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Statins. What happens if I don't take them?
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<blockquote data-quote="NewdestinyX" data-source="post: 203600" data-attributes="member: 35544"><p>This is the hardest part for me too. The constant battles every time I'm there. In the US they're required by 'some insurance guideline with Managed Care plans' to get all diabetics on statins. We're considered STAGE 2 prevention (as if we'd already had one heart attack regardless of our level of BG control currently). Most of the newer research shows we're NOT Stage 2 prevention.</p><p></p><p>One sensible guideline I've read -- is to have something called a VAP test. It's a blood test that differentiates between the 'fluffy' cholesterol parts of your LDL cholesterol and the 'dense small' particles that really are the particles that stick to the artery walls. That test and a C-REactive Protein which shows the level of heart inflammation in the body together tell the picture of whether a statin is a good bet. If your CRP is above 1.0 (and you haven't a recent internal issue like gall bladder problems, etc) and your VAP shows equal A/B particles or more B (dense) particles than A -- then statins, despite their potential side effects are an important 'must try' for you. If however your particle size is more 'A' weighted on the scale in the VAP test and your CRP shows levels at or under 1.0 -- even as a diabetic you can steer away from the statins - in my humble informed view..</p><p></p><p>But the 'fights with the GP' who wants to paint with a broad brush are at times 'demeaning'.. :?</p></blockquote><p></p>
[QUOTE="NewdestinyX, post: 203600, member: 35544"] This is the hardest part for me too. The constant battles every time I'm there. In the US they're required by 'some insurance guideline with Managed Care plans' to get all diabetics on statins. We're considered STAGE 2 prevention (as if we'd already had one heart attack regardless of our level of BG control currently). Most of the newer research shows we're NOT Stage 2 prevention. One sensible guideline I've read -- is to have something called a VAP test. It's a blood test that differentiates between the 'fluffy' cholesterol parts of your LDL cholesterol and the 'dense small' particles that really are the particles that stick to the artery walls. That test and a C-REactive Protein which shows the level of heart inflammation in the body together tell the picture of whether a statin is a good bet. If your CRP is above 1.0 (and you haven't a recent internal issue like gall bladder problems, etc) and your VAP shows equal A/B particles or more B (dense) particles than A -- then statins, despite their potential side effects are an important 'must try' for you. If however your particle size is more 'A' weighted on the scale in the VAP test and your CRP shows levels at or under 1.0 -- even as a diabetic you can steer away from the statins - in my humble informed view.. But the 'fights with the GP' who wants to paint with a broad brush are at times 'demeaning'.. :? [/QUOTE]
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