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okay don'ch'yall jump on me ... LinkBack Thread Tools Display Modes
  #1 (permalink)  
Old 09-22-2009, 10:18 AM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,435
okay don'ch'yall jump on me ...

I am moderately low-carbing, AND taking statins. And freely eating dairy fats -- 1 - 2 oz cheese per day, plus eggs (about 6 per week) and butter and cream ...

Last week lipids:
Total = 162
HDL = 43
LDL calculated = 102

and my Endo is now doubling my Simvastatin.

I will be discussing adding back my Niacin to substitute at least half of that, in November. I cannot think of a more practical way of bringing up that pesky HDL. I don't drink EtOH, or not often.

I am using a generic statin ... and I am going along with lipid-lowering measures, because I am a bit of a wimp: both my parents died of Alzheimer's.
__________________
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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  #2 (permalink)  
Old 09-22-2009, 10:25 AM
princesslinda's Avatar
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I am a: Type 2
 
Join Date: Dec 2006
Location: Knoxville, TN
Posts: 10,080
Linda, have you tried Fishoil? My HDL was 23 and doc told me meds wouldn't really help with that, that I should try exercise, red wine at bedtime and fish oil. 3 months after that I was at 46 and am around 48 now. I have a small glass of red wine abuot 3-4 nights a week (hate the taste, but I sleep well! ).

I use the Vitamin World fish oil, 3 caps a day (which I take all at once at bedtime, it's just easier for me that way).
__________________
T2, diagnosed 8/31/06.
Metformin 500 mg twice daily
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets


Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (after dealing with shingles & bronchiti)
2/09: 5.5
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  #3 (permalink)  
Old 09-22-2009, 10:26 AM
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I am a: Type 2
 
Join Date: Mar 2008
Location: Nova Scotia, Canada
Posts: 5,283
what were your Trigs..?
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Frank
51 year old male, Metabolic Syndrome Dx Mar. 2003
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  #4 (permalink)  
Old 09-22-2009, 10:27 AM
notme's Avatar
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I am a: Type 1
 
Join Date: Aug 2003
Location: Northern California
Posts: 9,311
I tried fish oil and flax seed oil. Neither one liked my stomach much! I wish that had worked.
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Nancy


Kind words can be short and easy to speak but their echoes are truly endless.

Mother Teresa


diagnosed type 1 October 1986
currently using Medtronic MiniMed
paradigm 715
CLEAR
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  #5 (permalink)  
Old 09-22-2009, 10:34 AM
Abra's Avatar
Member
I am a: Type 2
 
Join Date: Jul 2009
Location: France
Posts: 186
I thought that exercise is the recognized best way to raise your HDL?
__________________
Dx 7/09
A1c @ Dx 7.2
Lisinopril/HCTZ
Synthroid
Vitamin D
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  #6 (permalink)  
Old 09-22-2009, 10:40 AM
Senior Member
I am a: Type 2
 
Join Date: Aug 2008
Location: columbus ohio
Posts: 3,769
well, Okay, i am backing ya!
__________________
July 31st 08 10.5
Sept 08 8.3
Oct 21 7.1
Nov21 6.2
March 23 09 5.8
july 5.9 1 year D!!!

lo carb under 50g a day and excersize
calorie restriction
quinipril- 5 mg a day
metformin ER 500 a day
80 mg varapimil 3 x a day

I LOVE YOU!
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  #7 (permalink)  
Old 09-22-2009, 10:41 AM
Scratch's Avatar
Senior Member
I am a: Type 1
 
Join Date: Oct 2006
Posts: 1,325
Quote:
Originally Posted by Abra View Post
I thought that exercise is the recognized best way to raise your HDL?
Don't know if there is anything defnitive on that, but it's a strong correlation that physically active people tend to have higher HDL levels.
__________________
MDI, Lantus and Novolog
A1c 10/09 -- 5.8%
A1c 4/09 -- 5.7%
A1c 10/08 -- 5.4%
A1c 4/08 -- 5.7%
A1c 8/07 -- 5.6%
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  #8 (permalink)  
Old 09-22-2009, 10:41 AM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,435
Abra with 3 little kids I am about at my exercise limit, which is not very much (about 150 min per week ( ).

Frank, WOULD YA BELIEVE, I did not ask about my trigs ... (and they are not copying my results to me dan g it) they were normal, like 100, about a year ago, pre-dx but not entirely pre-symptoms ...

princesslinda, I do not take fish oil, as a vegetarian. I do take flax oil, 2000 mg per day.

The BIG BATTLE for the last, oh, 18 years, has been low HDL. I can run my patooty off and STILL have low HDL. So here we go again. Maybe I should take up drinking to make 'em shut up?
__________________
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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  #9 (permalink)  
Old 09-22-2009, 10:43 AM
princesslinda's Avatar
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I am a: Type 2
 
Join Date: Dec 2006
Location: Knoxville, TN
Posts: 10,080
Duh! Forgot you were vegetarian. Guess fish oil wouldn't work for you.
__________________
T2, diagnosed 8/31/06.
Metformin 500 mg twice daily
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets


Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (after dealing with shingles & bronchiti)
2/09: 5.5
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  #10 (permalink)  
Old 09-22-2009, 10:46 AM
Senior Member
I am a: Type 2
 
Join Date: Mar 2008
Location: Nova Scotia, Canada
Posts: 5,283
I gotta just suggest that Trigs and HDL may be more significant than LDL. And voice a concern about the side-effects of Statins.

LDL is by volume... but LDL comes in different sized particles... Beyond Routine Cholesterol Testing: The Role of LDL Particle Size Assessment
Quote:
by Paul E. Lemanski, MD, MS, director of the Center for Preventive Medicine and Cardiovascular Health, Prime Care Physicians, P.C., and assistant clinical professor of medicine at Albany Medical College
...
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.
...
Individuals with [Triglycerides] below 70 do not have small, dense LDL.
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51 year old male, Metabolic Syndrome Dx Mar. 2003
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  #11 (permalink)  
Old 09-22-2009, 10:49 AM
Member
I am a: Type 2
 
Join Date: Jul 2009
Posts: 168
Quote:
Originally Posted by foxl View Post
Abra with 3 little kids I am about at my exercise limit, which is not very much (about 150 min per week ( ).

Frank, WOULD YA BELIEVE, I did not ask about my trigs ... (and they are not copying my results to me dan g it) they were normal, like 100, about a year ago, pre-dx but not entirely pre-symptoms ...

princesslinda, I do not take fish oil, as a vegetarian. I do take flax oil, 2000 mg per day.

The BIG BATTLE for the last, oh, 18 years, has been low HDL. I can run my patooty off and STILL have low HDL. So here we go again. Maybe I should take up drinking to make 'em shut up?
Were your numbers up since the lasts tests, Linda? Sorry if I missed where you might have said whether they were or weren't. I know my sister (who isn't diabetic) had horrible numbers and she had to go on medicine to correct them. I hope they move in the direction you need them to. I wish my Dr. would have ordered some new tests. I'd like to know what mine are since the last test in May.
__________________
Mia

Diagnosed Type II - 4/9/09, A1c - 13.7
Metformin 2 - 500 MG tablets 2x a day
1 baby aspirin daily
4/09 - A1c - 13.7
6/09 - A1c - 7.5
7/09 - A1c (Bayer at home test) 6.5
9/22/09 - A1c - 5.4
2 OmegaXL gelcaps
1 - 2000 Vitamin D gelcap
1 multivitamin
1 tablet sellenium
BP taken daily using
BP monitor with self-inflating cuff
Ave - 111/69
weight - 132 lbs.


"For everything there is a season, and a time for every matter under heaven"
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  #12 (permalink)  
Old 09-22-2009, 10:54 AM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,435
Quote:
Originally Posted by MrsMia View Post
Were your numbers up since the lasts tests, Linda? Sorry if I missed where you might have said whether they were or weren't. I know my sister (who isn't diabetic) had horrible numbers and she had to go on medicine to correct them. I hope they move in the direction you need them to. I wish my Dr. would have ordered some new tests. I'd like to know what mine are since the last test in May.
No, they are down from a year ago. My Endo (who I started with Aug 24) is new to my lipids, is all.

Guess I am gonna die with lovely clean arteries ... perhaps. And considering the retinologist could see arterial stenosis ... I want to keep em clean!

Frank, I will be absolutely vigilant in monitoring side effects. I have read the controversy, of course, at length, I am just still hedging my bets, here ...

PrincessL, even the flax caps I buy are still gelatin-based which violates my dietary beliefs ... but realisticially, not my budget or sense of realism (it always comes down to 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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  #13 (permalink)  
Old 09-22-2009, 11:01 AM
ShottleBop's Avatar
Senior Member
I am a: Pre-Diabetic
 
Join Date: Jun 2008
Location: Greater San Diego area
Posts: 1,428
There is some concern, foxl, that using statins to lower cholesterol can actual hurt cognitive functioning--statins work by inhibiting the production of cholesterol, and cholesterol is needed for the proper functioning of your neurons. You might check out the UCSD Statin Effects Study, or spacedoc.net.

Also, 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). Moreover, your triglyceride level is not a very stable number, being highly affected by your diet.
__________________
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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  #14 (permalink)  
Old 09-22-2009, 11:03 AM
Senior Member
I am a: Type 2
 
Join Date: Mar 2008
Location: Nova Scotia, Canada
Posts: 5,283
OK... last nag.. I promise...

Being vigilant -- I still think it is important to find out what your Trigs are.

and -- if I read right -- doubling the Simvastatin won't help with your HDL level.

and any studies I have found which even suggest any association between blood cholesterol levels and CVD were on middle-aged men NOT women (and I'm not saying you are middle-aged... just not a man )

Be well
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51 year old male, Metabolic Syndrome Dx Mar. 2003
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  #15 (permalink)  
Old 09-22-2009, 11:15 AM
Senior Member
I am a: Type 1.5
 
Join Date: Feb 2009
Location: KCMO
Posts: 5,435
Yah Frank, we have been all over this about women and statins ...

And Shottle, I know about the cognitive side effect -- and will be watching closely! As will my husband who about threw a fit when I agreed to try the higher dose.

As I said I would like to get back on my niacin, it raises HDL for one thing, and I was on it fro what, 15 yrs before D diagnosis and it MAY protect beta cells, as well ... and I will discuss further at next appt, at a minimum.

Stay posted -- it might become fun. Or not.
__________________
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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