Lipid Panel part Deux

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Lipid Panel part Deux


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Old 02-21-2014, 03:26   #1
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Default Lipid Panel part Deux

I received my results from the lipid panel I had done a couple of days ago and unfortunately they are not so good. This was my second attempt to try without the statin and all marks were as high as last time. It looks like I am the exception that proves the rule. The cholesterol readings don't bother me but the trigs are really high and I don't understand. Everything I have read about lowering trigs starts with " lower carbs ". Well I sure have done that. Other things are, stop smoking - I don't, stop alcohol - I don't, except for a glass of wine once in a while, exercise - I've been doing more lately than in the last few years. The interesting thing is that when I go back and look at my labs for the last few years, my trigs and cholesterol were all in the good range. The big difference was that I was taking a fibrate ( gemofibrozil ). A couple of years ago CVS sent my doctor a letter telling him it was dangerous to take it with a statin so he took me off. My trigs have been around 300 since then but he never seemed worried about that. The last time I saw him I asked him about letting me start it again and he refused. I know he will not stop the statin so that is one more reason to look for another doc. I may be one of the people that will have to stay on a statin but I'm still not convinced. One of the problems is that it may lower chol. and trigs but it lowers HDL also. I am looking into Niacin therapy and from what I have read it may be as good as a fibrate to lower trigs and raise HDL. One doctor has treated over 1000 patients with success. One thing I learned was that it needs to be fast acting and not slow release or extended release or liver damage can occur. I remember that the first time I was diagnosed with high chol. the doctor had me try Niacin and I remember the flushing but it wasn't that bad. I don't know why he stopped it but I think because he decided on a statin instead. Interesting how we sometimes have to be our own doctor but I am going to keep trying to see if I can do a better job.
I am certainly not going to change my diet, things are going too well with my bg control and I feel better than I have for a long time. It takes time to change and sometimes I think trial and error is the best way to learn.
I did buy some Niacin today without doing my homework and made a rookie mistake. It says niacin and under that it says Inositol Hexaniocotinate. This is a substitute for niacin and the information I got from a couple of sources says it is essentially worthless for therapeutic use and it is best to throw it away. Oh well, back to the drawing board. Well the saga continues and I will try this for a month and test again, although I understand it may take two or three months to take effect.

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Old 02-21-2014, 03:30   #2
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I think we may have another member who's triglycerides failed to drop with LCHF . . . I'll have to check with him on that. You may not be alone here, Wally, not that it's much consolation.




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Old 02-21-2014, 03:44   #3
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I've had high cholesterol since the 80's, had a stent placed in '04 due to angina and a blocked artery, been on 80mg simvastatin since. A couple of years ago my doc said my HDL was too low and my LDL too high in spite of being on the max dosage of statins. He wanted me to take a newer more expensive drug. I told him I'd work hard on my diet and exercise more. I got it down to what he feels is acceptable as of last November. Mid Dec. I started LCHF to lower my BG and it's working great. I will have a blood test in a couple of weeks to see where my lipids are. Crossing my fingers!

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Old 02-21-2014, 03:46   #4
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Thanks Shanny, I think it's probably a genetic thing and I think that there is probably a way to bring them down. I know that when I was taking the fibrate all my levels were normal. I am going to search for another doctor for this and my D as this one is no help. It will be probably a couple of months and I may have to drive a ways but it will be worth it. I'm really not stressed about it, I just want to find a solution if I can. Part three to follow.

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Old 02-21-2014, 06:21   #5
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Some people (genotypes) are not able to process fats very well and tend to have high cholesterol levels on LCHF. Whether that is a risk factor or not, is a completely different question. Maybe the answer lies in substituting some fats with very complex slow carbs coming from green leafy vegetables.
I've found Dr Daysping at Cardiology, Diabetes Care, Lipidology News, Articles & Treatments very informative on the subject.

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Old 02-21-2014, 15:25   #6
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Thanks SKB, I have seen Dr. Dayspring interviewed twice and find him very informative quite interesting. I will keep looking into ways to improve. I am not too worried about the cholesterol but he trigs need to come down and the HDL needs to come up. Interesting is that my HDL without the statin did come up above 40 from 28. Not stellar but a definite improvement.

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Old 02-21-2014, 15:47   #7
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I still wouldn't worry.
Even attia talks about how 1/3 of people lipid numbers go up, 1/3 stay the same, 1/3 come down.
Most important is your BG. Otherwise I just won't worry about my lipids one way or the other.

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Old 02-21-2014, 15:57   #8
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I used niacin for 15 yrs. Please do some research -- niacin has been identified as causing T2D! I would never use it again -- after diagnosis it made my blood sugars high and unpredictable!

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Old 02-21-2014, 16:06   #9
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Thanks Donna, actually I'm not worried about it, just puzzled, but I am going to look at how I can improve if I can. Maybe if I find something out it can help somebody else. I have been reading Jenny Ruhls new book, Diet:101, and my conclusion is that controlling blood sugar is job one and I have had pretty good success with that. She refers to a study that was looking into how blood sugar affected cancer and found that A1c was an excellent predictor of cardiovascular risk. A1c below 6.0 had a slightly higher risk, 6.0 to 6.5 up to twice the risk, below 5.5 roughly normal. These findings were validated by two different analyses ( Selvin 2005, and Selvin 2010 ) . Even more important is pp blood sugar as it turns out to be a better marker. So I still look at controlling bg as job one.

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Old 02-21-2014, 16:16   #10
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Quote:
Originally Posted by foxl View Post
I used niacin for 15 yrs. Please do some research -- niacin has been identified as causing T2D! I would never use it again -- after diagnosis it made my blood sugars high and unpredictable!
Thanks Linda, I plan to do research and so far have found proponents and detractors which I guess is normal. One doctor who uses Niacin as treatment cautioned that you need to use only fast acting and not er or slow release. The reason was that slow release keeps Niacin in the blood for the whole time between doses and the body does not have a chance to clear it which can cause liver and kidney damage. The fast acting will cause flushing which people want to avoid but if you take it all at once or twice a day the body has a chance to clear it out and prevent problems. How it affects bg only time will tell but at least I can keep watch on that.

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