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Just had a text from my GP........Cholesterol Gurus please advise!

Discussion in 'Type 2 Diabetes' started by CondorX, Feb 6, 2020.

  1. zand

    zand Type 2 · Expert

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    Brilliant news. Very well done :)
     
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  2. CondorX

    CondorX Type 2 · Well-Known Member

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    I couldn't be happier at this point - it has been such a roller coaster journey, albeit only 9 months in my case, not helped by being medically qualified myself and quite uncertain about all the controversy about cholesterol and a GP who really seems to know not a lot about it at all...........he admitted being a bit panicky about my cholesterol.
     
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  3. HSSS

    HSSS Type 2 · Expert

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    Now imagine how seriously some gp’s take us uneducated fools that insist on doing our own research, rather than believing every word they utter. Be grateful your gp is willing to listen to you and hopefully learn along with you. Hopefully patients will benefit as a result of the open mindedness.
     
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  4. CondorX

    CondorX Type 2 · Well-Known Member

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    LOL he has got used to my challenges over many years........not sure he is convinced but at least he didn't argue about it and showed a little interest in the changes in lipid metabolism thinking. He is led by local criteria though - when I picked up my printed out results this afternoon, my total cholesterol has big panicky markers on it advising instant referral to the Local Lipid Clinic as this is "likely to be familial hypercholesterolaemia" . LDL marked in the same way. If this is the advice the GPs are getting they don't have much chance. I don't think he is at the point of changing his stance on cholesterol yet - but at least he respects and possibly now, partly understands, my position.
     
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  5. HSSS

    HSSS Type 2 · Expert

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    And now you’ve opened his eyes the next non medically trained patient of his will fair a little better, as a result of his listening to you. Thank you on their behalf.
     
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  6. Tophat1900

    Tophat1900 Type 3c · Well-Known Member

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    Congrats on the outstanding results @CondorX - in regards to CAC scan, seems you have been thinking of possibly having one. It might still be well worth it to get a baseline of where you are at. And I think lipids aside, there is nothing like the power of CAC in answering whether you do have any build up or not, but it's also information that may well be useful in the future. Just my thoughts on it.

    That's just how I look at it, what you do is of course your business.
     
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  7. aard

    aard · Well-Known Member

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    At my surgery in England the receptionist will give out results, this is expected,
    . They wont obviously make any comment on the results.

    Sounds like this is a policy made up by your gp practice.
     
  8. CondorX

    CondorX Type 2 · Well-Known Member

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    I think my GP practice is more obstructive than many others - they make it up as they go along! I was surprised to hear that receptionists can no longer give results "due to errors" and that we cannot access them online.........in the end, I managed to speak to my GP and he printed the results off and I collected them at reception. All a bit clunky and not very streamlined, but I got them in the end.
     
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  9. Roller

    Roller Type 2 · BANNED

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    Is 0.98 for triglycerides good? Mine was 0.98 when last measured. The nurse was concerned about it.
     
  10. Jim Lahey

    Jim Lahey I reversed my Type 2 · Well-Known Member

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    Paging @bulkbiker et al. Lipids aren't my chosen specialist subject. From memory I believe under 1.0 is good. I may have seen 0.8 posted somewhere as being optimal. Others who are better versed in cholesterol panels will hopefully be along to comment.
     
  11. bulkbiker

    bulkbiker Type 2 · Oracle

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    What were the other numbers like?
     
  12. Roller

    Roller Type 2 · BANNED

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    HDL 0.79
    LDL 2.76
     
  13. CondorX

    CondorX Type 2 · Well-Known Member

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    Trig fasting levels should be under 1.2 from memory...0.84 was my last one, which is considered "optimal". If yours was 0.98 I can't imagine what the nurses' problem might be.......HDL is supposedly considered good over 1 for men and 1.2 for women. But the ratios are important - Total Cholesterol / HDL and HDL/LDL ratios. Use an online calculator like the one at hughescalc or cholesterolcode.com - and importantly, don't just believe all the doomsayers on the internet, Lipid Metabolism and interpretation of the levels is an evolving process. Do a lot of your own research - lots of helpful info on this site.
     
  14. bulkbiker

    bulkbiker Type 2 · Oracle

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    The Trig/HDL ratio is the "new" measure
    Anything under 0.87 is deemed excellent.. yours is 1.24 which is good.

    How long had you fasted before the blood was taken?
     
  15. Roller

    Roller Type 2 · BANNED

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    Over night. I stopped eating after my evening meal And the blood sample was taken about 9am the next day.
     
  16. bulkbiker

    bulkbiker Type 2 · Oracle

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    So about a 12-14 hour fast which is usually considered the best period.
    What kind of eating regime are you following? Sorry if it has been asked before but I can only remember a certain amount of peoples habits!
     
  17. Roller

    Roller Type 2 · BANNED

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    Well, I have cut out cakes, biscuits, sweets etc. No potatos or chips. But am eating brown rice and brown bread like the nurse said. Am eating fish and various meats and vegetables. She said don’t drink so much fruit juice.
     
  18. CondorX

    CondorX Type 2 · Well-Known Member

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    "Eating brown rice and brown bread like the nurse said....." Oh dear...............
     
  19. HSSS

    HSSS Type 2 · Expert

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    To be fair that should show improvement if you previously ate a lot of them. Maybe not enough though. Rice and bread is still carbohydrates regardless of colour. Fish and meat are good. Veg is fine so long as it’s not potato (any colour). Other below ground veg might also be too starchy eg parsnips. Carrots are an issue for some people. She was right about fruit juice - liquid sugar. I’d say none not just less.
    See what the scores are after tomorrow, ask for time to consider options and be more vigorous with diet if medications are suggested and come back with all the numbers (get a printout!) of the tests at diagnosis and tomorrow’s. Tell them if you like that you’ve found a diabetes support group and want to continue trying with that before drugs if you like. assuming of course that is what you want. Some may be resistant to it but it is your choice. Others are quite supportive.

    Do you have a meter? That will show you very quickly what is good for you and what’s not.
     
  20. bulkbiker

    bulkbiker Type 2 · Oracle

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    OK hardly surprising your trigs were a bit elevated.. the nurse is an ill informed idiot..
    Eating that stuff won't help you to get your blood sugars down.
    She should also have said don't drink any fruit juice ever.
     
    • Agree Agree x 1
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