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<blockquote data-quote="ianf0ster" data-source="post: 2445056" data-attributes="member: 506169"><p>Hi [USER=541627]@Johosephat[/USER] We aren't allowed/able to give actual medical advice, but we can give our experience and our own viewpoints - which are just that <strong>our personal views!</strong></p><p><strong></strong></p><p>Your case seems quite straightforward:</p><p>Your GP can't force you to take any medication that you don't want to.</p><p></p><p>1. If you had made no lifestyle or dietary changes since January, then it would appear your vast improvement was at least mainly due to your medications. So at most only take small steps in trying reducing doses.</p><p></p><p>2. <strong>But</strong> you say you have <strong>been doing Low Carb and have lost a lot of weight, </strong>so at least so far as Blood Glucose is concerned, it's almost certain that the vast majority of the improvement is due to your lifestyle changes. Thus it's not unreasonable to cut the Metformin dose my as much as you feel you want to. <strong>Because your HbA1C is now all the way down into the 'normal range' </strong>and so no GP seeing you for the first time should have any reason to prescribe any Diabetes drugs if you were not already taking them.</p><p></p><p>3. Cholesterol is a different matter. Total cholesterol (which I think is what you listed) is pretty meaningless. What I feel matters most is that HDL should be near 1.0 or above (the higher the better), and your Triglycerides should be low- at least less than twice your HDL reading. Thus the ratio of Triglycerids divided by HDLl should be less than 2 (the lower the better).</p><p></p><p>However there are <strong>some</strong> Doctors who thing that LDL still matters most and take the view that it can't harm to reduce it to much lower levels than those they would start to prescribe statins at.</p><p></p><p>4. For many people, low carb improves all 3 lipid levels - HDL, Triglycerides and also LDL. But for some (like me) it only improves HDL and Triglycerides. See my signature for details of my HbA1C and Cholesterol results.</p><p></p><p></p><p></p></blockquote><p></p>
[QUOTE="ianf0ster, post: 2445056, member: 506169"] Hi [USER=541627]@Johosephat[/USER] We aren't allowed/able to give actual medical advice, but we can give our experience and our own viewpoints - which are just that [B]our personal views! [/B] Your case seems quite straightforward: Your GP can't force you to take any medication that you don't want to. 1. If you had made no lifestyle or dietary changes since January, then it would appear your vast improvement was at least mainly due to your medications. So at most only take small steps in trying reducing doses. 2. [B]But[/B] you say you have [B]been doing Low Carb and have lost a lot of weight, [/B]so at least so far as Blood Glucose is concerned, it's almost certain that the vast majority of the improvement is due to your lifestyle changes. Thus it's not unreasonable to cut the Metformin dose my as much as you feel you want to. [B]Because your HbA1C is now all the way down into the 'normal range' [/B]and so no GP seeing you for the first time should have any reason to prescribe any Diabetes drugs if you were not already taking them. 3. Cholesterol is a different matter. Total cholesterol (which I think is what you listed) is pretty meaningless. What I feel matters most is that HDL should be near 1.0 or above (the higher the better), and your Triglycerides should be low- at least less than twice your HDL reading. Thus the ratio of Triglycerids divided by HDLl should be less than 2 (the lower the better). However there are [B]some[/B] Doctors who thing that LDL still matters most and take the view that it can't harm to reduce it to much lower levels than those they would start to prescribe statins at. 4. For many people, low carb improves all 3 lipid levels - HDL, Triglycerides and also LDL. But for some (like me) it only improves HDL and Triglycerides. See my signature for details of my HbA1C and Cholesterol results. [B][/B] [/QUOTE]
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