Low carb ADF and elevated cholesterol

Last time measured my total cholesterol was 7.8 and LDL "calculated" (it's rarely measured in the UK) at 5.65.

In the words of Catherine Tate "Am I bovvered?" ... well not really because my Trig/HDL level (considered a far better indicator of the possibility of heart problems is at 0.588 (Trigs at 1 and HDL at 1.7) and anything under 0.87 is considered excellent.

As I had water fasted for 12-14 hours before the blood was taken for the test I'm pretty confident I got a 'clean' reading.

These are my readings over time




The high Trig/HDL in June 2020 was after 7 day fast so not representative.

 

Ultra low carb, mainly carnivore with a few extras.

Did you get a full lipid panel or just the total and Calced LDL?

 

This was on Twitter - but someone who wrote that he is working in cardiology was concerned that more than half his patients had below average cholesterol levels - he claimed he could not risk his job and professional standing by even asking why that should be.

 

My total cholesterol is always high - over 6, sometimes even over 7, but my triglycerides are always under 1. My HbA1c skirts 30.

I recently took part in a research study looking at cardiac health in those living with T2, including those in remission. Frankly, I was dreading the discussion around cholesterol. My concerns weren't necessary.

The research included a full cardiac MOT, with tests such as ECG, sonography, stressed ECG, MRI, CT scans,, Coronary Artery Calcium scan and a whole bucket full of blood tests. My heart is fine.

I had a comprehensive feedback meeting with the cardiologist overseeing my care. He was unconcerned about my cholesterol - especially as there was no evidence of historic cardiac events, worrying test findings or arterial calcium. When I asked the direct question, he told me he could so no reason I should be concerned about my cholesterol, or considering statins, although he was keen to stress his feelings could differ if my markers had been different.