Medical Forum / Diseases and Disorders / Arthritis / December 2005
Cholesterol
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Stuart - 11 Dec 2005 13:52 GMT Hi all - hope you are all bearing up under the strain. Went to see the RD last week, everything is fine with me, the medication for my RA seems to be working fine, One thing really bugs me though, last time I was there when the nurse took the blood sample I asked if they were checking for cholesterol. She said no, it wasnt being asked for, but she could slyly tick the box if I wanted to know. I said yes please so she did. When I saw the RD he said everythings fine, but my cholesterol is high, a reading of 6. He said with 'normal' people (lol) this isnt much to worry about, but for someone with RA it is something to worry about because RA can affect the heart and so can cholesterol, and I should discuss with my GP about getting some cholesterol lowering tablets. What bugs me is, if this is so important why did'nt anybody suggest a cholesterol test when I was first diagnosed with RA? I am learning more and more that I need to find out as much as I can about my condition and about the medication, because I dont really think that the docs are 100% on the ball. By the way, I dont know if its the medication helping me or the fact that i have completely cut out all dairy products and all red meat from my diet, but I feel great. (thats another thing, since I have had this RA not one person has suggested changing my diet or even discussed it. Its only what ive read here and seen on the net that ive started to do something about it. Doesnt seem right to me at all.)
Anyway happy Christmas to all of you.
Cheers
Stuart
me@privacy.net - 11 Dec 2005 15:00 GMT >Hi all - hope you are all bearing up under the strain. Went to see the RD >last week, everything is fine with me, the medication for my RA seems to be [quoted text clipped - 24 lines] > >Stuart Have you tried the cholesterol lowering marg spreads, I found they help, they are more expensive than the normal marg spreads.
on diet [from the ARC LEAFLET]
Is there a diet which will help my rheumatoid arthritis?
There is a lot of publicity for diets which claim to cure rheumatoid arthritis. None do, although there is some scientific evidence that diets may help the symptoms in some people. A few people notice that individual foods tend to make their arthritis flare up. The foods which do this vary from person to person. If you suspect that an individual food causes your joints to flare up, then try avoiding it, but do not give up anything because it makes someone else's joints flare up remember, we are all different. (See arc booklet 'Diet and Arthritis'.)
Do any diets help everyone?
Probably not, but the ones most likely to help are low in saturated fats and high in unsaturated fats, especially fish oils. Supplements of fish oils are likely to help. We recommend 3 grams of fish oil (i.e. fish body oil, not fish liver oil) daily. You can achieve this by eating oily fish, taking fish oil supplements, or a combination of the two. There is some evidence that a very strict vegetarian diet can help, although the reasons for this are not clear, and that there may be a small increase in the risk of rheumatoid arthritis among people who eat a lot of red meat. However, you should consult your doctor or a dietitian before starting any strict diet as the disadvantages may outweigh the advantages. There is some evidence that increasing your intake of vitamin C may also help. It is a good idea to make sure you keep your weight down. You put the equivalent of four times your body weight through your joints when you are just walking, so keeping your weight down will help reduce that stress. More information is given in the arc booklet 'Diet and Arthritis'.
http://www.arc.org.uk/about_arth/booklets/6033/6033.htm
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Happy Christmas
Stuart - 11 Dec 2005 15:25 GMT snip
> Have you tried the cholesterol lowering marg spreads, I found they > help, they are more expensive than the normal marg spreads. Yes, and the "imitation cheese". UUURRRGGGHH!!!
>cheers Navy1 - 11 Dec 2005 16:19 GMT I agree, thoroughly. On the advice of my gp, regarding the level of my cholesterol, I tried the cholesterol lowering spread - tasted like colored imitation paste. That's pretty bad! LOL My mom and I decided, there must be a better way. From the ads, though, it looks like they might have changed the formula, since when I tried it, it wouldn't spread on nothin', room temperature or not.
Actually, my LDL is all right, it's the RDL that is too low, giving me a bad total. Unfortunately, the only way to increase that, I understand, is to exercise - well, walking is fine, for a 100 yards or less, etc. The lowering medication did not agree with my stomach and system at all. So we agreed that as long as it didn't change, we would live with it.
Loujean
>snip >>> [quoted text clipped - 4 lines] > >>cheers Joan Carter - 11 Dec 2005 15:09 GMT >One thing really bugs me though, last time I was there when the nurse took >the blood sample I asked if they were checking for cholesterol. She said >no, it wasnt being asked for, but she could slyly tick the box if I wanted >to know. I said yes please so she did. When I saw the RD he said >everythings fine, but my cholesterol is high, a reading of 6. But had you eaten? You need a 12 hour fasting blood sample for an accurate cholesterol level.
--- Joan
Stuart - 11 Dec 2005 15:25 GMT ----- Original Message ----- From: "Joan Carter" <spamfree@sentex.ca> Newsgroups: alt.support.arthritis Sent: Sunday, December 11, 2005 3:09 PM Subject: Re: Cholesterol
> On Sun, 11 Dec 2005 13:52:06 -0000, "Stuart" <member@smeigh.wanadoo.co.uk> > wrote [quoted text clipped - 11 lines] > --- > Joan I didnt know that Joan, thats very interesting. Yes, I had a small amount of cereal about 2 hours before the test. Thanks, i'll speak to doc about it. Stuart
Walt Hanks - 11 Dec 2005 21:54 GMT It is hard to know how significant the cholesterol reading was as we use a different measure in the U.S. I have no idea what a "6" means. But, there are two things to consider when looking at elevating cholesterol.
First, the medications we use can be hard on the liver. The liver is one of the primary mechanisms for controlling the amount of cholesterol in the blood. So, a slowly elevating cholesterol level can be an early indicator of liver problems.
Second, while total cholesterol is important, the real issue is the level of HDL and LDL cholesterol, and the ratio between them. Whole oat cereals and Omega-3 fatty acids help a little, but reducing saturated fat and exercising are by far the more important behavioral treatments for high cholesterol.
Finally, cholesterol levels should be monitored regularly in any RA patient. You should hammer your RD about that.
Go get a retest while fasting and tell them you want a complete lipid profile, not just the total cholesterol. Then you might actually know something important.
Walt Hanks
> Hi all - hope you are all bearing up under the strain. Went to see the RD > last week, everything is fine with me, the medication for my RA seems to [quoted text clipped - 24 lines] > > Stuart stuart - 11 Dec 2005 22:02 GMT thanks walt, perfect.
> It is hard to know how significant the cholesterol reading was as we use a > different measure in the U.S. I have no idea what a "6" means. But, [quoted text clipped - 48 lines] >> >> Stuart Joan Carter - 11 Dec 2005 22:15 GMT >It is hard to know how significant the cholesterol reading was as we use a >different measure in the U.S. I have no idea what a "6" means. But, there >are two things to consider when looking at elevating cholesterol. 6 is just a bit above normal if I recall correctly. --- Joan
Pope Pie (Sy Lehrman) - 12 Dec 2005 02:51 GMT > It is hard to know how significant the cholesterol reading was as we use > a [quoted text clipped - 20 lines] > patient. > You should hammer your RD about that. Furthermore, the relationship of dietary and blood cholesterol is weak. My readings are a little high and diet does nothing. I had occasion to go on a fat free diet at one time, for unrelated reasons, and my readings did not change at all.
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Charrlygrl1 - 12 Dec 2005 19:08 GMT Stuart, I use the "Smart Balance" spread, which actually lowers the bad cholesterol, and which also contains Omega 3 oils, which help to reduce inflammation. IT actually tastes great, and you can cook and bake with it. Regarding the diet, the second poster (M?) is right as far as I know, there is NO one diet that has been proven to help RA. However, I have spoken with lots of people on this subject, and what seems to work for them is a food diary. They keep a notation of what they eat every day, and then how they feel the next. For example, arthritis.org says that eating nightshade vegtables has not been proven to increase inflammation, but several people who kept a food diary found that eating things from the nightshade family did indeed cause their problems to flare. I think in this area, reaction to foods may be a highly individual thing. (Footnote: I am talking here regarding RA only. For AS (ankylosing spondylitis, which is what I have, there has been some success with the no starch diet, for some people). Hope this helps somewhat, Char
Navy1 - 12 Dec 2005 21:00 GMT I see, upon re-reading my post, that I said RDL and I meant HDL. To answer your comment, my husband would see a definite difference when he would eat tomatoes or potatoes in the amount of pain he had. I've not tried it as things were complicated enough lately.
If Smart Balance tastes great, then they have made a big change in the formula as it tasted like straight Crisco when we tried it. Thanks for the opinion, I think maybe we will try it again.
Loujean
>Stuart, >I use the "Smart Balance" spread, which actually lowers the bad [quoted text clipped - 16 lines] >Hope this helps somewhat, >Char
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