• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Results from my latest review

JohnEGreen said:
I went on line to book an appointment and got no slots available that's for any doctor at our surgery you can't book ahead for more than I think 4 weeks
Click to expand...

My surgery put very few advance appointments on line. Most are reserved for patients that phone in to ask for an advance appointment. (Obviously you can get same day ones if it is an emergency.) I only discovered this the other week at my surgery when trying to book an advanced. On-line there was nothing for 4 weeks, and only then very early morning ones, and these far and few between. I did telephone and was offered one 2 weeks ahead, or 3 weeks with my own GP (who is part time). These did not show on-line. I then looked again on-line and saw this message "Please note that not all of your GP's appointments may be made available online. If you cannot find a suitable appointment slot, you may want to contact your practice directly."
 
Last edited:
I also asked in the surgery when I was there earlier to day but nothing with my doctor for weeks he seems quite popular and as senior partner seems to get a lot of vacation time.

It is now apparent to me that my memory serves me ill of late found in a thread from last year my results at that time.

My HbA1c was at then 35

And lipids:
Serum lipid levels
Serum cholesterol level 6.9 mmol/L
Serum triglyceride levels 1.42 mmol/L [0.4 - 1.8]
Serum HDL cholesterol level 1.3 mmol/L
Serum non high density lipoprotein cholesterol level 5.6 mmol/L
Serum LDL cholesterol level 5.0 mmol/L
NB the calculation of LDL is valid only for a
fasting sample.
Serum cholesterol/HDL ratio 5.3

So though levels now higher they are not as much of a rise as I thought, Serum cholesterol/HDL actually seems to have dropped is now 5.1 was 5.3

but in the space of a year A1c has gone from 35 to 41 that does worry me.
 
Heck of a read @bulkbiker
And this last quote..massive rise .

".. men with cholesterol less than or equal to 156 mg/dl and hematocrit less than or equal to 41% died at a rate 42 times the rate of men with values above both thresholds...”
 
@bulkbiker Thanks for that link I take comfort from it.

I think that even though I know on an intellectual basis that the hype about cholesterol levels is just that hyperbole , having been bombarded for years with dire warning of eating too much fat and having high lipid levels. I still have that nervousness it has engendered at the back of my mind.

So I think maybe I will carry on living with the raised levels and possibly a bit longer than I would if I give in and take the statins

And possibly lower them a bit by adjusting diet if I feel it's necessary.

I have been doubtful of the benefits of statin use since watching Dr. Stephanie Seneff being interviewed by Dr Mercola some while ago now. She actually states that there are no circumstances under which she would ever take them.


But it's going to be a tough fight with HCP's

Edit I put the link up just in case anyone would like to watch it.
 
Last edited:
JohnEGreen said:
but in the space of a year A1c has gone from 35 to 41 that does worry me.
Click to expand...

Have you been relaxing with your testing? Maybe spend a week or two testing several times a day to see what is happening. Keep a record of your levels and see if you can spot something. In other words, go back to basics. It is worth a try. Or maybe splash out on a Libre. One or two sensors may be sufficient to see what is happening.
 
JohnEGreen said:
Had the results and am a little concerned not as I had hoped for.

HbA1c seems to have gone up now 41 mmol/mol

Total cholesterol and lipids on the high side.

Liver function tests
Serum alanine aminotransferase level 15 u/L [0.0 - 45.0]
Serum bilirubin level 6 umol/L [0.0 - 21.0]
Alkaline phosphatase level 41 u/L [30.0 - 130.0]
Serum albumin level 35 g/L [35.0 - 50.0]

Serum lipid levels

Serum cholesterol level 7.7 mmol/L
Serum triglyceride levels 1.96 mmol/L [0.4 - 1.8]
Above high reference limit
Serum HDL cholesterol level 1.5 mmol/L
Serum non high density lipoprotein cholesterol level 6.2 mmol/L
Serum LDL cholesterol level 5.3 mmol/L
NB the calculation of LDL is valid only for a
fasting sample.
Serum cholesterol/HDL ratio 5.1
Urea and electrolytes
Serum sodium level 141 mmol/L [133.0 - 146.0]
Serum potassium level 5.7 mmol/L [3.5 - 5.3]
Above high reference limit
Serum urea level 7.3 mmol/L [2.5 - 7.8]
Serum creatinine level 125 umol/L [70.0 - 120.0]
Above high reference limit

EGFR BY EPI
eGFR using creatinine (CKD-EPI) per 1.73 square metres 50 mL/min
GFR calculated by CKD-Epi formula (mL/min/1.73m2)
- for African-Caribbean multiply by 1.159. Not
valid in acute kidney injury, dialysis and
pregnancy. Please use Cockroft-Gault estimate
of creatinine clearance for drug dosing.
TOTAL PROTEIN ONLY
Serum total protein level 65 g/L [60.0 - 80.0]

Think I am going to have to change things a bit.

Edit to add blood count may be of interest.

Full blood count
Haemoglobin concentration 146 g/L [130.0 - 170.0]
Total white blood count 8.5 10*9/L [4.0 - 10.0]
Platelet count - observation 193 10*9/L [150.0 - 410.0]
Red blood cell count 4.46 10*12/L [4.5 - 5.5]
Below low reference limit
Haematocrit 0.437 L/L [0.4 - 0.5]
Mean cell volume 98 fL [83.0 - 101.0]
Mean cell haemoglobin level 32.7 pg [27.0 - 32.0]
Above high reference limit
Mean cell haemoglobin concentration 334 g/L [315.0 - 345.0]
Neutrophil count 6.5 10*9/L [2.0 - 7.0]
Lymphocyte count 1.2 10*9/L [1.0 - 3.0]
Monocyte count - observation 0.7 10*9/L [0.2 - 1.0]
Eosinophil count - observation 0.0 10*9/L [0.0 - 0.5]
Basophil count 0.1 10*9/L [0.0 - 0.1]
Nucleated red blood cell count 0.0 10*9/L
Click to expand...

Sorry if this reply sounds and reads a little trite, but if you wake up in the morning in your own bed, then then that's a positive result.
In my own opinion unless you are firstly a chemist and also a qualified medical doctor then one of the tactics of the medical profession is to confuse the patient with information overload, when the patient gets a little inquisitive.
I would be very happy with an A1c in the 40's. Mine was 55 last week.
Stay well and stay strong.
 
JohnEGreen said:
I am not overly concerned about raised lipids but would prefer them a bit lower nurse and doctor probably more worried about it than I.

But will run my figures through the calculator to see how bad the results are in the orthodox view, And to see if I need to make some real changes to diet to bring it back down.

Did so this is what I got.

Your Total Cholesterol of 7.70 is HIGH RISK
Your LDL of 5.30 is VERY HIGH RISK
Your HDL of 1.5 is NORMAL
Your Triglyceride level of 1.95 is BORDERLINE
RATIOS:
Your Total Cholesterol/HDL ratio is: 5.13 - (preferably under 5.0, ideally under 3.5) AT RISK
Your HDL/LDL ratio is: 0.283 - (preferably over 0.3, ideally over 0.4) AT RISK
Your triglycerides/HDL ratio is: 1.300 - (preferably under 1.74, ideally under 0.87) NORMAL

"but would prefer them a bit lower " well may be a lot lower.

Oops some changes required I think.
Click to expand...

John, personally I don't care about LDL or TC. Your HDL is good, your HDL/TRI ratio is good. If those were my levels (Taking age into consideration) probably the only reading I'd want to see a bit lower is the triglyceride level. As I understand it, there could be a number of reasons for it being borderline, so it's more active and reading higher. Possibly with the raised Hba1c it could be dealing with more inflammation, requiring greater energy output then it was a year ago. Any form of illness can raise inflammation. Levels do rise with age, there is more work for them to do. If you had low levels across the board, I'd be concerned a lot. That would, to me, be a sign the system is failing.

At the end of the day, take what I said with a grain of salt. This is your health, it's your decision what you do. I'm just posting a perspective of what it looks like to me. I'm not your GP or specialist as you well know. I do understand the anxiety this stuff does cause.
 
@Bluetit1802 I test every day for every meal very rare for me to miss testing.
Would love a libre each time I had the funds none available but I think will try to get a couple of sensors I have the app.

@alf_Josiah I take your point I know 41 is still below prediabetes level but it was the rise since last year from 35 to 41 wrong direction that threw me into a bit of a wobble.

@bulkbiker LOL and thanks for your input.

@Antje77 LOL and the photo is me on my birthday just been out for a meal with Judith and Melody.

@Tophat1900 Thanks you make very good points and I think your reasoning is sound. it was when looking at the results a little insecurity on my part, but as you say they are not as bad if thats even the right word as I at first thought and looking at bulkbiker's post I am now far less concerned about it. As you say could be many reasons for it.

I don't think I will be going down the statin route and I reckon my blood sugars can be brought back under control by diet so am not going to panic.
 
Well a small update here when I went for my retest on Tuesday which I had fasted for the test was not the fasting test for lipids as the DN had been under the impression it was going to be but for a Urea and Electrolytes Test no need to fast for I think.

So the doctor can't be that concerned over lipids maybe.

The results weren't much different still raised potassium 5.7 mmol/L
and raised Serum creatinine 133 umol/L

EGFR now 47 mL/min down from 50 mL/min

And now I think he wants to repeat the test again.
 
Yup third U and E' test booked for tomorrow that's one a week since 25th of February.
Well at least I know fasting not required.
 
got the results on line this morning.

Urea and electrolytes
Serum sodium level 137 mmol/L [133.0 - 146.0]
Serum potassium level 5.0 mmol/L [3.5 - 5.3]
Serum urea level 6.5 mmol/L [2.5 - 7.8]
Serum creatinine level 138 umol/L [70.0 - 120.0]
Above high reference limit
EGFR BY EPI
eGFR using creatinine (CKD-EPI) per 1.73 square metres 45 mL/min

Well potassium now down to top end of normal
creatinine gone up to 138 from 133 last week
and eGFR over the three tests gone from 50 to 47 to now 45

But doctor says no further action required.

So thats OK isn't it.
 
Back
Top