Is it better to go happy-go-lucky than worry about results I appear to have no control over?

transiting

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I find conflicting and contradictory advice confusing and begin to wonder whether worrying about health issues, or more specifically blood test results, is more damaging to health than the suggested consequences of the indicators themselves. I was diagnosed as being pre-diabetic last year following some specific tests for ongoing heightened cholesterol which I have had for 15 years. This brought me to the diabetes.co.uk site which has been very interesting and helpful. The adoption of the low carb-higher healthy fat diet has been good – but still flies in the face of ongoing advice that I am being given for lowering cholesterol.


I am verging on 50 years old and appear to be one of the TOFI people – Thin on-the-outside and fat-on-the-inside. I was of upper normal BMI despite being well built and quite muscular (particularly lower body – more on that below). After 4 months on a low carb diet I am slap in the mid BMI healthy range – but that has resulted in family and friends voicing concern about me becoming underweight/losing too much weight. I think part of that is that we have lost perspective about what a normal weight person should look like. I am now just stabilising at that weight and continue to avoid carbs. My trouser size has dropped from 32 to nearer 30 inches and I don’t have any middle age spread (particularly now).


I believe I can also say that I am of above average fitness – I live in the Highlands of Scotland and am a hill walker/mountaineer and am currently setting up a business involving trekking in the Himalayas. I climb daily since I have a hill at the back of my house. I also have a love of fruit and veg and have very little sweet tooth. If I am totally honest my dietary weaknesses are that I certainly took too many carbs (I didn’t know they were so bad for you) and drink above the 14 recommended units of alcohol (although certainly not to excess).


A fairly recent blood test showed a slight improvement in pre-diabetes (now just on the edge) but a heightened cholesterol. What is particularly galling was to have a rather unhealthy (may I say overweight) specialist sitting opposite me lecturing me on diet and exercise when I know that I certainly can’t exercise more than I do and don’t know what more I can do on diet (I’ve developed a taste for dishes such as kale, spinach, nut and shrimp salads over the past 6 months!). My local GP who knows me well is flummoxed why my blood results appear so bad (hence the useless referrals). I have also never felt as healthy– and feel heathier now as I reach my 50s than I did when I was in my 30s!


So my current thought is to call a stop to all these tests and seeing specialists and just to continue to do what feels right and cease from worrying at all about any of this. I will keep an eye out for type-2 diabetes symptoms of course. Is this a sensible approach? My GP feels it is sticking my head in the sand, but no specialist I have met says anything constructive. The specialist I saw recently suggested I cut down on fast food as part of a ‘life change’ – I haven’t eaten one MacDonalds, KFC or other fast food in the last 25 years - they have no attraction to me and they don’t really exist in the Highlands and before that I lived in East Africa where they didn’t exist. She clearly doesn’t believe me or the diet diary I handed in (probably didn’t even read it). I therefore plan to go happy-go-lucky since worrying about health feels like my biggest health threat right now. Apologies if this is not a helpful question for others that do have more control over their results – but I am sure many can understand my frustration.
 
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Ultramum

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I watched a video by Dr Zoe Harcombe on another thread yesterday - had some interesting charts relating cholesterol to death rates - the lower the cholesterol the higher the death rates. I'll see if I can find the link and post it. It's worth watching the whole thing but the charts are in the last ten minutes or so
 

Ultramum

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Here you go:

This is a screen shot from the video:

63a70913453aa6c29f6638ecc4130419.jpg
 
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tim2000s

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Cholesterol is an interesting one. While statins have been shown to lower cholesterol, the evidence linking cholesterol levels to heart disease and death is rather less strong, and if you elect to have that conversation, in an educated way, with HCPs, they will often agree.
 
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Mbaker

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Hi @transiting, congratulations on your weight loss. What mattershould are the figured you have for HDL as compared to LDL. You are looking for an increase in HDL and a lowering in LDL. Another marker is your triglycerides-to-HDL ratio which ideally should be 2 to 1.

You can ask your surgery for your previous and current figures. Updated research indicates that higher cholesterol is not always a major health factor. For females a higher cholesterol is said to be probjective.
 
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CherryAA

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If I were you I would keep a eye on trends - if you have the tests done every three months and the LCHF diet is causing your trigs and LDL to go higher with no improvement in HDL - then that is different from it's high but going in the right direction which seems to be mainly - trigs going down as far as I can see.

Eating saturated fat increases HDL and brings down triglycerides
Eating carbs increases LDL and Trigs

for some reason even though doctors know this, they advise more exercise as the way to increase protective HDL instead of/as well as more saturated fat.

My own improvement came from a deliberate increase in saturated fats ( the fat off steak, chicken skin, pork belly, pork rinds, clotted cream )
 
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kokhongw

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I reversed my Type 2
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I found that I have near absolute control of my glucose levels. So I focus on what I can do. I have decided to leave the rest to take its natural course.
 
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DavidGrahamJones

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I have also never felt as healthy– and feel heathier now as I reach my 50s than I did when I was in my 30s!

I think that sums it up really, what do other people know that you don't? SFA!

I'm not sure what's best to do when a so called specialist doesn't listen or worse still disbelieves you, they deserve a kick up the @r$e but you're not really allowed to do that, not without being arrested.

The adoption of the low carb-higher healthy fat diet has been good – but still flies in the face of ongoing advice that I am being given for lowering cholesterol.

When I started low carb my total cholesterol dropped from 5.7 to 3 and threw away the dreadful statins. I had not gone the LCHF route, my stomach doesn't appreciate fat. However, I did up my fats since before christmas, full fat yogurt, cream in coffee, proper cheese (not edam, LOL) and my TC went from 4 to 5.7 so although only anecdotal, higher fat is behind my higher cholesterol. Dairy has been removed from my diet. Unlike you I'm fat inside and out, despite low calorie, low carb, low fat, but that's a much longer story.

I spent a long time looking into cholesterol and it just made my brain ache. Lower carb will help with BG, lower fat try it and see. We're all different.
 
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Resurgam

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I think that they get medical people to some seminar or meeting and brainwash them about cholesterol.
I think that the advice to smile, nod and ignore is the best option in these cases. The concept of low cholesterol is so entrenched in medical opinion that I suspect it will take generations to alter it.
I tend to eat fat from meats rather than dairy products, and my cholesterol dropped, the ratios of numbers are good or ideal, so I don't fight it when I am winning.
Your concerned friends and family are, I am sure, just reacting to your weightloss because they are not used to seeing people who are fit and at a healthy weight and shape.
 
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Prem51

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Hi @transiting Your diet and exercise sound good. The only thing I would suggest is that you cut down on the fruit as most fruits are high in sugar (fructose). Though people on here say berries are ok. If you have a blood glucose meter you can test after eating fruits to see how they affect you. If you don't have a meter I suggest you get one - the TEEE2 is free with cheaper testing strips.
On cholesterol, the HDL, LDL and triglyceride levels, and their ratios to each other are thought by many HCPs to be more relevant than the total cholesterol figure.
If you know what your cholesterol breakdown is you can enter the figures and get the ratios here:
http://www.hughcalc.org/chol-si.php

If you don't know your figures you should ask your GP surgery for access to your medical records and test results, or for a test results printout.
 
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JohnEGreen

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Spirit healthcare do a cholesterol test kit but it's quite expensive.
 

transiting

Member
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7
Really, really helpful and positive responses - thanks to everyone. Convinces me that I should delve more while taking some of the 'expert' advice with a healthy pinch of salt. Thanks again.
 
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Freema

Expert
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7,346
Type of diabetes
Type 2
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I find conflicting and contradictory advice confusing and begin to wonder whether worrying about health issues, or more specifically blood test results, is more damaging to health than the suggested consequences of the indicators themselves. I was diagnosed as being pre-diabetic last year following some specific tests for ongoing heightened cholesterol which I have had for 15 years. This brought me to the diabetes.co.uk site which has been very interesting and helpful. The adoption of the low carb-higher healthy fat diet has been good – but still flies in the face of ongoing advice that I am being given for lowering cholesterol.


I am verging on 50 years old and appear to be one of the TOFI people – Thin on-the-outside and fat-on-the-inside. I was of upper normal BMI despite being well built and quite muscular (particularly lower body – more on that below). After 4 months on a low carb diet I am slap in the mid BMI healthy range – but that has resulted in family and friends voicing concern about me becoming underweight/losing too much weight. I think part of that is that we have lost perspective about what a normal weight person should look like. I am now just stabilising at that weight and continue to avoid carbs. My trouser size has dropped from 32 to nearer 30 inches and I don’t have any middle age spread (particularly now).


I believe I can also say that I am of above average fitness – I live in the Highlands of Scotland and am a hill walker/mountaineer and am currently setting up a business involving trekking in the Himalayas. I climb daily since I have a hill at the back of my house. I also have a love of fruit and veg and have very little sweet tooth. If I am totally honest my dietary weaknesses are that I certainly took too many carbs (I didn’t know they were so bad for you) and drink above the 14 recommended units of alcohol (although certainly not to excess).


A fairly recent blood test showed a slight improvement in pre-diabetes (now just on the edge) but a heightened cholesterol. What is particularly galling was to have a rather unhealthy (may I say overweight) specialist sitting opposite me lecturing me on diet and exercise when I know that I certainly can’t exercise more than I do and don’t know what more I can do on diet (I’ve developed a taste for dishes such as kale, spinach, nut and shrimp salads over the past 6 months!). My local GP who knows me well is flummoxed why my blood results appear so bad (hence the useless referrals). I have also never felt as healthy– and feel heathier now as I reach my 50s than I did when I was in my 30s!


So my current thought is to call a stop to all these tests and seeing specialists and just to continue to do what feels right and cease from worrying at all about any of this. I will keep an eye out for type-2 diabetes symptoms of course. Is this a sensible approach? My GP feels it is sticking my head in the sand, but no specialist I have met says anything constructive. The specialist I saw recently suggested I cut down on fast food as part of a ‘life change’ – I haven’t eaten one MacDonalds, KFC or other fast food in the last 25 years - they have no attraction to me and they don’t really exist in the Highlands and before that I lived in East Africa where they didn’t exist. She clearly doesn’t believe me or the diet diary I handed in (probably didn’t even read it). I therefore plan to go happy-go-lucky since worrying about health feels like my biggest health threat right now. Apologies if this is not a helpful question for others that do have more control over their results – but I am sure many can understand my frustration.


NO it is better to keep understanding that control is essential not to get all the horrible diseases,

just do small changes if you can´t take the full control, one step at a time...
 

Beagler

Active Member
Messages
43
Type of diabetes
Prediabetes
Treatment type
Diet only
When I started running, and got fit enough to run three to five hours cross country three times a week, my mother and my dentist were both convinced I was anorexic. No, thank goodness, I wasn't. Just fitter than I ever had been.

Ah happy days! Twenty years later - back and knees stopped me running but unfortunately didn't stop me eating - now I am definitely fat inside AND outside!
 
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