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Pressure from Doctor to lower cholesterol levels

Dougie22

Well-Known Member
Messages
319
Location
Scotland
Type of diabetes
Type 2
Treatment type
Other
Hello again,

Just been through my three monthly tests (see below) and had the consultation with my GP today.
From my point of view, things are going really well - weight down again (slightly), BP 140/80 (well down from peak level) and, most encoutragingly, HbA1C down to 6.1!

Doc reopened the question of cholesterol (which is up despite the above, diet, etc) and put considerable pressure on me to start meds to lower it. Her very strong viewpoint is that the link between high cholesterol levels and heart disease is unquestionable and accepted by every reputable medical professional, NICE, SIGN, etc. (presumably she's not heard of Kendrick et al).

When I said I'd had severe joint pain and suspected memory loss on atorstatin and simvastatin she suggested rosuvastatin or bezafibrate. I said I'd think about it. A quick scan doesn't suggest to me that rosuvastatin would be any better. I haven't found out much about bezafibrate yet but it wouldn't presumably give the "non cholesterol lowering" benefits attributed to statins. I will have to do a bit more reading, though.

She completely poo poo'd my concern that no drug was safe to use for 30 years, the implication being that I'd be dead before that if I didn't take them (where as the stuff I've read absolutely contradicts that viewpoint).

One good thing is that she did, for the first time, let me have my actual lab results for the last three sets of bloods.
These are as follows:
Mar 2011, chol 8.0, Hdl 1.01, ratio 7.9, Trig 3.19
Jun 2011, chol 6.8, Hdl 0.91, ratio 7.5, Trig 1.37
Sep 2011, chol 7.7, Hdl 1.04, ratio 7.4, Trig 1.96

Targets are stated as chol<5.0 (fail), HDL >1.0 (hovering on ok), trig<2.3 (pass)

I really think it is difficult for (even well read) laymen to stand up to this type of pressure from doctors and has an detrimental effect on the trust relationship. I already can't discuss issues from self testing because she is flat out against it. Now I feel we are heading down the same track on cholesterol (I'm considering rejecting further tests at my next three month assessment).

Really just wanted to get this off my chest but would be interested in comments both from supporters and disbelievers of the "taking statins extends life" hypothesis, especially on how these results compare to yours and whether you are accepting medication.

Moving closer to changing doctor but not quite there yet (as it seems impossible to evaluate alternatives before moving). Sorry for the length of this post.
 
I I strongly suspect that much of the fuss made about cholesterol will turn out to have been nonsense in the end for most people but there may be hose who benefit from statins. its the one-size -fits -all hing again isnt' it?

Gp's have remarked to me that the herding of diabetic patients into one pen isn't working well and that things must change and patients will once more be treated as individuals. Who says Gps are not idealists?
Fantasists even?
I take satins . I am sure they have adverse effects but just like wit hall the other gunk I have no way of assessing the risk/benefit ratio You are so right when you say there is no way to evaluate doctors before changing,. Who wants to go through all the fuss and bother only o find they had gone fom the frying pan into the fire.?
 
Up to you I guess. Personally, I take low doses of simvastatin and get no side effects. My view is that therefore it must be better than having high cholesterol. Article in Mail today, (I know you can't believe all you read, but it was reporting a study), showed massive reduction in agressive prostrate cancer for men when cholesterol lowered.
 
Hi Dougie

The figures I work to as targets are: total - below 5.18; HDL - above 1.04; triglycerides below 1.7 and the lower the better; LDL (calculated) 3.0; total:HDL ratio preferably below 4.

I don't worry unduly about my cholesterol, though I'm presently a bit too high in everything except triglycerides :oops: ; I shall do a bit more work on this with diet - low carb normally keeps my lipid levels okay and I've maybe been eating a few too many carbs this time! (for me, that is.). I've had bad muscle pain side-effects on a low level of simvastatin and would rather not take them again.

Google 'Duane Graveline' (spacedoc.net) and 'Stephanie Senneff' for some interesting but anti info. There are plenty of websites about the benefits of taking statins too!

Viv 8)
 
Thanks for this. I'd come across Duane before (and have read the Kendrick book) but I hadn't heard of Stephanie. The paper at http://people.csail.mit.edu/seneff/why_ ... _work.html is really supportive for those who want to avoid statins.

The problem remains that it is impossible for an average person to really know which set of eminent academics are correct. In the end, I fall back on the fact that there is debate out there, my previous experiences, and my view that no drug has ever been proved safe to take for 30 years.

I have decided to ring the doctor and inform her that I will, once again, be declining her prescriptions. I think I've also decided to have no further cholesterol tests - what's the point if I'm taking this point of view. I am extremely lucky that my wife supports me in this decision (indeed, it's she who thinks the statins were affecting my mental facilities), otherwise there'd be even more pressure.
 
I can't take statins - muscle pain was debilitating - Dr agrees I shouldn't. Why take a drug to obviate a risk factor when it causes definite health damage?

My chol on diagnosis 11 years ago was 7.6. Using a low carb diet, Flora pro-active & oat bran keeps it around 5-6, & keeps the HDL at a good level.

2 of the leading members of the Hounslow support group agree that the adverse effect of statins is unacceptable, & also prefer the risk of not taking them. Why spoil our present quality of life for an unknown risk factor?
 
I suffer from inherited high cholesterol and when I was fist tested despite a fairly good diet at 21 I tested at 11 so had to work really hard to bring it down my last test last month came back at 4.3 and it has been between that and 5 for about the past 5 years although I'm only 37 now I know that come the time I can't control it I know I would have to find the right statins for me having lost so many family members to heart disease my Dad has had heart problems for years and has been on them for about 10/12 years but it took a good 3 years to find the right one as the first one made his skin so thin he could not even shave the second made him confused and this one now seems to have very few side effects . I have to agree with your doctor about buying home testing kits for cholesterol as independent testing I think it was by Which absolutely slated them they where way off in there results the accuracy was only like 50% and considering the price that to me is a con. At the end of the day though like all medical decisions only you can make it for your body you have made sure you are well informed on both sides and are lucky enough to have the support system in place with your wife so you know what is right for you..
 
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