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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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Michael - 05 Mar 2006 02:32 GMT
I'm laying here recovering from minor surgery, and I've been trying all
afternoon to catch up with the one news group I allegedly track:  ASD.
It's been two weeks since I made time to be here, and you all have
produced over 3000 posts!

STOP IT!  :-)

Anyway, two weeks ago I had my third quartly post-dx appointment with
the doc.  He was rather happy.

As a prelude to lab tracking:  I'm a 40 year old Male diagnosed DM-T2
May 2005. 1000mg Metformin 2x day.

    May/05     Aug/05   Nov/05   Feb/06
BP      104/88    112/60   102/80   102/80
wgt     171       155      164.5    158.8
pulse    78        70       84       68

a1c      10.1       5.8      5.0      5.8
trigl.  319       143      129      114
hdl      44        43       63       47
ldl      99       110      131      107
vldl     53        24       22       19
tot.cl. 196       177      205      173
glucose 266       101      101      114

personally, I think the cholesterol/a1c tradeoff worked for me.  As long
as my A1c stays below 6, I'm happy.  But that reduction in cholesterol
is sweet!

My February numbers are more interesting for several reasons:
  1.  Early in December I got too busy, so I got off my bike.  So no
      "real" exercise during most of the 3 months preceeding the test.
  2.  Of course in December, with Christmas and New Years, people tend
      to fall off whatever wagon they're on -- to some extent anyway.
      This was true for me -- I loosened up my eating rules.. and I have
      kept them looser -- after noon.
  3.  Testing has led me to believe my greatest concern was with
      breakfast.  So, my TC above 200 back in November being of great
      concern to my Doc, I asked around and ended up making some
      changes:  my breakfast now consists of a serving of low-carb
      special K with 2% milk, one regular fat sausage patty, and one
      vegetarian sausage patty.  Veggie only doesn't keep the spike
      down so I have to continue the meat.  But no low-fat:  apparently
      there's a link between the nitrates or nitrates they put in turkey
      sausages and cholesterol.

My doc still thinks my cholesterol is too high -- I wish I could
remember what med he was recommending.  10mg a day of a generic statin.
 But, since I'm moving in the right direction, he didn't argue when I
resisted.  His goal is my LDL cholesterol should be below 70.

It's also been a period of considerable stress at work, at home and at
church.

1.  Work:  management started off the first full week of the new year by
announcing layoffs.  And for the first time in a long time, I was
directly affected.  I work for a major semiconductor manufacturer, and
our little group of 25 is split between here in metro Phoenix and a
sub-group up in Boston.  They decided to shut down the Boston ops, and
handed us 4 new people to replace the 4 they're letting go in Boston.
These 4 new people are good, but they don't know our sub-specialty.  In
addition, I started with the company up in Boston, so I was hired by the
guys up there, before getting transferred down to Phoenix.  And the 4
guys work directly with me.  Further, because of the demographics of the
layoffs, and comments by senior management followign the layoffs,
there's significant concern that our jobs are in immediate jeopardy.
So, I've submitted my resume to two locations.  No news there yet.

2.  Home:  in-laws are in town.  They're nice, but slovenly.  It's
frustrating.  It's particularly frustrating that they come once a year
for a month...sort of.  They own a timeshare in the Berkshires, and
normally they come out for a month, but go away for a week via a
timeshare swap.  This time they came out and were telling us that they
hadn't been able to arrange a swap.  Fortunately, they arranged one at
the last minute.  They leave tomorrow morning for a week.  They leave
permanently on March 16.

3.  Church:  I'm one of 3 soundboard operators for my church.  at the
beginning of the year, one of the others took a break because he had
shoulder surgery.  So that meant more work for me and the head of the
tech crew...especially since the head is now having to run video
sometimes as well as sound.  Other soundguy is back, but he's gone now
on a business trip to Mexico.  So, 4 days after my vasectomy (no ED for
me!) I'm going to be arriving at church at 6:30 or so to setup for band
practice...for a service starting at 9.  THEN, we have a special speaker
this weekend; he'll be doing something all afternoon, so I don't get to
leave church until 6.  Fortunately, soundboard is mostly deskwork, so I
shouldnt' be moving around too much.

For good news, the annual review period ended Friday at work with
sharing the results of "rewards planning."  I'm getting a 6% raise
(effective in July), plus a 20% bonus.  My boss gave me the maximum
raise he was permitted.  He was permitted to give me up to a 30% bonus.
 So I've done very well with my boss.

mt
Nicky - 05 Mar 2006 10:20 GMT
> personally, I think the cholesterol/a1c tradeoff worked for me.  As long
> as my A1c stays below 6, I'm happy.  But that reduction in cholesterol is
> sweet!

Yeah, lovely trends!

Hope all works out for you in your various life areas, and that you recover
soon from your op - before the ASD eyestrain sets in : )

Nicky.

Signature

A1c 10.5/5.4/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Alan S - 05 Mar 2006 22:36 GMT
>> personally, I think the cholesterol/a1c tradeoff worked for me.  As long
>> as my A1c stays below 6, I'm happy.  But that reduction in cholesterol is
[quoted text clipped - 6 lines]
>
>Nicky.

Hi Michael

For some reason, your original post never appeared on my
newsreader, but I eventually found it via google after
reading Nicky's response.

Just one little point to add to the other comments. Your
cholesterol numbers went:

trigs            319   143   129   114
HDL               44    43    63    47
LDL               99   110   131   107
Total            196   177   205   173

Trigs/HDL ratio 7.25   3.3   2.0   2.4
(aiming for <3.0)

Your trigs have steadily come down - great. So one wonders
what happened to the HDL. Maybe there is a clue here:

"My February numbers are more interesting for several
reasons:
  1.  Early in December I got too busy, so I got off my
bike.  So no "real" exercise during most of the 3 months
preceeding the test. "

Food for thought? And I agree, with that good ratio, that
"As long as my A1c stays below 6, I'm happy."

Heal quickly, so that you can get back on that bike:-)

Cheers Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

I have no medical qualifications beyond my own experience.
Choose your advisers carefully, because experience can be
an expensive teacher.

Everything in Moderation - Except Laughter.

W.M.McKee - 05 Mar 2006 10:48 GMT
>I'm laying here recovering from minor surgery, and I've been trying all
>afternoon to catch up with the one news group I allegedly track:  ASD.
>It's been two weeks since I made time to be here, and you all have
>produced over 3000 posts!
>
>mt

Hi Michael,

Sorry to hear about the surgery, but it *does* sound like you need to
slow down a bit. I would suggest you look for ways to pare down all
those sources of stress in your life. You will never achieve complete
release from daily stressors, but it sounds like you have overloaded
yourself.

On the more positive front, I would say you are really doing well with
the diabetes. Would that everyone had your numbers, at least as to the
long term trends!

Will, T2
Jenny - 05 Mar 2006 14:26 GMT
> I'm laying here recovering from minor surgery, and I've been trying all
> afternoon to catch up with the one news group I allegedly track:  ASD.
[quoted text clipped - 21 lines]
> tot.cl. 196       177      205      173
> glucose 266       101      101      114

Your doctor is just parroting some stuff put out by the drug companies
that sell statins.

There's more and more evidence that what really points to cardiovascular
health is the triglyceride level and the proportion of LDL that is small
molecules (VLDL) Yours are both excellent. Another predictive measure is
the ratio of HDL to LDL. Under 3 is great. You're better than that.

You are doing great!

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control
Michael - 06 Mar 2006 04:06 GMT
>> I'm laying here recovering from minor surgery, and I've been trying
>> all afternoon to catch up with the one news group I allegedly track:  
[quoted text clipped - 24 lines]
> Your doctor is just parroting some stuff put out by the drug companies
> that sell statins.

That and concern over recent research linking diabetes to the need for
lower cholesterol.

'course, I bet nearly everybody in /that/ study had an A1c between 7 and 8.

> There's more and more evidence that what really points to cardiovascular
> health is the triglyceride level and the proportion of LDL that is small
[quoted text clipped - 9 lines]
> http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
> Sugar Under Control
Joe - 05 Mar 2006 15:40 GMT
> May/05   Aug/05   Nov/05   Feb/06
> BP      104/88    112/60   102/80   102/80
[quoted text clipped - 9 lines]
> glucose 266       101      101      114
> mt

Great Job!

Signature

Joe W
T2 Nov '05
30mg Actos, 3gr(1/2 tsp or 500mg pill) Cinnamon, Diet(>100 carbs) &
30 minute walk(everyday) & BowFlex 3x/week
*****Diabetes, be proactive, not reactive.*****

Loretta Eisenberg - 05 Mar 2006 16:27 GMT
mt, here are my mottos you
will handle it and everything passes except death and taxes.

Your numbers are very good,  I thought the ldl was too high, Hopefully
you can get them down.

You said you didnt exercise.  I see your a1c went from 5 to 5.8 so to me
that is proof that exercise works.

Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
Chris J. - 05 Mar 2006 19:41 GMT
>I'm laying here recovering from minor surgery, and I've been trying all
>afternoon to catch up with the one news group I allegedly track:  ASD.
>It's been two weeks since I made time to be here, and you all have
>produced over 3000 posts!
>
>STOP IT!  :-)

Michael, I was wondering what had become of my fellow Arizonan! I wish
you a speedy recovery from your surgery.

I know what you mean about catch-up... I was on a trip for most of
december, and there were about 8000 posts waiting when I got back.

>    May/05     Aug/05   Nov/05   Feb/06
>BP      104/88    112/60   102/80   102/80
[quoted text clipped - 6 lines]
>ldl      99       110      131      107
>vldl     53        24       22       19

Hmmmm... Looks to me like your VLDL (the worst kind) is low, which is
good.

>tot.cl. 196       177      205      173
>glucose 266       101      101      114
>
>personally, I think the cholesterol/a1c tradeoff worked for me.  As long
>as my A1c stays below 6, I'm happy.  But that reduction in cholesterol
>is sweet!

I face similar issues, so I'm exceedingly curious as to how you did
this?? Eat less cholesterol?  

>   3.  Testing has led me to believe my greatest concern was with
>       breakfast.  So, my TC above 200 back in November being of great
[quoted text clipped - 5 lines]
>       there's a link between the nitrates or nitrates they put in turkey
>       sausages and cholesterol.

ACK! Well, that's (the last bit) unwelcome news to me! I'll do some
investigating. I've been having low-fat turkey sausage about once a
week. Butterball frozen patties, pre-cooked. It's vastly less fat,
cholesterol, and calories than regular. However, I've clearly got to
stop overlooking the nitrates. Ugh.
 
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