Hello my daughter has had diabetes since she was 6 years old. She finds it hard to manage her hb1 which is around 8.3. We are aware this is high and she is on a waiting list for a pump. She has recently been told that she has high cholesterol. The Dr has sent a letter with dietary advice. However my daughters diet is overall healthy as she follows advice from a PT. Any advice would be appreciated. She is so worried and only 22.
Perhaps show this letter to the PT and see how they react. PT's are not medical trained (well unless they happen to be a Dr or a nurse as well as a Personal Trainer). Would it also be possible to ask the Dr for an appointment with a dietician ? Is your daughter on any form of tablet for cholesterol ?
maybe of some reassurance cholestrol levels can go down when sugars get more undercontrol
Total Cholesterol
Current result: 4.7 mmol/L on 01/05/2025 (thats still a little high)
Previous result: 12.2 mmol/L on 19/01/2025
depending on how high its possible maybe statins advised do a little research on that subject. some people choose to take, others choose not to, she can ask endo/dsn about various options that maybe open for her. She can also request to see a diabetic dietician who would give a lot better diet advice than a Personal Trainer can. Most PT's knowledge will be restricted to 'common knowledge for a regular person' without the experience and knowledge that a specalist in the field will have.
It may or may not be down to diet, although as @grantg states blood sugars may have an impact. Might I suggest your daughter ask her Dr to test her lipoproteins . Lipoprotein (a) - Lp(a) , and Lipoprotein (b) ApoB . They are a far more accurate measure of risk and its contributions to atherosclerosis later in life.
The ApoB levels can be controlled, if too high. ie Statins
The Lp(a) levels seem to be predetermined and remain relatively the same throughout life. One should be tested for Lp(a) levels at least once in your lifetime.
Both ApoB and Lp(a) levels are indicators of CVD risk.
I have attached a couple of papers that maybe if interest .
Dietary cholesterol has been a topic of debate since the 1960s when the first dietary guidelines that limited cholesterol intake to no more than 300 mg/day were set. These recommendations were followed for several years, and it was not until the ...