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What's the test to identify the large, fluffy LDL component?
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<blockquote data-quote="forty six" data-source="post: 679157" data-attributes="member: 72202"><p><span style="color: #404040">Thank you for these links I have sat and read through the NICE document again this evening. What is interesting is that all the the way through they are advising Dr's to discuss lifestyle with the patient before offering statin therapy. In the section listed as 'Primary Prevention' this is what it says:</span></p><p><span style="color: #404040"></span></p><p><span style="color: #404040">Before offering statin treatment for primary prevention, discuss the benefits of lifestyle modification and optimise the management of all other modifiable CVD risk factors if possible. Recognise that people may need support to change their lifestyle. To help them do this, refer them to programmes such as exercise referral schemes. Offer people the opportunity to have their risk of CVD assessed again after they have tried to change their lifestyle. If lifestyle modification is ineffective or inappropriate offer statin treatment after risk assessment. </span></p><p><span style="color: #404040"></span></p><p><span style="color: #404040">I do not know of anyone who has been diagnosed with T2 who has been offered 'lifestyle information' first. In fact when I was diagnosed it was over the phone and was told that 2 prescriptions would be waiting for me at reception and I would be on them for the rest of my life. One was for statins. When I protested I was told I had no choice as my sugar levels were so high. My diagnosis level after my OGTT was 11.1. The first thing I did was buy a testing kit and have managed to maintain my sugars at a reasonable level.</span></p><p><span style="color: #404040"></span></p><p><span style="color: #404040">Also I have completed the risk assessment tool and discovered that my risk is 4.6%. The most interesting thing is that this tool is basically saying that::</span></p><p><span style="color: #404040"></span></p><p><span style="color: #404040">If I were in a room with 100 other people with the same risk factors as myself I would be one the 5 to have a heart attack or stroke.</span></p><p><span style="color: #404040"></span></p><p><span style="color: #404040">How likely is it for that to happen, exactly the same risk factors, please they are having a laugh.</span></p><p><span style="color: #404040"></span></p><p><span style="color: #404040">I give up.</span></p></blockquote><p></p>
[QUOTE="forty six, post: 679157, member: 72202"] [COLOR=#404040]Thank you for these links I have sat and read through the NICE document again this evening. What is interesting is that all the the way through they are advising Dr's to discuss lifestyle with the patient before offering statin therapy. In the section listed as 'Primary Prevention' this is what it says: Before offering statin treatment for primary prevention, discuss the benefits of lifestyle modification and optimise the management of all other modifiable CVD risk factors if possible. Recognise that people may need support to change their lifestyle. To help them do this, refer them to programmes such as exercise referral schemes. Offer people the opportunity to have their risk of CVD assessed again after they have tried to change their lifestyle. If lifestyle modification is ineffective or inappropriate offer statin treatment after risk assessment. I do not know of anyone who has been diagnosed with T2 who has been offered 'lifestyle information' first. In fact when I was diagnosed it was over the phone and was told that 2 prescriptions would be waiting for me at reception and I would be on them for the rest of my life. One was for statins. When I protested I was told I had no choice as my sugar levels were so high. My diagnosis level after my OGTT was 11.1. The first thing I did was buy a testing kit and have managed to maintain my sugars at a reasonable level. Also I have completed the risk assessment tool and discovered that my risk is 4.6%. The most interesting thing is that this tool is basically saying that:: If I were in a room with 100 other people with the same risk factors as myself I would be one the 5 to have a heart attack or stroke. How likely is it for that to happen, exactly the same risk factors, please they are having a laugh. I give up.[/COLOR] [/QUOTE]
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