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09-30-2009, 10:55 AM
|  | Senior Member
I am a: Pre-Diabetic | | Join Date: Jun 2008 Location: Greater San Diego area
Posts: 1,426
| | | Well, I got back the results from my lipids panel (blood drawn last week):
Total cholesterol: 337 (down from 369 last time)
LDL: 250 (down from 287 last time)
HDL: 79 (up from 65 last time)
Triglycerides: 41 (down from 88 last time)
My doctor called. She wants me to start a statin. I made an appointment to go see her; I am going to gird my loins. (Last November, I was prepared for the same discussion, but my PCP was out on maternity leave, and I spoke to her partner, who understood, and accommodated, my concerns. My PCP is much more alarmed about high cholesterol than is her partner.)
I wish my HMO would do a more detailed breakdown of the varying types of LDL, but they don't.
__________________
Dx prediabetic 02/08 (FBG 127 and 123)
A1c 02/08: 6.5; A1c 05/08: 6.0
A1c 11/08: 5.5; A1c 03/09: 5.3
A1c 09/09: 5.4
No meds
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09-30-2009, 11:01 AM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,282
| | Wow! Those HDL and Trigs levels are fabulous  -- it really frustrates me that the guidelines our Doctors use, still focus so much on just the LDL. I'd seriously be pushing them for a test of LDL particle size. Good Luck!
In case you haven't seen it already please refer back to the link -- concerning LDL particle size -- I provided in an earlier post to this thread. Print a copy out for your Doctor... it is not controversial just new. Trigs < 70 shows that all your LDO is made up of the relatively harmless "large fluffy particles" which have a greater volume and this can result in a higher reading.
It's really about time they dropped this "Total Cholesterol" and "High Cholesterol" speak... you WANT your HDL to be high... and high HDL leads to High Total Cholesterol..!
__________________
Frank
51 year old male, Metabolic Syndrome Dx Mar. 2003 |
09-30-2009, 11:11 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Jun 2009 Location: Missouri Ozarks
Posts: 1,887
| | | Splendid numbers for HDL & trigs!
I have to admit lovastatin has helped me, but I DO hope to get off it in a few months when I have my next blood work. If I can just get my trigs down & my HDL up, doc might listen to me. Good luck with your doc!
__________________  "Reputation is what others know about you.
Honor is what you know about yourself." Lois McMaster Bujold "Courage is not the towering oak that sees storms come and go;
it is the fragile blossom that opens in the snow." Alice Mackenzie Swaim
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09-30-2009, 11:58 AM
| | Senior Member
I am a: Pre-Diabetic | | Join Date: Jun 2008 Location: Greater San Diego area
Posts: 1,426
| | Quote:
Originally Posted by fgummett  Wow! Those HDL and Trigs levels are fabulous -- it really frustrates me that the guidelines our Doctors use, still focus so much on just the LDL. I'd seriously be pushing them for a test of LDL particle size. Good Luck!
In case you haven't seen it already please refer back to the link -- concerning LDL particle size -- I provided in an earlier post to this thread. Print a copy out for your Doctor... it is not controversial just new. Trigs < 70 shows that all your LDO is made up of the relatively harmless "large fluffy particles" which have a greater volume and this can result in a higher reading.
It's really about time they dropped this "Total Cholesterol" and "High Cholesterol" speak... you WANT your HDL to be high... and high HDL leads to High Total Cholesterol..! | Thanks, Frank--I intend to take that article along--as well as some other materials I've printed out, and maybe Uffe Ravnskov's "Fat and Cholesterol are Good for You."
__________________
Dx prediabetic 02/08 (FBG 127 and 123)
A1c 02/08: 6.5; A1c 05/08: 6.0
A1c 11/08: 5.5; A1c 03/09: 5.3
A1c 09/09: 5.4
No meds
|
09-30-2009, 12:14 PM
| | Junior Member
I am a: Type 2 | | Join Date: Sep 2009 Location: Denver, CO
Posts: 17
| | Instead of the fish oil for the omegas, what about Barleans Total Omega Vegan Swirl? Scroll down for it.
It does have 5g carbs and 3g Xylitol, but it also has good amounts of Omega 3, 6 and 9.
* Complete and Balanced Vegan Omega Nutrition
* Delicious All - Natural Pomegranate/Blueberry Flavor
* Made with Organic Flaxseed Oil
* Pure Borage Oil
* 100% Vegetarian Plant-Based DHA
I swear by their Omega Man supplement.
Have a great Day!
Brian
__________________
Diagnosed Type 2 9/23/2009
HgbA1c 14
Avg Blood Sugar from HgbA1c 355
BG 300+
Triglyceride 108
HDL 60
LDL 126
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10-03-2009, 11:53 AM
| | Senior Member
I am a: Pre-Diabetic | | Join Date: Jun 2008 Location: Greater San Diego area
Posts: 1,426
| | Quote:
Originally Posted by ShottleBop Well, I got back the results from my lipids panel (blood drawn last week):
Total cholesterol: 337 (down from 369 last time)
LDL: 250 (down from 287 last time)
HDL: 79 (up from 65 last time)
Triglycerides: 41 (down from 88 last time)
I wish my HMO would do a more detailed breakdown of the varying types of LDL, but they don't. | Got the actual mailed-in results yesterday. My CALCULATED LDL was 250, the directly-measured number was 219. Cleaning my desk the other day, I found the stickies on which I had written my results from last August:
Total cholesterol: 269
LDL: 194
HDL: 48
Trigs: 77
So, in a little over a year, my LDL number has gone from 194 to 219 (up only 25). My HDL (maybe 41 at diagnosis in February 2008) has gone from 48 to 79, and my trigs have gone down by nearly half.
Based on what I've read, my LDL has GOT to be the large, fluffy kind, and the volume-based measurement the test uses has got to be giving an exaggerated view of the actual number of LDL particles. My Total Cholesterol/HDL ratio is just over 4:1 (places me at low-to-average risk, if you buy into the ratios); my LDL/HDL level is less than 3:1 (again, a low-to-average risk), and my Triglyceride/HDL/Triglyceride level is just under 1:2 (anything under 2:1 is considered "ideal"). (Just marshalling facts for my talk with my PCP.)
__________________
Dx prediabetic 02/08 (FBG 127 and 123)
A1c 02/08: 6.5; A1c 05/08: 6.0
A1c 11/08: 5.5; A1c 03/09: 5.3
A1c 09/09: 5.4
No meds
|
10-03-2009, 12:12 PM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,282
| | That PDF I posted above seems quite unequivocal that Trigs < 70mg/dl are indicative of only the relatively harmless large fluffy LDL particles. Quote: |
The LDL value reported to clinicians is the summed contribution in mg of LDL particles in a deciliter of plasma. LDL particles are, however, heterogeneous in size, density, and composition. A growing body of evidence suggests that LDL particles that are small and dense are more atherogenic than those which are large and “fluffy.” Thus, two patients with the same LDL measurement in mg/dl may have differing levels of cardiovascular risk depending on the relative proportions of small, dense and large, fluffy particles.
| Quote: |
Observational and epidemiological studies suggest those having a predominance of small, dense particles may have an increase in risk up to 300 percent greater than those having a predominance of large and fluffy LDL particles.
| Quote: |
Individuals with [Triglycerides] below 70 do not have small, dense LDL.
| In case you missed it I posted another article that echoes these same findings... Small LDL and Its Clinical Importance as a New CAD Risk Factor
__________________
Frank
51 year old male, Metabolic Syndrome Dx Mar. 2003 |
10-03-2009, 01:34 PM
| | Senior Member
I am a: Pre-Diabetic | | Join Date: Jun 2008 Location: Greater San Diego area
Posts: 1,426
| | | Oh, I've printed that one out, fgummett. (I registered with Medscape last year; it's free.) I'm still deciding if I want to rely too much on that one, since it's geared toward females--although it does mention some statistics relating to males, as well.
__________________
Dx prediabetic 02/08 (FBG 127 and 123)
A1c 02/08: 6.5; A1c 05/08: 6.0
A1c 11/08: 5.5; A1c 03/09: 5.3
A1c 09/09: 5.4
No meds
|
10-03-2009, 01:36 PM
| | Senior Member
I am a: Type 2 | | Join Date: Mar 2008 Location: Nova Scotia, Canada
Posts: 5,282
| | | The later case study is for a female but the first part of the article is general. You might also print off the CDA Guidelines on Dyslipidemia, also posted in the other thread.
__________________
Frank
51 year old male, Metabolic Syndrome Dx Mar. 2003 |
11-04-2009, 07:39 AM
| | Member
I am a: Type 2 | | Join Date: Feb 2009 Location: South Carolina
Posts: 422
| | | "... calculated LDL may have little resemblance to your actual LDL measurement. The formula is greatly affected by your triglyceride level: LDL Cholesterol = Total Cholesterol - HDL - (TG / 5)."
So, Shottlebop, is there a way to find out what the actual vs calculated LDL is? I'm just curious as I try to make some decisions based on recent lab results.
Linda, I'm not trying to hijack your thread ... just found this information in a search for clarification.
__________________  Barrie
DX T2 Sept 1999
Metformin 1000 mg
Lantus 16 units
Prandin based on carb load
Ramipril 10 mg
Crestor 20 mg
Multivitamin, B-12, D-3 daily
|
11-04-2009, 08:05 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 5,433
| | Quote:
Originally Posted by plattb1
Linda, I'm not trying to hijack your thread ... just found this information in a search for clarification.
| Have at it! I am reading right along ...
One of the things that influenced my decision, BTW is the appearance of calcium deposits on my mammo ... which were determined to be vascular in origin. Ie atherosclerosis.
__________________
Linda Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5% 
Jul ... C-pep 1.3, GAD-65 > 30
metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8 According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA. |
11-04-2009, 08:40 AM
| | Member
I am a: Type 2 | | Join Date: Feb 2009 Location: South Carolina
Posts: 422
| | | Thanks, Linda! Fortunately, my mammograms have all (cross fingers here!) been normal.
__________________ Barrie
DX T2 Sept 1999
Metformin 1000 mg
Lantus 16 units
Prandin based on carb load
Ramipril 10 mg
Crestor 20 mg
Multivitamin, B-12, D-3 daily
|
11-04-2009, 09:20 AM
| | Member
I am a: Type 2 | | Join Date: Oct 2009 Location: Boston
Posts: 117
| | | The whole cholesterol thing drives me nuts. My doctor is bugging me about my HDL, and I do olive oil, fish oil and all kinds of healthy fats. Ugh.
My total was 231 last time I went in, HDL was at 33.
Now being high protein I can only imagine my cholesterol is going to go up, even with my exercise!
God, depressing stuff.
__________________
*~*Angela age 33*~*
Type 2 Diabetic
Changes:
10/8/09: 143 pounds 11/20/09 127
Medicine: Lantus (Started 10/8/09)
Metformin 500 2x daily (Started 10/19/09)
Lisinopril 5mg, up from 2.5 (Started 11/20/09), for my kidneys
100mg Effexor 2x daily, for anxiety
Buspar 2x daily as needed, for anxiety(Started 11/20/09
Alpha-Lipoic Acid 600mg
Omega 3 Mood, 2 capsules(2000mg)
Chromium 400mcg
Women's Ultra Mega Multivitamin(Gnc)
Last A1C, 8.5 after having a 10 on 10/8/09
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11-04-2009, 09:23 AM
| | Member
I am a: Type 2 | | Join Date: Feb 2009 Location: South Carolina
Posts: 422
| | | Angela, have you tried niacin? An earlier post in this thread suggests it could help. But, I like the blueberry suggestion even better!
__________________ Barrie
DX T2 Sept 1999
Metformin 1000 mg
Lantus 16 units
Prandin based on carb load
Ramipril 10 mg
Crestor 20 mg
Multivitamin, B-12, D-3 daily
|
11-04-2009, 09:27 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 5,433
| | Quote:
Originally Posted by plattb1 Angela, have you tried niacin? An earlier post in this thread suggests it could help. But, I like the blueberry suggestion even better! | Yes, Niacin raises HDL ... but you must be sure to ramp up the dose, and take the fast acting (or prescribed niaspan), as the slow-release stuff can cause much more liver damage. I was on it for years. My Endo loves it. My internist thinks it can mess with your blood sugar control -- appears to have had clinical experience with that.
__________________
Linda Initial A1c Feb 6 09: 12%
Aug 24 A1c (MD office) 5.5%
Jul ... C-pep 1.3, GAD-65 > 30
metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.8 According to Joslin's Diabetes, 2005 ed., 5 - 30% of those diagnosed as Type 2 actually have LADA. |
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