Low carb has shot up my cholesterol

Alexandra100

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Are you referring to my signature ?
Multiple Daily Injections (of insulin). 1 (or 2 i.e. split) of basal. 3 x bolus daily with meals.
It's a self-assembly approach to controlling diabetes but usually comes with full instructions ;)
Geoff
Yes, I am very interested in your signature, as I suspect I am a LADA in waiting. What was your A1c when you began your honeymoon?
 

librarising

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Yes, I am very interested in your signature, as I suspect I am a LADA in waiting. What was your A1c when you began your honeymoon?
Nov 2011 48
May 2012 44
August 2013 46
Nov 2013 42
June 2014 50
August 2015 44
Mar 2016 102 straight onto insulin
Geoff
 

Alexandra100

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Unless you are prepared to lock people into a room and manage precisely what they consume for years and years you are very unlikely to get concrete evidence of anything to do with human nutrition. This has been done a couple of times but not for long enough to come up with anything to do with cholesterol so far as I can discover. I'm afraid it will all be "could" and "would' and "may".

Various recent studies of studies, "PURE" is one of them, have possibly demonstrated that sat fats are not bad for us at all. This was what we were posting in the video of Prof Salim Yusuf about 6 months ago when he released the results in a talk he gave. As the outgoing president of the World Heart Federation his words had some weight and when he confirmed what common sense tells us is likely then I for one am more convinced than by older studies that have been fairly roundly debunked.

However even the PURE study is not definitive as it is another meta study of observational studies which all have a fairly weak scientific background. So I'm afraid as always you pays yer money...

I try to use logic and experience and look at contributing factors. For me cholesterol is not the enemy and neither are saturated fats but no-one can say that for sure. I am however prepared to not be afraid of them and have had the CAC scan to show my heart health is ok if not great for my age and background and dietary history. I'd far rather believe that than the hysteria around statins and cholesterol causing heart disease that a lot of misinformed doctors seem happy to propagate.
I have no idea whether eating saturated fat leads to high cholesterol, or whether high cholesterol leads to atherosclerosis. Imo I don't need to ponder these questions because, again imo, blood glucose trumps all. In other words, if when I have my next full blood test in January 2018 my A1c is down but my LDL and even my triglycerides are up, I plan to continue my low carb diet regardless. It seems absolutely clear to me that too much bg is harmful, and indeed has already been harmful to me, whereas the whole cholesterol question is controversial. My GP will not agree, but then my GP is contributing nothing to the management of my diabetes - no meter, no strips, no helpful advice, no encouragement, no Metformin, no acknowledgment even that there is a problem.
 

ringi

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Although people with health problems are excused from the muslim fast, in reality they are often reluctant to exclude themselves from this group religious actvity.

People with health will often drink water but not eat. Remember Muslins do a dry fast, not a wet fast.
 

derry60

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Although people with health problems are excused from the muslim fast, in reality they are often reluctant to exclude themselves from this group religious actvity.
Sorry not sure what you mean,can you explain?
 

derry60

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The current thinking from the group of experts I trust is that a high insulin level is what puts us at a greater risk of heart problems and that it has nothing to do with blood glucose levels. They believe the high insulin level is due to a combination of insulin resistance and a diet with more carbs then the person's body can cope with.

We all know that insulin resistance plus carbs put people at great risk of Type2. Hence Type2 shows up in the data as being related to lots of heart problems.

Therefore if these experts are correct (and I believe they are) to greatly reduce the risk of heart problems, we need to be eating very few carbs.
We certainly need to be eating less carbs I myself have seen a drop in my BG levels through eating less carbs
 

derry60

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I have no idea whether eating saturated fat leads to high cholesterol, or whether high cholesterol leads to atherosclerosis. Imo I don't need to ponder these questions because, again imo, blood glucose trumps all. In other words, if when I have my next full blood test in January 2018 my A1c is down but my LDL and even my triglycerides are up, I plan to continue my low carb diet regardless. It seems absolutely clear to me that too much bg is harmful, and indeed has already been harmful to me, whereas the whole cholesterol question is controversial. My GP will not agree, but then my GP is contributing nothing to the management of my diabetes - no meter, no strips, no helpful advice, no encouragement, no Metformin, no acknowledgment even that there is a problem.
I feel that the Cholesterol thing still needs investigating more. We cannot really say if our total Cholesterol when high is harmful in the long run or not. I do not know whether or not if I had not been on Statins if it would have harmed me in the long run after my heart attack. I was not going to take a chance and find out to be honest. I guess there are some things that I have to trust regarding the NHS and the medical profession. I am not a doctor.
 

Alexandra100

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Sorry not sure what you mean,can you explain?
My understanding is that in muslim communities, perhaps especially in muslim countries, the Ramadan fast is a hugely important social as well as religious happening. Sharing the deprivations, which can be severe (imagine not allowing yourself to drink ANYTHING all day in an extremely hot country, while carrying on with your normal work) and also sharing the preparing and eating of large meals before dawn and after dusk and the feasting and celebration at the end of the fast, I think is a much more socially powerful thing than eg celebrating Christmas in the West. None of the traditions of Christmas is seriously binding except on the minority of Christians who are very devout - and even they only have to go to church once. Or perhaps the Lenten fast followed by Easter is a better example. Christians sometimes give up SOMETHING for Lent, but they get to choose WHAT, and IF they want to do this. As I said, muslims who for health reasons should not fast are certainly given exemption from this tradition, but many prefer to share the group experience and activities even at the cost of harming themselves.

I'm not sure this is any clearer, but it's the best I can do at this time of night.
 

Alexandra100

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I feel that the Cholesterol thing still needs investigating more. We cannot really say if our total Cholesterol when high is harmful in the long run or not. I do not know whether or not if I had not been on Statins if it would have harmed me in the long run after my heart attack. I was not going to take a chance and find out to be honest. I guess there are some things that I have to trust regarding the NHS and the medical profession. I am not a doctor.
Derry, imo having a heart attack changes everything as regards pro/anti statin decisions. If I had had a heart attack I would probably be on statins now. Just because our society is over-medicalised, doesn't mean we should reject all the benefits of modern medicine. I have AF, but I never have to suffer attacks because for years now I have been taking Flecainide. When I had a cancer scare, I had an operation. Both interventions involved some risk, but deciding in favour took me no time and trouble at all, because the benefits were so evident.
 

librarising

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if when I have my next full blood test in January 2018 my A1c is down but my LDL and even my triglycerides are up, I plan to continue my low carb diet regardless
The easiest way for most people to get their trigs down is to reduce their consumption of carbs. Obviously don't forget to fast or trigs will be higher.
Geoff
 

Davecummins

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I have tried the same low carb approach and also lost quite a bit of weight, got the same concerns from the family about too much weight loss. I’ve put a bit back on but remain fairly stable. I’ve relaxed my diet now but remain fairly careful especially during the day. My cholesterol was slightly up at 5.2 and a started taking garlic tablets and it dropped to 4.2. It’s not been checked since I went low carb high fat so it will be interesting to see how it is now. I’m about to find my current Hb1c result. Last one was 50.
 

bulkbiker

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I feel that the Cholesterol thing still needs investigating more. We cannot really say if our total Cholesterol when high is harmful in the long run or not. I do not know whether or not if I had not been on Statins if it would have harmed me in the long run after my heart attack. I was not going to take a chance and find out to be honest. I guess there are some things that I have to trust regarding the NHS and the medical profession. I am not a doctor.
Do you know what your cholesterol level was when you had your heart attack? just asking out of interest.
 

Alexandra100

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The easiest way for most people to get their trigs down is to reduce their consumption of carbs. Obviously don't forget to fast or trigs will be higher.
Geoff
Thanks, Geoff, that's my hope, but in my case in the past I had vanishingly low trigs on a diet extremely high in carbs and fairly low in fat, certainly very low in sat fat. It remains to be seen if completely reversing that diet will also produce a low trig count. For the last 2 tests my GP told me NOT to fast, as this, she said, was no longer considered necessary. As a result my trigs were much higher, though still acceptable. Also as a result, my higher trigs, slightly high LDL and really high HDL added up to a total over 5, so my GP referred me to the nurse with a view to being put on statins. The nurse revealed my A1c of 41 and completely agreed with me that as statins appear to increase the risk of developing diabetes they are not the best idea for me at present. This is not the first time I have found the nurse better informed and more up to date than the GP or even than the specialist. Incidentally, the nurse said, rather patronisingly, that WE look at the cholesterol ratios rather than the total. I'm not sure who the rest of the WE are - obviously not my GP!
 
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derry60

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Do you know what your cholesterol level was when you had your heart attack? just asking out of interest.
Yes, 6.8 but my good Cholesterol I can remember the Cardiologist telling me, that my good cholesterol was not to bad,he was talking to me about total cholesterol and that I had to get that down, which total is now 4.1 Here is the thing though..When I had my Echo done 6 months after my heart attack, the cardiologist was shocked to see such minimum damage to my heart. In fact he said that going by my echo results that you would never have thought that I had even had a heart attack. I did by the way lol..I had to be resuscitated, and they found a blocked artery and had to have a stent put in 14 years ago. I have no breathing problems, no Angina and I do not get out of breath. The cardiologist did say one thing though..He did not say that it was Cholesteral that caused my heart event but smoking, which caused the blocked artery which caused the heart attack. If I had never smoked and had the high Cholesterol,would I still have had the heart attack I just don't know. Cardiologist came to the conclusion about my heart looked good on the echo is because I actually had the heart attack when the ambulance men where in my home so they got to me very quickly bringing me around and injecting blood thinners, saving major damage to my heart.
 

derry60

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The easiest way for most people to get their trigs down is to reduce their consumption of carbs. Obviously don't forget to fast or trigs will be higher.
Geoff
Now that is strange for you to say that as my sister has just been diagnosed with high cholesterol and stopped eating cake,bikkies and has gone onto lean meat, but she does like her potatoes, rice, couscous and pasta, yet she has dropped to 4.4 I really do think that we are all different
 

librarising

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Now that is strange for you to say that as my sister has just been diagnosed with high cholesterol and stopped eating cake,bikkies and has gone onto lean meat, but she does like her potatoes, rice, couscous and pasta, yet she has dropped to 4.4 I really do think that we are all different
I made no universal claim. You appear to be saying that she reduced her consumption of carbs.
Perhaps we're on the same page ?
Geoff
 

derry60

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My understanding is that in muslim communities, perhaps especially in muslim countries, the Ramadan fast is a hugely important social as well as religious happening. Sharing the deprivations, which can be severe (imagine not allowing yourself to drink ANYTHING all day in an extremely hot country, while carrying on with your normal work) and also sharing the preparing and eating of large meals before dawn and after dusk and the feasting and celebration at the end of the fast, I think is a much more socially powerful thing than eg celebrating Christmas in the West. None of the traditions of Christmas is seriously binding except on the minority of Christians who are very devout - and even they only have to go to church once. Or perhaps the Lenten fast followed by Easter is a better example. Christians sometimes give up SOMETHING for Lent, but they get to choose WHAT, and IF they want to do this. As I said, muslims who for health reasons should not fast are certainly given exemption from this tradition, but many prefer to share the group experience and activities even at the cost of harming themselves.

I'm not sure this is any clearer, but it's the best I can do at this time of night.
Oh yes, everything that you are saying is right. I used to live in a town which was highly populated with Muslims and my son's friends are Muslim. The only time they break the fast is if it is affecting their health. I used to ask them "How the hell can you cope when the weather is so hot?" but it is a thing that many have done for all of their life.
 

librarising

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Now that is strange for you to say that as my sister has just been diagnosed with high cholesterol and stopped eating cake,bikkies and has gone onto lean meat, but she does like her potatoes, rice, couscous and pasta, yet she has dropped to 4.4 I really do think that we are all different
I was talking trigs not cholesterol.
Geoff