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Latest Result

Discussion in 'Type 2 Diabetes' started by Burg, Sep 11, 2018.

  1. Burg

    Burg Type 2 · Member

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    I have just received my latest blood results 2 years since diagnosis.

    diagnosis 1 yr 2 yr
    A1c 76 38 35
    wt 102 71 76
    BMI 28.5 19.7 21.1
    Chol 6.1 5.9 6.7
    HDL 1.09 1.78 1.84
    Trig 2.7 .7 .9
    Chol/HDL 5.6 3.3 3.6

    I see the dr in 2 days and I see he wants to discuss the cholestrol result.

    The only change I have made in the last year is to up the fat intake in order to arrest weight loss.I have achieved this with coconut oil and cream in coffee, and cream in tea and am happy with the result so far.I have also gone to two meals a day with a daily 16 to 20 hour fast.

    I have not been on any medication since diagnosis.

    I am happy with the A1c results,although they aren't as low as my self testing would indicate.I am also happy with my weight gain while reducing A1c..At 71 kgs I was concerned about arresting the weight loss.

    I'm afraid the dr will recommend statons but I am planning on refusing if he does. Instead will cut back or illiminate the coconut oil and cream.

    I am concerned that my lipids are moving in the wrong direction.Should I ?

    Bearing in mind my weight seemed to be heading to the too low area,should I be prioritising weight or lipids?

    I will suggest more regular testing in order ton better monitor progress as I am still making changes to my approach/diet.I was tested twice within 4 months after diagnosis but annually after that.A1c at 4 months was 38
     
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  2. Burg

    Burg Type 2 · Member

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    Sorry about the table.It has compressed on posting
     
  3. Rachox

    Rachox Type 2 (in remission!) · Moderator
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  4. Guzzler

    Guzzler Type 2 · Master

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    Simply put, if you do not wish to take a statin then shake your head politely and refuse.

    Saturated fat is not responsible for 'bad cholesterol'. If you cut it from your diet this may lead to one of two things, hunger that could lead you to reach for carbs or more weight loss.
    I will leave it to other members to comment on your HDL/Trigs ratio as my maths is rubbish.

    Great work on your A1c, what a fabulous success.
     
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  5. shelley262

    shelley262 Type 2 · Well-Known Member

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    Congratulations you’ve done so well getting hbaca1 down and also a struggle when weight is reducing further than you want it’s hard to get the balance right.
    I agree with @Rachox about your cholesterol ratios which look good and your HDL has gone up too. If concerned you could always tweak your fats a bit ie more olive oil, nuts, oily fish, seeds, full fat yoghurt etc which should all help keep HDL high but clearly you also need to keep your fats up so as not to lose weight. But I’d mainly advise you to use calculator as @Rachox advises and point out your ratios to your dr when you go for your appointment good luck and we’ll done
     
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  6. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    Did you fast for this test?

    If not, this could be why your triglycerides are high. If you had recently consumed food or drink that contained something fatty, it is likely to have caused the trigs to rise as they would be out and about doing their job in your blood stream.
     
  7. Rachox

    Rachox Type 2 (in remission!) · Moderator
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    Oh have I read it wrong? I read the trigs level as 0.9?
     
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  8. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    It says 7.9 on my screen!
     
  9. Resurgam

    Resurgam Type 2 (in remission!) · Expert

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    I think it is 2.7 then 0.7 and finally 0.9 - which seem pretty good.
     
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  10. Rachox

    Rachox Type 2 (in remission!) · Moderator
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    The formatting of his table messed up, as he says, it’s got compressed. Can trig levels ever reach 7.9?
     
  11. bulkbiker

    bulkbiker Type 2 · Oracle

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    Trigs going down HDL going up looks pretty **** good to me.. ignore the total number as its meaningless... looks like you are doing everything right and with the various new studies published today refuting LDL being "bad" then I reckon you're doing great.
     
  12. Guzzler

    Guzzler Type 2 · Master

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    Only when you are on your seventh box of jaffa cakes ;)
     
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  13. Burg

    Burg Type 2 · Member

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    Thanks for the replies.Triglycerides are 2.7, 0.7 and 0.90. Both tests were fasting,although the test a year ago I did have a cup of tea with cream 4 or 5 hour previous.
    I'm not unhappy with the results,will not take statins, but will tweak things.
    What I took out of the results is HDL is much the same,triglycerides are up and total cholesterol is up.Cholesterol can probably be ignored.
    So still good but a deterioration in one of the important measures.
    I believe some people need to be a bit more conservative with fats,although this is very rare.
    Whatever I do I will ask for more regular testing
     
  14. Mbaker

    Mbaker Type 2 (in remission!) · Well-Known Member

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    My understanding is that as your HDL is high and your Trigs are low, the LDL "boats" are effectively empty and have performed their duty (my interpretation of Dave Feldman's explanation).
     
  15. Sirmione

    Sirmione Type 2 · Well-Known Member

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    It seems a standard policy to push all diabetics on to statins,
     
  16. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Guru

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    My apologies @Burg I misread your first post as regards the trigs.

    Yes, the total cholesterol can be ignored. The rest of the results are good and within the ideal range. There is barely any difference between trigs of 0.7 and 0.9. They are both excellent trigs. I can't see any reason at all why you need to change your diet.
     
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  17. bulkbiker

    bulkbiker Type 2 · Oracle

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    As @Bluetit1802 says above that diff in trigs and HDL is probably well within the margin of error for the tests so in your shoes I wouldn't tweak anything just carry on as you are doing (which obviously suits you very well).
    maybe just keep your eye on the weight gain.. unless you have shrunk!
     
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  18. Burg

    Burg Type 2 · Member

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    Doctors visit this morning.Will post again after that Great day down in this part of the world.
     
  19. Burg

    Burg Type 2 · Member

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    Good news. Dr said my results were exceptional and to keep on doing what I am doing.He mentioned the cholesterol and LDL and said statons were an option. I got the impression he wasn't recommending them but felt he needed to raise the option.I said I wasn't interested and that was that.

    So all's good on a cloudless sunny day in Middle Earth.
     
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  20. bulkbiker

    bulkbiker Type 2 · Oracle

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    Doctor sounds pretty clued up well done.
     
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