HDL Help...

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HDL Help...


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Old 10-12-2017, 20:50   #1
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Default HDL Help...

Hello,

I have T2D. I started an LCHF/Keto lifestyle once again, but this time I have included intermittent fasting(16/8). I started this on 9/18/17. At first it was difficult, but I am feeling really good now. I have been able to completely come off insulin and have reduced my Metformin from 2000mg/day to 1500mg/day so far, but I am still on a blood pressure medication. Blood sugars are looking good and I have lost 10lbs since starting. All good stuff, but my concern is my cholesterol. I had blood drawn on 10/6/17 for my Dr.'s appointment today. My Dr. compared my labs to the ones taken 4 months ago and my cholesterol total went from 202 to 183, but my HDL cholesterol has gone down from 36 to 26. Also, my Cholesterol/HDL Ratio went from 5.5 to 7.0. My LDL stayed basically the same at 125 and my triglycerides went from 201 to 198. Due to these findings my Dr. said I am a high risk for heart attack.

So, here's my question, of course my Dr. wants to put me on a Statin right away of which I told him no, but I'd be lying if I didn't say that I am concerned. Although I have only been back on LCHF/Keto for a few weeks and should maybe just be a little more patient, I would like to know if this is normal with LCHF/Keto and with time it work itself out, or, should I be concerned? Thank you in advance for any help you can offer.

Rainman...

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Old 10-13-2017, 06:26   #2
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Hi Rainman,

Starting LCHF usually raises cholesterol initially but it tends to come down after being on it for a while. How long? Maybe a year, maybe more, maybe less. It is different for everyone.

An important cholesterol ratio to pay attention to would be triglycerides/HDL, ideally being 2:1 and lower for minimizing risk, your ratio is close to 8:1. It is more meaningful than the cholesterol/HDL ratio they like to show on your lab results. Most statins do not raise HDL and lower triglycerides and the risk may not be worth the benefits, you should do your homework on researching them and decide if it may be beneficial for you.

HDL should start showing an increase and that would be a good thing. You may want to tell us more about what foods you are eating, what fats are you eating, how many grams of fats, proteins, and carbs you are having a day. Reducing omega 6 fatty acid rich foods and increasing omega 3 fatty acid rich foods should help.

LCHF should lower triglycerides, because it is usually the carbs in ones diet that become the triglycerides circulating in your blood. Carbs convert to glucose and being diabetic, not all that glucose is being used and eventually the liver starts converting some of that glucose into triglycerides to be stored in fat cells for future energy needs. Do note that when losing weight, body fat, those stored triglycerides are back in circulation again to be used to converted to energy, keeping the tested levels elevated. As your weight loss starts leveling out, your triglyceride levels should start testing lower.

My numbers took a while to come down but they did. You can see my latest lipid test in my signature, my ratio is less than 1:1

__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20

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Old 10-13-2017, 12:25   #3
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Hi Rainman

If you do wind up having to take a statin be careful the majority will indeed raise your fasting blood glucose. I was on a atorvastatin generic for Lipitor at 10mg the low dose just for risk reduction and I noticed real quick my daily numbers were increasing. Where I was averaging FBG around 113 on the statin to close to 140 each; that is a large amount and it will raise your A1C. I showed my physician my daily readings and advised if I were to go on a statin then it would have to be pravastatin generic for Pravachol. This particular statin is not as aggressive as the others in terms of lowering cholesterol and was the only one where FDA exempted the manufacturer to change their label that the product would raise your blood sugar. So, now I am on a pediatric dose of pravastatin 20mg just for risk reduction even though there is no CVD in my family. Will see a few months from now how my numbers fair; no ill effects from pravastatin so far and I have been on it for about three weeks.

Any questions please feel free to ask.

Best of Luck!

Regards,

fjk2013

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