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Lipid specialist

Discussion in 'Diabetes Discussions' started by Munkki, Jul 4, 2019.

  1. Munkki

    Munkki Type 2 · Well-Known Member

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    Hi all :)

    About a year ago, my LDL numbers were 'too high'. I had an appointment at a lipid specialist yesterday and he was very keen to put me on statins, which I refused. My Apo B is at the very high end of normal, but HDL and triglycerides are good. I don't have the exact numbers yet. I am not sure whether I should simply ignore this, or think about explanations such as recent weight loss (just lost 5.5 kg or 12 lbs and still losing) or the fact that I had not eaten since mid-afternoon of the day before the blood test, so I was probably in strong ketosis.

    Could I also just refuse to see the specialist again? He was a bit weird. He knew about keto, but said a few things such as

    - You don't have diabetes (o_O)
    - You are in the honeymoon period now and the diabetes will be worse in 5 to 10 years (my HbA1c is 37, four years after diagnosis, so this is quite a long honeymoon, isn't it :cool:)
    - You enjoyed your holidays a lot, huh? (Yes, I was at a dance festival, exercised many hours each day and I lost 1 kg or 2 lbs, thanks for asking)

    :banghead::banghead::banghead::banghead::banghead::banghead::banghead::banghead::banghead:

    My GP supports low carb, and although she wanted to put me on statins as well, I am generally happy with her.

    Does anyone here have an opinion on this?

    I have been quite annoyed and frustrated today, but at the end of the day I need to remind myself that I am managing my diabetes for myself, the people close to me and anyone else, who could be inspired. I won't stop low carb, because of those discouraging comments of the doctor.
     
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  2. bulkbiker

    bulkbiker Type 2 · Oracle

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    Your body, your choice...

    Have you seen Dave Feldmans newest iteration of his cholesterol calculator.. may give you a better insight..

    https://cholesterolcode.com/new-report-tool-launched/

    Also your extended fast pre the test may have pushed your trigs up a bit so the test may not be representative (plus cholesterol like blood sugar can vary a lot during the day).
     
  3. Munkki

    Munkki Type 2 · Well-Known Member

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    Amazing, thanks for the tool. I still need to wait for the letter with the report, before I will be able to input the figures.
     
  4. NicoleC1971

    NicoleC1971 Type 1 · Well-Known Member

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    If your concern is heart disease could you instead request a calcium scan? What you are doing now in keeping your blood glucose so low is stopping the damage to your arteries so you are right to be proud of that achievement, but understand how you feel with the conventional advice being to always take a statin if diabetic with high hdl (and Apo B to boot).
    A c scan is reputed to be much more predictive of heart disease than ldl. See Dave Feldman as suggested or Ivor Cummins or Dr Jefrrey Gerber (a lchf doctor who describes interesting case studies and the different tests he has used in real life. The former 2 are engineers and the latter is a clinician but all are biased towards LCHF.
    It may be that you've confounded your lipidologist's expectations of a diabetic patient having reversed your diabetes and having high hdl but low rigs/high hdl but I suppose he may be of use if he gains you access to the calcium scan or particle analysis tests to determine the nature of your ldl!
     
    • Agree Agree x 1
  5. DCUKMod

    DCUKMod I reversed my Type 2 · Master
    Staff Member Administrator

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    You could always ask for a second opinion. That doesn't have to be within the same CCG, if you know someone whose opinion you would value.

    Your GP can write a named referral, although you do need to check the aappointment letter carefully, and if you have concerns it only says "X, Y or Z Clinic", or another medic's name. If it does, if the referral is to a named consultant, they can change it.
     
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