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Medical Forum / Diseases and Disorders / Diabetes / May 2008

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Gary Woods - 02 May 2008 19:40 GMT
HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
HDL was up a good 10 points (and already decent), and LDL down the same.
So, Mr. Nordic Track is earning his keep!
Good news on a gloomy drizzly day.

Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic
Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Tiger_Lily - 02 May 2008 20:37 GMT
> HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
> HDL was up a good 10 points (and already decent), and LDL down the same.
[quoted text clipped - 3 lines]
> Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic
> Zone 5/6 in upstate New York, 1420' elevation. NY WO G
way to go Gary ! ! !

/me does a snoopy happy dance :)

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kate
type 1 since 1987
www.diabetic-talk.org

Trinkwasser - 03 May 2008 20:06 GMT
>> HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
>> HDL was up a good 10 points (and already decent), and LDL down the same.
[quoted text clipped - 6 lines]
>
>/me does a snoopy happy dance :)

Wouldn't this group be disappointing if people didn't keep posting
results like these? <G>
Nicky - 02 May 2008 21:09 GMT
>HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
>HDL was up a good 10 points (and already decent), and LDL down the same.
>So, Mr. Nordic Track is earning his keep!
>Good news on a gloomy drizzly day.

Woo-hoo! Nice one, Gary!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Cheri - 02 May 2008 21:21 GMT
Gary Woods wrote in message
<5snm149ulrs879j2g7383o8pvi8vf0f4qg@4ax.com>...
>HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
>HDL was up a good 10 points (and already decent), and LDL down the same.
>So, Mr. Nordic Track is earning his keep!
>Good news on a gloomy drizzly day.

Great news Gary.

Cheri
Oleg Lego - 03 May 2008 06:55 GMT
>HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
>HDL was up a good 10 points (and already decent), and LDL down the same.
>So, Mr. Nordic Track is earning his keep!
>Good news on a gloomy drizzly day.

Good stuff, Gary! Keep on Trackin'!

Signature

Larry, T2, Saskatchewan, Canada.
DX 24 Aug 07. D&E
Metformin 2000mg, Ramipril, Simvastatin
Dx A1c 8.1 : Latest 5.1 (4 Mar 08)

Ozgirl - 03 May 2008 09:20 GMT
>>HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
>>HDL was up a good 10 points (and already decent), and LDL down the same.
>>So, Mr. Nordic Track is earning his keep!
>>Good news on a gloomy drizzly day.
>
> Good stuff, Gary! Keep on Trackin'!

I didn't get Gary's message, so great news Gary!
Alan S - 03 May 2008 07:20 GMT
>HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
>HDL was up a good 10 points (and already decent), and LDL down the same.
[quoted text clipped - 3 lines]
>Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic
>Zone 5/6 in upstate New York, 1420' elevation. NY WO G

Congrats! Keep being a good example mate:-)

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:Is Testing Worthwhile?
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 04 May 2008 08:40 GMT
>HbA1c 5.87; about a tenth above last time.  I'll take it, especially since
>HDL was up a good 10 points (and already decent), and LDL down the same.
>So, Mr. Nordic Track is earning his keep!
>Good news on a gloomy drizzly day.
>
>Gary Woods

Gary,  you're the greatest.  Not only have you renewed your membership
of the 5% club but you've improved your HDL.   Now that doesn't happen
by accident.  Lowering LDL is easier by comparison than raising HDL
for many T2 diabetics.  I tried for months and months on one occasion
without success.   The usual ways are increased exercise and giving up
smoking.  As a non-smoker the later wasn't an option.  I charged up a
local hill every day in the certain knowledge it was going to raise my
HDL.  It didn't.  

So here is another reason you might not have thought about why I wish
to say you're the greatest.  You've told us how you achieved it ...
using the Nordic Track.

It all helps others know what works for someone else.
Who knows it might just work for them.  Thanks.

Best wishes,
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New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

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Gary Woods - 04 May 2008 13:34 GMT
> You've told us how you achieved it ...
>using the Nordic Track.

And interestingly enough, the  NT is the "Achiever" model!

It has a history:  Bought by my dear wife some years ago, sadly outlived
her.  It was injured by the intense heat from a kitchen fire two years ago,
but I was able to get a replacement computer/display box (LCD displays do
NOT like heat!) online.  I'm working on a virtual trip up the Appalachian
Trail:  got the trail guides, and mark off the distance traveled at each
workout.  So far, I've got from Georgia to Tennessee, heading eventually to
Maine.  I've only walked short stretches of the actual trail whenever I had
the chance.  At my previous checkup, the Endo told me to get more exercise,
because the HDL was lower than he liked, hence the renewed emphasis on the
Nordic Track.
For the retro TV types, I'm currently watching episodes of "McHale's Navy"
while skiing.  Not a lot like the Navy I was in long ago, but enough
similarities to convince me the writers had actual experience...

And back to re-potting heirloom tomato plants; it will be a few more weeks
before they can safely go into the garden; in the meantime they'll live in
a cheapo plastic greenhouse.

Cheers!

Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic
Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Quentin Grady - 04 May 2008 23:33 GMT
>> You've told us how you achieved it ...
>>using the Nordic Track.
[quoted text clipped - 11 lines]
>because the HDL was lower than he liked, hence the renewed emphasis on the
>Nordic Track.

Hey,  I'm further impressed.  I've been reading Jenny's book including
her comments on exercise. She emphasizes that the most important point
is not to hurt yourself. T2s simply can't afford the permanent
injuries since T2 is for ever.  Now I really like the way you have a
cross country trip set out for yourself.  That means you're taking
care of yourself.

>For the retro TV types, I'm currently watching episodes of "McHale's Navy"
>while skiing.  Not a lot like the Navy I was in long ago, but enough
>similarities to convince me the writers had actual experience...

Like the guy who wrote Red October.  They investigated him apparently
wondering how he figured out some of the nuclear submarine strategies.
>And back to re-potting heirloom tomato plants; it will be a few more weeks
>before they can safely go into the garden; in the meantime they'll live in
>a cheapo plastic greenhouse.

The heirloom tomatoes have gone here.  The plants have been pulled
out.  The only tomatoes available now are red and grown in glass
houses. With fuel prices being what they are I'm not expecting many
locally grown tomatoes.  

I've had to turn to yellow-fleshed kiwi fruit aka zespri to get
lutein for protecting peripheral vision.  The other benefit of kiwi is
that it provides chromium.  This information might well be unkind to
those who live in areas where kiwi is expensive.  We get the ones that
are too large or oddly shaped at give away prices.

>Cheers!
>
>Gary Woods

Best wishes,
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"... and the blind dog was leading."

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Gary Woods - 04 May 2008 23:41 GMT
>Like the guy who wrote Red October.  They investigated him apparently
>wondering how he figured out some of the nuclear submarine strategies.

I spent some time trying to find subs from a patrol aircraft many many
years ago, and I was amused to find mention in Tom Clancy's book of things
I thought were highly classified.  Of course, much of that technology used
little glowing glass bottles, and was far out of date by then.  Interesting
to contemplate what they're doing now!

With which, it's time to spend a little time on the trail.

Cheers!

Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic
Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Quentin Grady - 06 May 2008 05:43 GMT
>>Like the guy who wrote Red October.  They investigated him apparently
>>wondering how he figured out some of the nuclear submarine strategies.
[quoted text clipped - 8 lines]
>
>Cheers!

G'day G'day Gary,

I'm fascinated with the adventurous lives many of us have lived with
quite a few being in a military in the US or UK.   Perhaps stress and
tension is a factor in producing T2 diabetes.  Nah.   Not likely.

With reference to Tom Clancy. apparently some of the submarine tactics
such as the Crazy Ivan were used in practice.    In the Crazy Ivan the
lead sub would reverse props and do a sharp right angle change of
direction causing the following sub's propellers to produce cavitation
and give away its presence.  Either that or ram the lead sub.

That got him investigated.   If one spends months or years figuring
out what would make a good story one  is bound to create tactics that
could be used in real life.

>Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic
>Zone 5/6 in upstate New York, 1420' elevation. NY WO G

Thanks Gary,
Best wishes,
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                   / \ /\    
"... and the blind dog was leading."

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

John - 07 May 2008 14:01 GMT
> I spent some time trying to find subs from a patrol aircraft many many
> years ago, and I was amused to find mention in Tom Clancy's book of things
> I thought were highly classified.

What a coincidence. I thought the same thing about those same aircraft/
programs when I read the book. Used to work on those aircraft which
shall not be mentioned.

John C.
Alan S - 05 May 2008 01:14 GMT
>I've been reading Jenny's book

How did you order? I'm a bit grumpy with Amazon; after I
paid they advised delivery in late July. Jenny assures me
they will be quicker, but still...

In the meantime I'm reading a totally fascinating book by a
guy who keeps digressing to ruminations about a Farmer's
Market:-)

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:Is Testing Worthwhile?
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 06 May 2008 06:01 GMT
>>I've been reading Jenny's book
>
>How did you order? I'm a bit grumpy with Amazon; after I
>paid they advised delivery in late July. Jenny assures me
>they will be quicker, but still...

I ordered from Barnes and Noble.  I opted for the intermediate
international mail rate.   Let me say I think you'll thoroughly enjoy
JENNY's book.  It even mentions a diabetic activist called Alan S.
Wonder who that could be.

>In the meantime I'm reading a totally fascinating book by a
>guy who keeps digressing to ruminations about a Farmer's
>Market:-)

A good point well made. Out books are different in their intent.
If you're looking for one on diabetes, read Jenny's book.  She is
above all intelligent and reaches simple to follow sound conclusions
from the scientific evidence available on the subject.  I think her
book is marvelous.  

Mine is a book with a different intention.  It is a book that engages
readers in learning for themselves what changes they could make that
would benefit them.  As a writer the most gratifying feedback has been
the number of blokes who have after decades of disinterest taken an
interest in shopping and cooking.    

What is the book about?   Well, it is a personal story about the
positive attributes of being a bloke and how we handle adversity. When
I started writing I wasn't aware what a powerful role the Farmer's
Market would play in my story. I wrote about it because things
happened there that were worth writing about.  They illustrated some
point or other.   The Farmers Market has developed into a wonderful
place to observe the very best in human nature.   Each Sunday people
roll up with their families to enjoy the music, to meet friends, share
good food.  Think of it as local free concert every day it is fine.
It brings out the best in human nature.  

I'm glad you're enjoying it.  Most people pass on their copy to a
friend who passes it on to another friend.   I received an order last
Friday from the University bookshop in the further most part of New
Zealand. How they came to know of me I don't know.

>Cheers, Alan, T2, Australia.
>d&e, metformin 1500mg, ezetrol 10mg
>Everything in Moderation - Except Laughter.

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

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

Alan S - 06 May 2008 06:24 GMT
>>>I've been reading Jenny's book
>>
[quoted text clipped - 38 lines]
>Friday from the University bookshop in the further most part of New
>Zealand. How they came to know of me I don't know.

I'm confident that in a while you'll be hearing of orders
from Harvard.

My copy will be passed on to my kids first.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:Is Testing Worthwhile?
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 07 May 2008 05:33 GMT
>I'm confident that in a while you'll be hearing of orders
>from Harvard.
>
>My copy will be passed on to my kids first.
>
>Cheers, Alan, T2, Australia.

G'day G'day Alan,

 When compared to "international best sellers" my sales are
miniscule.  To me though they are personal and fantastic.  The book
really matters to the people who read it.  For many of them they feel
compelled to stop me at the market or in the street as it were thanks
to recognising me from the photo on the back of books to tell me what
a difference to their lives or of their loved ones.  That's what
counts most to me.  To my surprise I was stopped last Sunday by a
successful nutritionist practicing locally blown away with the
knowledge bank he'd tapped into reading my book.  

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

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

Alan S - 07 May 2008 05:37 GMT
>>I'm confident that in a while you'll be hearing of orders
>>from Harvard.
[quoted text clipped - 16 lines]
>
>Best wishes,

The only one surprised about the response is you:-)

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:What to Eat Until You Get Your Meter.
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Quentin Grady - 08 May 2008 09:36 GMT
>The only one surprised about the response is you:-)
>
>Cheers, Alan, T2, Australia.

Yes. Alan.  

I think I richly deserve that comment as indeed I didn't foresee it.
   
The number of people whose lives it has changed came as a surprise. I
hadn't quite expected that. Nor had I suspected so many people would
find it a "jolly good read".   People engrossed in it chuckle so much
their partners want them hurry up so they can read it too. That I
hadn't expected.   The whole-hearted endorsement from the professional
nutritionist also came as a surprise.  

Best wishes,    
Signature

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

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

Oleg Lego - 07 May 2008 06:49 GMT
>>I'm confident that in a while you'll be hearing of orders
>>from Harvard.
[quoted text clipped - 14 lines]
>successful nutritionist practicing locally blown away with the
>knowledge bank he'd tapped into reading my book.  

That's great, Quentin! I know I'd be incredibly chuffed if I could
write something that helped people. I'm anxiously awaiting the next
North American importation.
Quentin Grady - 08 May 2008 09:41 GMT
>That's great, Quentin! I know I'd be incredibly chuffed if I could
>write something that helped people.

You know that is what I most wanted to do.  
To that end I poured everything into it.  

>I'm anxiously awaiting the next North American importation.

Email me.  We may do it directly this time.

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

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

John - 07 May 2008 14:04 GMT
> On Mon, 05 May 2008 10:14:02 +1000, Alan S
>
[quoted text clipped - 55 lines]
>
> http://homepages.paradise.net.nz/quentin

I'd love a signed copy. If that's at all possible, Quentin, please let
me know.

John C.
Quentin Grady - 08 May 2008 09:42 GMT
>I'd love a signed copy. If that's at all possible, Quentin, please let
>me know.
>
>John C.

G'day G'day John C,

 Please email me.  

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

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

Jefferson - 05 May 2008 00:53 GMT
Hi Gary:

>>You've told us how you achieved it ...
>>using the Nordic Track.
>
> And interestingly enough, the  NT is the "Achiever" model!

> I'm working on a virtual trip up the Appalachian
> Trail:  got the trail guides, and mark off the distance traveled at each
[quoted text clipped - 3 lines]
> because the HDL was lower than he liked, hence the renewed emphasis on the
> Nordic Track.

I live near the Appalachian Trail in Maryland.  I was doing some hiking
on the Trail prior to rupturing an Achilles tendon.  I am a little leery
about going out on the Trail by myself since then. The virtual hike is
not quite like the real thing.  I wore out the soles on some boots on
one hike over a lot of rocks.  Also the temperature was near 90 degrees
F. The slopes can also be very steep in some places. Nevertheless
congratulations on your success.  I'm staying on the bike close to home
now, but it is not as vigorous as the Nordic Track.

Frank
Quentin Grady - 06 May 2008 06:12 GMT
>I live near the Appalachian Trail in Maryland.  I was doing some hiking
>on the Trail prior to rupturing an Achilles tendon.  I am a little leery
[quoted text clipped - 6 lines]
>
>Frank

G'day G'day Frank,

   IMHO the key to sustainable exercise is making it part of
something greater than yourself.   Forest and Bird Societies seem a
bit cuckoo to me yet they have a very positive attribute. They bring
people together.  Tramping by yourself besides being blood dangerous,
at least in New Zealand, mean you miss out on the sustenance of
companionship.   So that ruptured Achilles tendon may be a blessing in
disguise.  (You probably don't feel that way.  It's easier for someone
else to do so if you see what I mean.)  

While Nordic Trainers and the like allow you to regulate your exercise
and have all sorts of benefits there is one thing they don't do that
the real thing does. They don't provide the "uneven ground"
stimulation of the ankles.  This is reported to stimulate blood flow
to the feet.  IIRC it reduced peripheral arterial disease.  I may that
wrong in detail but the general idea was important.  Worth looking up
perhaps or simply joining a club that gets you out with others on a
real hike.

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

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

Chris Malcolm - 07 May 2008 01:43 GMT
>>I live near the Appalachian Trail in Maryland.  I was doing some hiking
>>on the Trail prior to rupturing an Achilles tendon.  I am a little leery
[quoted text clipped - 6 lines]
>>
>>Frank

> G'day G'day Frank,

>     IMHO the key to sustainable exercise is making it part of
> something greater than yourself.   Forest and Bird Societies seem a
[quoted text clipped - 4 lines]
> disguise.  (You probably don't feel that way.  It's easier for someone
> else to do so if you see what I mean.)  

> While Nordic Trainers and the like allow you to regulate your exercise
> and have all sorts of benefits there is one thing they don't do that
[quoted text clipped - 4 lines]
> perhaps or simply joining a club that gets you out with others on a
> real hike.

I think there are benefits to legs, hips, and back from uneven ground,
not just ankles and feet. If you walk on paved surfaces you get into a
groove where you repeatedly make exactly the same movements. That's a
very restricted kind of exercise. Whereas on uneven ground, especially
if it's uneven enough that you have to select where to place your
feet, you can't hold a consistent stride, you sway all over the place,
your have to keep recovering balance, etc.. All your joints get
pushed further from their habitual comfortable envelopes, as do the
muscles and tendons which control them.

Walking on increasingly rough ground was an important part of
recovering strength and mobility in my back after injuring it badly.

If you walk on rough ground with thin soles you also get the benefit
of a serious foot massage while you walk, and if the ground is rocky
enough to give only partial foot support you use all those little
muscles controlling differential foot movement which are normally
completely passive in stout footwear. My guess is that if you have
circulation problems in your feet all this can only be beneficial.

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[http://www.dai.ed.ac.uk/homes/cam/]

Quentin Grady - 07 May 2008 05:44 GMT
>I think there are benefits to legs, hips, and back from uneven ground,
>not just ankles and feet. If you walk on paved surfaces you get into a
[quoted text clipped - 5 lines]
>pushed further from their habitual comfortable envelopes, as do the
>muscles and tendons which control them.

G'day G'day Chris,

 Thank you for extending this theme.  It is so important.  Reading
your post has helped me recall an article I read some time ago about
balance and the elderly.  They benefit from chaos.  A little bit of
randomness helps them keep better balance. If they only walk on even
ground they are more likely to have falls.  Some scientist had
experimented with giving them slightly wobbly shoes to stimulate their
brains to respond to chaos appropriately.   It has been a while since
I read the article so I may be experiencing some slippage in the
details.  The general idea though was to encourage the "recovering
balance" that you have mentioned.

Best wishes
Quentin.

>Walking on increasingly rough ground was an important part of
>recovering strength and mobility in my back after injuring it badly.
[quoted text clipped - 6 lines]
>circulation problems in your feet all this can only be beneficial.
>
Signature

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

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

Chris Malcolm - 07 May 2008 10:59 GMT
>>I think there are benefits to legs, hips, and back from uneven ground,
>>not just ankles and feet. If you walk on paved surfaces you get into a
[quoted text clipped - 5 lines]
>>pushed further from their habitual comfortable envelopes, as do the
>>muscles and tendons which control them.

> G'day G'day Chris,

>   Thank you for extending this theme.  It is so important.  Reading
> your post has helped me recall an article I read some time ago about
[quoted text clipped - 6 lines]
> details.  The general idea though was to encourage the "recovering
> balance" that you have mentioned.

My own take on the worsening balance of the elderly is that it's
certainly partly due to aging of the balance sensor. You can test your
balance sensor (the inner ear labyrinth) by standing on one leg with
your eyes closed. At age 65 that's getting pretty difficult for
me. But I notice that if I practice at it I get better. And I've read
research reports suggesting that making old folk practice balancing
exercises improves their balance and reduces their liability to falls.

So I suspect that balancing is one more in the list of things which
old folk get a lot worse at because they find a certain amount of
degeneration discouraging, and stop going there. Like they're a bit
tired and achey so they take less exercise. Which in turn reduces the
strength of their muscles. Which makes them more tired and achey. A
vicious spiral of degeneration.

I think the same thing happens with balance. Once you start feeling a
little uncerain on your feet, and falls hurt more, you make a point of
avoiding doing anything which needs you to concentrate on
balancing. Too risky. They don't go there any more. And therefore the
now less used capacity degenerates more through disuse.

So I also make a point of incorporating opportunities to practise
balance into my daily life. I've deliberately left the coffee jar at
an awkward place in the kitchen which means I have to balance on one
leg and reach far out with my arm, balancing myself with the other leg
outstretched at the other side, to get the coffee. I can stabilise
myself with the other hand, but I avoid doing that unless it's really
necessary. Which means I do a difficult balancing exercise every
morning :-)

More generally I just take opportunities to do a bit of balancing
practice when it's easily and safely doable. And whenever I have
something to do that makes me focus a lot on balancing, I notice that
I get increasingly better at it as the days pass.

I also suspect there's a meta effect: if you keep practising different
things to improve, you get better at improving by practice :-)

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Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Susan - 07 May 2008 14:35 GMT
> My own take on the worsening balance of the elderly is that it's
> certainly partly due to aging of the balance sensor. You can test your
[quoted text clipped - 3 lines]
> research reports suggesting that making old folk practice balancing
> exercises improves their balance and reduces their liability to falls.

Balance in the elderly is vastly improved by high doses of vitamin D3,
and falls reduced.  Deficiencies are very widespread, more often the
case than not.

Putting my mother on D3 improved her balance a great deal.

Susan
Alan S - 08 May 2008 00:12 GMT
>Balance in the elderly is vastly improved by high doses of vitamin D3,
>and falls reduced.  Deficiencies are very widespread, more often the
[quoted text clipped - 3 lines]
>
>Susan

Are you aware of any studies relating the need for vitamin D
to climate and latitude?

Everything I read at the moment indicates that D
supplementation may be useful to all, not just the elderly.
However, the vast majority of those reports are from the
Northern latitudes of the Northern Hemisphere. I'm dubious
that that is relevant living where I live.

I'm specifically interested at the moment because my mother
has had a recent fall, but she takes too many pills now and
I don't want to suggest another supplement unless there is a
clear need.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:What to Eat Until You Get Your Meter.
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Tiger_Lily - 08 May 2008 03:47 GMT
>> Balance in the elderly is vastly improved by high doses of vitamin D3,
>> and falls reduced.  Deficiencies are very widespread, more often the
[quoted text clipped - 26 lines]
> and Cambodia
> http://loraltravel.blogspot.com/2008/03/cambodia.html

vitamin D is essential to absorption of calcium...........not 'just
calcium' but a 'bone building calcium' product that contains manganese,
Vit D, etc etc

but ask her Dr if she should be taking a product like this while healing
(makes sense that it would be a good idea, but ya never know, eh)

Signature

kate
type 1 since 1987
www.diabetic-talk.org

Alan S - 08 May 2008 05:07 GMT
>vitamin D is essential to absorption of calcium...........not 'just
>calcium' but a 'bone building calcium' product that contains manganese,
>Vit D, etc etc

No argument - my question was related to the fact that vit D
is also related to sunlight absorption and much less likely
to be deficient in my locality.

>but ask her Dr if she should be taking a product like this while healing
>(makes sense that it would be a good idea, but ya never know, eh)

Will do if it's needed.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:What to Eat Until You Get Your Meter.
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Alice Faber - 08 May 2008 06:01 GMT
> >vitamin D is essential to absorption of calcium...........not 'just
> >calcium' but a 'bone building calcium' product that contains manganese,
[quoted text clipped - 3 lines]
> is also related to sunlight absorption and much less likely
> to be deficient in my locality.

It's apparently blocked by sunscreen, so if folks are religious about
slathering up before they go outdoors, they're blocking Vit D generation
along with the sun's rays.

Signature

"[xxx] has very definite opinions, and does not suffer fools lightly.
This, apparently, upsets the fools."
    ---BB cuts to the pith of a flame-fest

Julie Bove - 08 May 2008 06:07 GMT
>> >vitamin D is essential to absorption of calcium...........not 'just
>> >calcium' but a 'bone building calcium' product that contains manganese,
[quoted text clipped - 7 lines]
> slathering up before they go outdoors, they're blocking Vit D generation
> along with the sun's rays.

I never use sunscreen any more.  I just try to limit my time in the sun.
And I have an old fashioned sun bonnet that I wear for gardening.
Trinkwasser - 08 May 2008 19:15 GMT
>>vitamin D is essential to absorption of calcium...........not 'just
>>calcium' but a 'bone building calcium' product that contains manganese,
[quoted text clipped - 8 lines]
>
>Will do if it's needed.

This is interesting, we're having a heatwave and mother is an order of
magnitude less wobbly. When it starts to rain again (as surely it
will) I will observe the results. She already takes a calcium
supplement for osteoporosis and a multivitamin with iron so should be
covered anyway.

Of course it might just be the increased heat freeing up her joints
(DON'T get old!)
Tiger_Lily - 08 May 2008 21:20 GMT
>>> vitamin D is essential to absorption of calcium...........not 'just
>>> calcium' but a 'bone building calcium' product that contains manganese,
[quoted text clipped - 16 lines]
> Of course it might just be the increased heat freeing up her joints
> (DON'T get old!)

the calcium should state on the package 'bone building forumla' and
contain the maganese, vit D and other vitamins needed for calcium
absorbtion (this from the guy running the bone density clinic on Monday)

Signature

kate
type 1 since 1987
www.diabetic-talk.org

Trinkwasser - 09 May 2008 18:51 GMT
>>>> vitamin D is essential to absorption of calcium...........not 'just
>>>> calcium' but a 'bone building calcium' product that contains manganese,
[quoted text clipped - 20 lines]
>contain the maganese, vit D and other vitamins needed for calcium
>absorbtion (this from the guy running the bone density clinic on Monday)

Oh yes it's proper genuine stuff which she is prescribed, alternating
with alendronic acid once per month (I think).
Tiger_Lily - 10 May 2008 04:05 GMT
>>>>> vitamin D is essential to absorption of calcium...........not 'just
>>>>> calcium' but a 'bone building calcium' product that contains manganese,
[quoted text clipped - 21 lines]
> Oh yes it's proper genuine stuff which she is prescribed, alternating
> with alendronic acid once per month (I think).
oh good

insurance doesn't pay for a calcium supplement, so we are left to go
find the 'right thing' on our own :(

sigh

Signature

kate
type 1 since 1987
www.diabetic-talk.org

W. Baker - 10 May 2008 20:27 GMT
: >>>>> vitamin D is essential to absorption of calcium...........not 'just
: >>>>> calcium' but a 'bone building calcium' product that contains manganese,
[quoted text clipped - 22 lines]
: > with alendronic acid once per month (I think).
: oh good

: insurance doesn't pay for a calcium supplement, so we are left to go
: find the 'right thing' on our own :(

: sigh

They don't pay for it here in the US also, but my endo , after looking at
my bone scan put me on generic ofossamax 1 time a week, calcium citrate
with vitamin D- 4 giant pills a  day and 2000 units of vitamin D(I found a
single pill with that amount of D3, which Susan had recmmended.)

Wendy
Trinkwasser - 11 May 2008 19:11 GMT
>>> the calcium should state on the package 'bone building forumla' and
>>> contain the maganese, vit D and other vitamins needed for calcium
[quoted text clipped - 6 lines]
>insurance doesn't pay for a calcium supplement, so we are left to go
>find the 'right thing' on our own :(

I can sell you some

<scrapes inside of kettle>
Nicky - 08 May 2008 08:20 GMT
>Everything I read at the moment indicates that D
>supplementation may be useful to all, not just the elderly.
>However, the vast majority of those reports are from the
>Northern latitudes of the Northern Hemisphere. I'm dubious
>that that is relevant living where I live.

The requirement is 10-15mins daily on more than face and hands at
52deg. I expect you exceed that by quite a margin :P

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Alan S - 08 May 2008 10:43 GMT
>>Everything I read at the moment indicates that D
>>supplementation may be useful to all, not just the elderly.
[quoted text clipped - 9 lines]
>D&E, 100ug thyroxine
>Last A1c 5.6%  BMI 25

Definitely, even in the dead of winter. My problem is the
reverse, as I discussed with Quentin. Too much sun on the
skin.

Thank you for the specific detail. That's what I was looking
for.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:What to Eat Until You Get Your Meter.
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Chris Malcolm - 09 May 2008 11:51 GMT
>>Everything I read at the moment indicates that D
>>supplementation may be useful to all, not just the elderly.
>>However, the vast majority of those reports are from the
>>Northern latitudes of the Northern Hemisphere. I'm dubious
>>that that is relevant living where I live.

> The requirement is 10-15mins daily on more than face and hands at
> 52deg. I expect you exceed that by quite a margin :P

Colour of the skin matters too. That's why there are more pale-skinned
blondes and red heads in Northern latitudes. Evolution in action
improving the efficiency with which their skin can collect the
beneficial effects of sunlight. Being bald also adds a good amount of
extra bare skin area well oriented to catch the sun's rays. So being a
pale skinned bald Scot I'm a very efficient solar collector :-)

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Quentin Grady - 08 May 2008 09:52 GMT
>My own take on the worsening balance of the elderly is that it's
>certainly partly due to aging of the balance sensor. You can test your
[quoted text clipped - 16 lines]
>balancing. Too risky. They don't go there any more. And therefore the
>now less used capacity degenerates more through disuse.

G'day G'day Chris,

 I'm impressed with the power of your logic.  Your hypothesis does
provide a good explanation of why some people gradually degenerate and
other people don't.  The one's who don't are those who engage in
something like yoga or steps or lift weights.  They also belong to
clubs that get them out and about.  In the mental area they play games
like bridge which keeps their minds lively.  The social activity also
helps them.  Without these they are likely to die of boredom.  IMHO
boredom ought to be on many death certificates but doctors have yet to
recognize it.

>So I also make a point of incorporating opportunities to practise
>balance into my daily life. I've deliberately left the coffee jar at
[quoted text clipped - 4 lines]
>necessary. Which means I do a difficult balancing exercise every
>morning :-)

I find that incredible.  It is one thing to talk about things.  It is
another to do as you have done to deliberately put into action a plan
to reverse the likely progressions.

>More generally I just take opportunities to do a bit of balancing
>practice when it's easily and safely doable. And whenever I have
[quoted text clipped - 3 lines]
>I also suspect there's a meta effect: if you keep practising different
>things to improve, you get better at improving by practice :-)

Way to go Chris.   You're an inspiration to us all.

Best wishes,
Signature

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

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

Trinkwasser - 08 May 2008 19:21 GMT
>  I'm impressed with the power of your logic.  Your hypothesis does
>provide a good explanation of why some people gradually degenerate and
[quoted text clipped - 5 lines]
>boredom ought to be on many death certificates but doctors have yet to
>recognize it.

I go both ways here, my midbrain likes routine and my
neurotransmitters/endocrines can freak out otherwise.

Meanwhile my cortex dies without sufficient stimulation.

   

Time
(Mason, Waters, Wright, Gilmour) 7:06

Ticking away the moments that make up a dull day
You fritter and waste the hours in an offhand way.
Kicking around on a piece of ground in your home town
Waiting for someone or something to show you the way.

Tired of lying in the sunshine staying home to watch the rain.
You are young and life is long and there is time to kill today.
And then one day you find ten years have got behind you.
No one told you when to run, you missed the starting gun.

So you run and you run to catch up with the sun but it's sinking
Racing around to come up behind you again.
The sun is the same in a relative way but you're older,
Shorter of breath and one day closer to death.

Every year is getting shorter never seem to find the time.
Plans that either come to naught or half a page of scribbled lines
Hanging on in quiet desperation is the English way
The time is gone, the song is over,
Thought I'd something more to say.
Quentin Grady - 09 May 2008 19:22 GMT
>>  I'm impressed with the power of your logic.  Your hypothesis does
>>provide a good explanation of why some people gradually degenerate and
[quoted text clipped - 36 lines]
>The time is gone, the song is over,
>Thought I'd something more to say.

Beautiful poem.  Thank you.
Signature

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

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

Trinkwasser - 11 May 2008 19:13 GMT
>>>  I'm impressed with the power of your logic.  Your hypothesis does
>>>provide a good explanation of why some people gradually degenerate and
[quoted text clipped - 38 lines]
>
>Beautiful poem.  Thank you.

Pink Floyd, Dark Side of the Moon

(say DUH!)
percy - 11 May 2008 23:52 GMT
>>>>  I'm impressed with the power of your logic.  Your hypothesis does
>>>> provide a good explanation of why some people gradually degenerate and
[quoted text clipped - 40 lines]
>
> (say DUH!)

http://www.youtube.com/watch?v=ntm1YfehK7U

Vicki
"Dark Side of the Moon" is the greatest album ever made, IMO.
percy - 11 May 2008 23:55 GMT
>>>>>  I'm impressed with the power of your logic.  Your hypothesis does
>>>>> provide a good explanation of why some people gradually degenerate and
[quoted text clipped - 45 lines]
> Vicki
> "Dark Side of the Moon" is the greatest album ever made, IMO.

Crap! Wrong version. Above is live. This one is from the album.

http://www.youtube.com/watch?v=1V71MQEUJKY&feature=related

Vicki
Trinkwasser - 08 May 2008 19:11 GMT
>So I also make a point of incorporating opportunities to practise
>balance into my daily life. I've deliberately left the coffee jar at
[quoted text clipped - 4 lines]
>necessary. Which means I do a difficult balancing exercise every
>morning :-)

Hehe, sounds like me putting my socks on
Chris Malcolm - 10 May 2008 10:53 GMT
>>So I also make a point of incorporating opportunities to practise
>>balance into my daily life. I've deliberately left the coffee jar at
[quoted text clipped - 4 lines]
>>necessary. Which means I do a difficult balancing exercise every
>>morning :-)

> Hehe, sounds like me putting my socks on

That's a good point: putting on socks and shoes offers an everyday
opportunity to practice balance by trying to do it while standing on
one leg. It may not be easy, in fact it may be impossible, but
regularly trying to do it ought to produce some useful improvement.

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Alice Faber - 10 May 2008 16:24 GMT
> >>So I also make a point of incorporating opportunities to practise
> >>balance into my daily life. I've deliberately left the coffee jar at
[quoted text clipped - 11 lines]
> one leg. It may not be easy, in fact it may be impossible, but
> regularly trying to do it ought to produce some useful improvement.

When I'm waiting for my food at the take-out place in my building at
work (they'll do any sandwich breadless, with a huge mound of baby
greens), I practice standing on one foot. Mostly, people don't even
notice! And it does make a difference if I stumble over a curb.

Signature

"[xxx] has very definite opinions, and does not suffer fools lightly.
This, apparently, upsets the fools."
    ---BB cuts to the pith of a flame-fest

W. Baker - 10 May 2008 20:29 GMT
: >>So I also make a point of incorporating opportunities to practise
: >>balance into my daily life. I've deliberately left the coffee jar at
[quoted text clipped - 4 lines]
: >>necessary. Which means I do a difficult balancing exercise every
: >>morning :-)

: > Hehe, sounds like me putting my socks on

: That's a good point: putting on socks and shoes offers an everyday
: opportunity to practice balance by trying to do it while standing on
: one leg. It may not be easy, in fact it may be impossible, but
: regularly trying to do it ought to produce some useful improvement.

Just try that with support hose adn you lnd flat on your back!

Wendy
Trinkwasser - 11 May 2008 19:11 GMT
>>>So I also make a point of incorporating opportunities to practise
>>>balance into my daily life. I've deliberately left the coffee jar at
[quoted text clipped - 11 lines]
>one leg. It may not be easy, in fact it may be impossible, but
>regularly trying to do it ought to produce some useful improvement.

I can still do quite well on one leg but the other one (which I
buggered up in a parachuting accident) is a tad more challenging.

Keeps me on my toes though

<runs away>
John - 07 May 2008 13:32 GMT
> I'm working on a virtual trip up the Appalachian
> Trail:  got the trail guides, and mark off the distance traveled at each
> workout.  So far, I've got from Georgia to Tennessee, heading eventually to
> Maine.

That's really cool. Much better than staring at my messy garage where
my treadmill is. I've really got to do something about that garage.
Right now, my solution is to just skip the treadmill and walk outside
now that it's nice and warm. That way I don't have to see the garage.

Congrats on the great numbers. BTW, what was your HDL number?

John C.
Gary Woods - 10 May 2008 19:44 GMT
>Congrats on the great numbers. BTW, what was your HDL number?

Finally getting around to pulling the paper out of the file

In 90 days:
HDL went from 39.1 to 47.0
LDL from 84.4 to 59.4
Triglycerides from 88.5 to 68.8
Total Cholesterol from 141 to 120.

Think I gotta go have a rib eye steak!

....and make ready for both daughters to make an early Memorial Day visit
to family graves.

Gary Woods AKA K2AHC- PGP key on request, or at home.earthlink.net/~garygarlic
Zone 5/6 in upstate New York, 1420' elevation. NY WO G
Nicky - 11 May 2008 15:52 GMT
>>Congrats on the great numbers. BTW, what was your HDL number?
>
[quoted text clipped - 5 lines]
>Triglycerides from 88.5 to 68.8
>Total Cholesterol from 141 to 120.

Wow!! What are you doing again, Gary?

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Trinkwasser - 11 May 2008 19:14 GMT
>>>Congrats on the great numbers. BTW, what was your HDL number?
>>
[quoted text clipped - 7 lines]
>
>Wow!! What are you doing again, Gary?

Yup, I want some too.
Quentin Grady - 12 May 2008 08:42 GMT
>>Congrats on the great numbers. BTW, what was your HDL number?
>
[quoted text clipped - 5 lines]
>Triglycerides from 88.5 to 68.8
>Total Cholesterol from 141 to 120.

Oooh Oooh compulsive obsessive behavior rears its head.  
I simply have to calculate your TG:HDL ratios.  I'm not a doctor or in
any way connected with the medical profession.  Calculating TG:HDL
ratios is just a hobby amongst T2 diabetics to monitor their progress.
IMO, it is far more meaningful than A1c.

Previous ratio = 88.5:39.1 = 2.3
Present ratio   = 68.8:47.0 = 1.5  

What this means is that you had a good ratio 90 days ago. Being less
than 3.0 many people would have slapped themselves on the back
assuming they could reach and not sought further improvement.  Though
you know doubt had other priorities on your mind you have never the
less made considerable improvement. Put simply your current TG:HDL
ratio is excellent showing a marked reduction in insulin resistance.
Another likely benefit is that the LDL which you have much less of
anyway has a higher percentage of the less harmful fluffy larger sort
than the small nasty stuff that is twice as dangerous.  

>Think I gotta go have a rib eye steak!

I think you deserve it.  

Either that or tonight's prize for inspiring others

>....and make ready for both daughters to make an early Memorial Day visit
>to family graves.
>
>Gary Woods

Best wishes and congratulations,
Signature

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

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

Jefferson - 12 May 2008 15:21 GMT
> Oooh Oooh compulsive obsessive behavior rears its head.  
> I simply have to calculate your TG:HDL ratios.  I'm not a doctor or in
[quoted text clipped - 14 lines]
> anyway has a higher percentage of the less harmful fluffy larger sort
> than the small nasty stuff that is twice as dangerous.  

One advantage of the TG:HDL ratio is that it's components are typical
assessments used at the clinical level and the ratio itself is
considered a rough measure of insulin resistance.  Some excerpts below
go into the topic of measuring insulin resistance in more depth.

"The gold standard technique, the euglycemic-hyperinsulinemic glucose
clamp (7), measures insulin-mediated glucose disposal by peripheral
tissues. The clamp is labor intensive and burdensome for subjects,
precluding routine use. Other direct measures of insulin resistance,
such as the steady-state plasma glucose (SSPG) test (8,9) and the
frequently sampled intravenous glucose tolerance test (10), also
primarily measure whole-body glucose disposal and are similarly labor
intensive. Indirect markers of insulin resistance, such as serum insulin
concentrations, BMI, waist circumference, and serum triacylglycerol
concentrations, have limited utility. BMI, for example, is not a good
surrogate for insulin resistance, as 16% of individuals with insulin
resistance are lean, whereas 30% of insulin-sensitive individuals are
obese or overweight (11). Other surrogate measures model the
relationship between glucose and insulin. The homeostasis model
assessment (HOMA) (12,13), quantitative insulin sensitivity check index
(QUICKI) (14), and models based on the oral glucose tolerance test (15)
have correlated well with the clamp in some studies, but, often, the
correlation has been poor (r2 = ~0.50) (16–19), especially in
normal-weight individuals (19). Attempts to define a clinical entity
(i.e., the metabolic syndrome) (20) or combine parameters (e.g., BMI and
HOMA of insulin resistance) (21) to establish insulin resistance have
proven to be insensitive for detecting it (22,23) and do not provide a
continuous measure for monitoring treatment response (21)." Source:
Whole-Body Glycolysis Measured by the Deuterated-Glucose Disposal Test
Correlates Highly With Insulin Resistance In Vivo -
http://care.diabetesjournals.org/cgi/content/full/30/5/1143

Some other limitations to indirect measure of insulin resistance:
"ATP III criteria for identification of insulin resistance
ATP III guidelines (3) recommended that clinical diagnosis of the
insulin resistance syndrome require the presence of three or more of the
following components: abdominal obesity (waist circumference >102 cm in
men and >88 cm in women), elevated blood pressure level (systolic blood
pressure >=130 mmHg or diastolic blood pressure >=85 mmHg), elevated
triglycerides (>=150 mg/dl), decreased HDL cholesterol (<40 mg/dl in men
and <50 mg/dl in women), and elevated fasting glucose (110–125
mg/dl).[...] The poor sensitivity of ATP III criteria for identifying
insulin resistance could indicate that a significant number of people
are insulin resistant but do not exhibit the metabolic syndrome trait
complex. To explore this possibility, we assessed cardiovascular risk
factors, including NMR (nuclear magnetic resonance) lipoprotein subclass
parameters associated with insulin resistance (13) in three groups of
subjects: those who met ATP III criteria (ATP III+), insulin-resistant
individuals (GDR <12 mg · kg-1 · min-1) who did not meet ATP III
criteria (ATP III-), and those who were ATP III- and insulin sensitive
(GDR >=12 mg · kg-1 · min-1) (Table 3). Approximately one-third (20 of
65) of subjects who did not meet ATP III criteria were insulin
resistant. Importantly, compared with the insulin-sensitive subgroup,
these ATP III- insulin-resistant subjects had significantly worse
cardiovascular disease risk factors, including significantly greater
mean BMI, waist circumference, triglycerides, and fasting glucose. They
also had unfavorable NMR lipoprotein subclass measures such as increased
large VLDL concentration and VLDL size, increased total LDL
concentration (mainly due to an increment in small to intermediate LDL
particles), decreased LDL particle size, and decreased large HDL
particles, and HDL size (all P < 0.05) (Table 3 and Fig. 2). In
addition, 20% of the insulin-resistant subjects who did not meet ATP III
criteria had IGT (by 2-h glucose criteria). Hence, ATP III criteria
failed to identify many insulin-resistant individuals who have an
adverse cardiovascular disease risk profile, including dyslipidemia as
manifested by the NMR lipoprotein subclass analysis." Source: Critical
Evaluation of Adult Treatment Panel III Criteria in Identifying Insulin
Resistance With Dyslipidemia -
http://care.diabetesjournals.org/cgi/content/full/27/4/978

For most of the last 7 years my TG/HDL ratio has been less than 1 in
mg/dl.  The following abstract goes into abnormal albumin excretion as a
factor in insulin resistance.  Having a good TG/HDL ratio is not enough.
Insulin resistance and abnormal albumin excretion in non-diabetic
first-degree relatives of patients with NIDDM. -
http://www.ncbi.nlm.nih.gov/pubmed/7758885

Frank
 
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