBee

    BibaBee Family member · Well-Known Member

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    Thank you @bulkbiker . You pretty much confirmed what I thought. Don't think I'd persuade him to have a scan.....he's terrified enough of any tests as it is!
     
  5. bulkbiker

    bulkbiker Type 2 · Oracle

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    I would imagine though the doctor may never have heard of it.. so if you want to shut the doc up....part of my cunning plan!.
     
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  6. Sarah69

    Sarah69 Type 2 · Well-Known Member

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    Hi, when I had my follow up from my annual review I asked for my cholesterol level and they only had one from 2016 which was 3.1. If it’s that low why do I need to take statins, it was never high to start with!
     
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  7. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

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    A total cholsterol of 3.1 is too low in my opinion, especially for a woman. I suggest you ask for a full lipid panel (HDL/LDL and triglycerides) and then make a decision on whether to stop your statins. As a diabetic you should be having cholesterol tests annually at the very least.
     
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  8. Sarah69

    Sarah69 Type 2 · Well-Known Member

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    A full lipid panel is that another blood test? Well the dr I saw said the cholesterol test is done at my annual appt, but I had that around June time this year but the only result was from 2016!
     
  9. Guzzler

    Guzzler Type 2 · Master

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    I suggest you chase the results up at your surgery. Sometimes people get just the standard Total Cholesterol and non HDL but this tells us nothing. What we should have is Total Cholesterol, non HDL, LDL, HDL and Triglycerides with the ratio of HDL to Triglycerides level. They do this lipid panel from the same blood draw they use to find HbA1c and all the other numbers (liver, kidney function etc etc).
     
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  10. Sarah69

    Sarah69 Type 2 · Well-Known Member

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    I will try and get this break down at my surgery but I’ve tried to get an hba1c from there before and they’ve told me they don’t have access to the hospital records, as this is where I go for all my diabetes check ups. I don’t get told told about any other tests they do with my blood so I just assume everything is ok.

    My mum goes to the same hospital clinic and she doesn’t get told her cholesterol level either!
     
  11. Guzzler

    Guzzler Type 2 · Master

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    The government has stated that patients have a right to see blood test results so if you get no joy at your surgery I would try asking for the phone number of the Practice Manager. Your results should have forwarded from the hospital to your GP. Good Luck.
     
  12. DCUKMod

    DCUKMod I reversed my Type 2 · Master
    Staff Member Administrator

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    @BibaBee - I see @bulkbiker has already helped you out. Just in addition, I find this calculator to be very helpful for a quick analysis: http://www.hughcalc.org/chol-si.php

    My lipid tests are always done fasted, as I trundle off to the hospital to have them done, and their walk-in service opens at 08:00. My total cholesterol is always what my GP and I have agreed to call "an inconveniently large number", but all the constituents are pretty decent.
     
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  13. jjraak

    jjraak Type 2 · Well-Known Member

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    Nice post DCUK, most illuminating.

    edit;
    my APOLOGIES, dcuk..that is way more then just a nice post..THAT is cracking information.

    Spent a good bit hunting down all my blood stats,..not only does it match up, but it indicates whether level are normal, borderline or heading into unsafe waters.

    Exactly what i was looking for in a previous post.

    Highly recommended site.

    Many thanks for posting up.,
     
    #13 jjraak, Nov 17, 2018 at 7:03 PM
    Last edited: Nov 18, 2018
  14. BibaBee

    BibaBee Family member · Well-Known Member

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    Thank you. Thankfully, the DN was quite relaxed about it, no mention of the dreaded statins yet. Next time, we'll insist on a morning appointment and fast beforehand.
     
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  15. jjraak

    jjraak Type 2 · Well-Known Member

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    Biba bee.

    if i am not out of turn, i'd use that DCUK posted site and input your husbands numbers.
    it might make a tad more sense, once you see results.
     
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