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Discussion Starter · #1 ·
Hi, I've been lurking here for a bit and got some great info, now decided to make it official to join the "exclusive" group. Here is a little background, I was dx with GD with my son and was insulin dependent from 30wks on, took NPH before bedtime, I was induced at 39wks6days, delivery was uneventful and the baby's blood sugar was normal. 2months after the delivery, I was dx with type II for HbA1C of 6.5. After being on LC diet,weight loss and workout, my HbA1C went down to 6.0, FSBG 106, cholestrol 176,other lipid within normal ranges, during that visit, my endo said he will put me on metformin and statin once i'm done breastfeeding. What is the reason to put me on medication when my blood sugar and is being control with diet and workout and my lipids are normal? He told me is the "standard of care". I'm really trying hard to not go on medication for different reasons.
 

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Hi Gemini - thank you for joining up! It seems to me that you're doing pretty well controlling your levels, they aren't too high, but they aren't too low either. Are you testing postprandial levels?

I would refuse the statins out of hand. Standard of care? Horsefeathers! Statins are too dangerous to be passed around like beer nuts. Just tell him no thanks.

The metformin is an old and very safe drug which helps with insulin resistance if your numbers start to climb - and it can suppress appetite too, if weight loss is an issue. But if you decide metformin is okay, still request the extended release version - don't just take whatever he hands out.

If docs insist on just doing what they've been taught, then we have to stick to our guns & make our own decisions. We know our bodies better than anyone, and if you're testing a lot and recording your readings, you can show him your log & ask why exactly does he think you need met.

Take care & visit often!
 

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Sorry for asking this question but isnt statin meant for cholestrol ? If it id lls then are your numbers not fine ?

By the way welcome to the group....
 

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Discussion Starter · #4 ·
My fasting # is 80s-low 100, I'm still learning what i can and cannot eating by testing, but to be honest, i'm only testing PP when i'm eating something new, and 2hrs PP has been running low 100-150. About the statins, the endo said because diabetics are prone for heart disease, that is why he wants me to be on it, I politely declined, i'm not against medication, but if i don't need it, i don't want to be on it.
 

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I have been taking a statin for many years. My cholesterol was 280+ when I started, now it is 120+. I have not had any side effects from the statin, but some people do.
 
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Welcome! I agree that it is important to listen to your Dr. After all they did go to school for a long time, but I also feel it is important to listen to your heart. Good luck
 

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Welcome!

It looks like you will be fine, diabetes-wise. Hormonal changes can wreak havoc. Once you've weaned the little one, glucose control may get easier or harder -- no way to tell at present. So your doc is wise to hold off on the Metformin for now. Later, you'll likely be the best judge as to whether it's necessary.

The current trend is to prescribe statins for all diabetics, no matter how good or bad their lipid levels are. I don't believe trends necessarily equal good medicine.

Personally, I would refuse statins outright if my lipids were good. And if they are not, I would still do my own research (there are a lot of links and discussion on this Forum, for starters) before adding statins to my regimen.
 
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Hi, gemini. Before diabetes, my cholesterol was higher and the doc wanted to put me on a statin, but I refused. Now that I have diabetes and have been eating LCHF, my last cholesterol check was 178, but the doc said my other lipids are within balance, so he isn't concerned about it and doesn't think a statin is in order. If you continue to eat the way you have been, your cholesterol should go down on its own.
 

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Discussion Starter · #10 ·
thank you for all the reply. My cholestrol did come down when I'm doing the LC diet. by the way, how does that work, eating more fat and cholestrol will come down on its own? it's a little confusing to me.
 

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Well it may be a standard of care but I would want more than that kind of pat answer. If your numbers are coming down and you are below 6.0 the next time, ask him if can try diet and exercise alone and see how you do. Also remember that we all do what needs to do to manage our diabetes whether it be using insulin or medications or diet and exercise or a combination of those three. The important thing is that you are able to manage your diabetes.
 

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My cholesterol did come down when I'm doing the LC diet. by the way, how does that work, eating more fat and cholesterol will come down on its own? it's a little confusing to me.
I'm sure someone will come along with a more technical explanation, but when we eat a 'normal' high-carb diet, our body burns carbs for energy, but when we eat low-carb, the body is forced to burn fat for energy, which not only includes the fat we eat, but also some of the fat our body has stored. That is why, over time, our lipids fall in line when eating low carb, and also why we are often able to lose weight more easily.
 

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Discussion Starter · #13 ·
Welcome!

It looks like you will be fine, diabetes-wise. Hormonal changes can wreak havoc. Once you've weaned the little one, glucose control may get easier or harder -- no way to tell at present. So your doc is wise to hold off on the Metformin for now. Later, you'll likely be the best judge as to whether it's necessary.

I agree that hormonal changes play a huge part of my problem. My numbers were back to normal in the 1st 2 months after my son was born. I find my blood glucose is hard to control now that i'm breastfeeding then when i was pregnant, go figure. Hopefully when breastfeeding is all done, my numbers will be easier to control.
 

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thank you for all the reply. My cholestrol did come down when I'm doing the LC diet. by the way, how does that work, eating more fat and cholestrol will come down on its own? it's a little confusing to me.
In answer to your question - my understanding is that increases in the bad cholesterol is not connected with dietary intake of cholesterol, but it is associated with excess carbohydrates in our diet. These excess carbs are converted in the liver to triglycerides which in turn impact the formation of vLDL particles. This website has a pretty decent summary of it: Carbohydrates and Cholesterol - Cholesterol.

After 6 months of a very low carb but pretty high fat diet my husband cut his triglycerides in half and increased his HDL (the good stuff) by 50%. It works - avoid the statins. And even though metformin is considered "safe" I would rather avoid any drugs if possible.
 

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In answer to your question - my understanding is that increases in the bad cholesterol is not connected with dietary intake of cholesterol, but it is associated with excess carbohydrates in our diet. These excess carbs are converted in the liver to triglycerides which in turn impact the formation of vLDL particles. This website has a pretty decent summary of it: Carbohydrates and Cholesterol - Cholesterol.

After 6 months of a very low carb but pretty high fat diet my husband cut his triglycerides in half and increased his HDL (the good stuff) by 50%. It works - avoid the statins. And even though metformin is considered "safe" I would rather avoid any drugs if possible.
Thank you for sharing the link. I agree with you that eating less carbs and eating more healthy sources of proteins and healthy fats works.
 

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My doctor also pushed statins and said all Diabetics should take them. After 2 years of his hounding, I caved. 15 months later the statins had destroyed most of my muscle tissue and I looked like a walking skeleton. Make sure you research the risks before agreeing to go on them. Also it is important to look at your ratios. My HDL was very high almost 100 which pushed my overall numbers up but this was good , not bad. But the lab flagged my numbers as being over their range. My doctor finally did admit that some have devastating side effects with the statins. It also has not been proven to reduce heart disease especially in women.
 

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My doctor also pushed statins and said all Diabetics should take them. After 2 years of his hounding, I caved. 15 months later the statins had destroyed most of my muscle tissue and I looked like a walking skeleton. Make sure you research the risks before agreeing to go on them. Also it is important to look at your ratios. My HDL was very high almost 100 which pushed my overall numbers up but this was good , not bad. But the lab flagged my numbers as being over their range. My doctor finally did admit that some have devastating side effects with the statins. It also has not been proven to reduce heart disease especially in women.
One thing I have learned is to take CoQ10 with statins but I did not learn this from my doctor but from my own research. I now know that some doctors tell their patients to take CoQ10 as it is depleted from one's body by statins. I don't know though if that could be the cause of muscle wasting. I do know this that if one even has one sign or symptom such as muscle aching even a little they should stop the statin they are taking immediately no matter how much their doctor wants them on it.
 
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