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Medical Forum / Diseases and Disorders / Diabetes / December 2007

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LDL and risk of having a stroke

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Quentin Grady - 29 Dec 2007 03:26 GMT
G'day G'day Folks,

 Part of the general folk lore for T2 diabetics to be found on ASD is
that first one needs to attend to giving up a sedentary lifestyle if
that is what one has. Then there is getting tight control of one's
post prandial blood glucose which leads fair automatically to an
improvement in one's A1c.  The desired target is to get one's A1c
below 6 ie to be in the 5% club.  This is cause for celebration.

Of course each person is an individual and only one's medical advisor
has the background information and can perform the tests to know what
is and isn't relevant.  As we often say, YMMV.  Your mileage may vary.

Some people will need to lower blood pressure BEFORE it is safe to
engage in vigorous exercise.  Some will need statins or other
cholesterol lowering drugs.  Some will need to deal with kidney
malfunctions.  Some will need to deal with thyroid imbalances.

Put simply, it pays to get the best available advice from the most
qualified people when your life depends on it which of course is now.

People sometimes wonder what to aim for next when all those important
things have been dealt with.  What is the next goal?  

For some it is weightloss.  

For others it is getting a lower triglyceride to HDL ratio, TG:HDL.
This is attractive for so many reasons eg it is a marker for lowering
insulin resistance.  No extra tests have to paid for.  The information
is freely available from a standard blood lipid profile.
All it requires is a calculator in order to be able to track one's
progress.

The following appears to offer yet another reason for lowering
triglycerides.

http://www.medscape.com/viewarticle/568010_print

Medscape requires one to subscribe but the subscription is free and
they appear to treat those that subscribe with total respect.  One
even has a choice of which material they will include in the emails
they regularly send should you opt for them to do that.

Best wishes,
Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

W. Baker - 29 Dec 2007 15:27 GMT
: G'day G'day Folks,

:   Part of the general folk lore for T2 diabetics to be found on ASD is
: that first one needs to attend to giving up a sedentary lifestyle if
: that is what one has. Then there is getting tight control of one's
: post prandial blood glucose which leads fair automatically to an
: improvement in one's A1c.  The desired target is to get one's A1c
: below 6 ie to be in the 5% club.  This is cause for celebration.

: Of course each person is an individual and only one's medical advisor
: has the background information and can perform the tests to know what
: is and isn't relevant.  As we often say, YMMV.  Your mileage may vary.

: Some people will need to lower blood pressure BEFORE it is safe to
: engage in vigorous exercise.  Some will need statins or other
[quoted text clipped - 3 lines]
: Put simply, it pays to get the best available advice from the most
: qualified people when your life depends on it which of course is now.

: People sometimes wonder what to aim for next when all those important
: things have been dealt with.  What is the next goal?  

: For some it is weightloss.  

: For others it is getting a lower triglyceride to HDL ratio, TG:HDL.
: This is attractive for so many reasons eg it is a marker for lowering
: insulin resistance.  No extra tests have to paid for.  The information
: is freely available from a standard blood lipid profile.
: All it requires is a calculator in order to be able to track one's
: progress.

: The following appears to offer yet another reason for lowering
: triglycerides.

: http://www.medscape.com/viewarticle/568010_print

: Medscape requires one to subscribe but the subscription is free and
: they appear to treat those that subscribe with total respect.  One
: even has a choice of which material they will include in the emails
: they regularly send should you opt for them to do that.

: Best wishes,

Quentin,

Have you read Taubes book that has been mention here a number of times?  I
got a pretty good idea of  the connectins between VLDL,s triglycerides adn
HDLs from that book.  One thing is puzzling me, however.  It states that
the VLDLs are very ow density adn very small and are tht way because they
are "filled with tryglydcerides and the regular LDLs are "filled" with
larger fluffier particles of lipoproteins( if I have the corect term).  
How can something that is "lower density" be heavier thatn those simply
"low density?"  I think that something may be missing in my science
education here, but it seems counterintuitive.

Wendy
sphynx.red@gmail.com - 31 Dec 2007 05:46 GMT
[Taubes] states that
> the VLDLs are very ow density and very small and are tht way because they
> are "filled with triglycerides and the regular LDLs are "filled" with
> larger fluffier particles of lipoproteins( if I have the corect term).
> How can something that is "lower density" be heavier than those simply
> "low density?"  I think that something may be missing in my science
> education here, but it seems counterintuitive.

Wendy,

I think you read it wrong.  From p 171 in 'Good Calories, Bad
Calories'
"..some people have mostly large, fluffy LDL, with a lot of
cholesterol and triglycerides inflating the balloon, and some people
have mostly smaller, denser LDL particles with less cholesterol and
triglycerides."

Adam Becker Sr
Andrew B. Chung, MD/PhD - 31 Dec 2007 07:01 GMT
Wiser to eat less, down to the optimal amount, in order to be
healthier (hungrier) to lose the VAT to cure the insulin resistance
(IR/MetS) and possibly the type-2 diabetes too:

http://HeartMDPhD.com/EatLess

Be hungry... be healthy... be hungrier... be blessed:

http://TheWellnessFoundation.com/BeHealthy

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Bondservant to the KING of kings and LORD of lords.

> G'day G'day Folks,
>
[quoted text clipped - 47 lines]
>
> http://homepages.paradise.net.nz/quentin
 
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