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Medical Forum / Diseases and Disorders / Diabetes / June 2007bad cholesterol - some advice please
Hi my name is til I am a T2 diagnosed in 2000 age 56 height 6'0" weight 15.5 stone I have lurked on this website for about 6 years and with your help I control my diabetes by diet and the occasional repaglinide. I have finally persuaded my doctor to prescribe metformin (slow release), will be on 500gms to start with, should I eventually push for the highest dose that i can tolerate? my a1c is about 6.0 but I can easily spike to about 9 or 10 after meals which I know is too high. So I am hoping that the metformin will help. Next on my list is my lipids my HDL is low (about .5) and my LDL is high my cholesterol figure is 3.7 which is useless if I don't do something about the HDL. Any advice appreciated Current meds Tamsulosin, Repaglinide, ramipril, aspirin Generally in reasonable health Thanks in advance > Hi my name is til > I am a T2 diagnosed in 2000 age 56 height 6'0" weight 15.5 stone > I have lurked on this website for about 6 years and with your help I > control my diabetes by diet and the occasional repaglinide. > I have finally persuaded my doctor to prescribe metformin (slow > release), will be on 500gms to start with, Isn't the slow release 850mg? > should I eventually push > for the highest dose that i can tolerate? Not in my opinion. First off, if you've never taken metformin before there is a 'settling in' period of getting used to it. Some get over this pretty quickly, others take a few weeks. In general the slow release is tolerated much better. Secondly, taking drugs to alleviate the condition is one way, but they only do so much. You might see your figures reduce initially but they will inevitably creep up again. My opinion is that you should be looking more at what you're eating and your exercise regime to bring the numbers down that way. In essence, you're treating the root cause of the problem rather than the end result. > my a1c is about 6.0 but I > can easily spike to about 9 or 10 after meals What foods are you eating that is making you go so high? > which I know is too > high. So I am hoping that the metformin will help. It maybe will, it maybe won't. Again you should be initially looking at what you're eating and reduce the overall carbs to reduce the strain on your body. >> my a1c is about 6.0 but I >> can easily spike to about 9 or 10 after meals [quoted text clipped - 7 lines] >what you're eating and reduce the overall carbs to reduce the strain on >your body. I agree with G-man, Til. Have you tried this? http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 >>> my a1c is about 6.0 but I >>> can easily spike to about 9 or 10 after meals [quoted text clipped - 10 lines] > I agree with G-man, Til. Have you tried this? > http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm Strangely, I was talking to my doc about exactly this only last week. Apparently, changing one's diet from a typical bad Brit diet of fried everything with butter to taste, to one of "uber healthy" will only result in a tiny reduction of bad cholesterol (about 10%) for a small minority of people and only for a short time. usually around 3 months or so. He recommends a statin at the first sign of non good cholesterol level.  SignatureBeav VN 750 Zed 1000 OMF# 19 > Nicky. > T2 dx 05/04 + underactive thyroid > D&E, 100ug thyroxine > Last A1c 5.6% BMI 25 >>>> my a1c is about 6.0 but I >>>> can easily spike to about 9 or 10 after meals [quoted text clipped - 14 lines] >Apparently, changing one's diet from a typical bad Brit diet of fried >everything with butter to taste, Actually, that's something some of us have been trying to say for some time. The problem there is that they have been changing from "a typical bad Brit diet of fried everything with butter to taste," but neglecting that includes lots of chips, bread, rice, corn and cereals together with all those fried things to the "uber healthy" diet of more breads, rice, corn and cerels - but steamed, not fried. And what a surprise - things don't improve; in many cases they get worse. Both extremes are deadly; and both miss the point. It's the extremes, in my opinion, that cause problems. And I consider the present "uber healthy" high-carb low-fat diet as very extreme, whether or not you are a diabetic of any type. >to one of "uber healthy" will only result >in a tiny reduction of bad cholesterol (about 10%) for a small minority of >people and only for a short time. usually around 3 months or so. > >He recommends a statin at the first sign of non good cholesterol level. Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltraveloz.blogspot.com/ latest: Kuranda Skyrail near Cairns http://loraldiabetes.blogspot.com/ latest: Ki Si Ming >Hi my name is til >I am a T2 diagnosed in 2000 age 56 height 6'0" weight 15.5 stone [quoted text clipped - 13 lines] >Generally in reasonable health >Thanks in advance Add me to the chorus asking what you eat. Your title is about cholesterol but your question is about blood glucose meds. Good HDL, from my own experience and my reading, is more to do with moderate regular exercise and eating good fats, like olive oil, avocado, nuts etc. Why are you still eating foods that spike you? High triglycerides are related to excessive carbohydrates, and so are BG spikes. Your cholesterol aim should be low trigs and good HDL. Think about that, then read this: http://loraldiabetes.blogspot.com/2006/10/test-review-adjust.html Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltraveloz.blogspot.com/ latest: Up to Kuranda by train http://loraltravel.blogspot.com/ latest: Slovenia http://loraldiabetes.blogspot.com/ latest: Jennifer's Story Ok my diet is generally low carb but on the occasion when I may have a small starter of pasta, or say some garlic bread then that is the time that I will spike quite easily. I eat 1 slice burgen bread with mushrooms/egg or fish for breakfast. Lunch is usually a salad with tuna/sardines/salmon together with a weight watchers yoghurt. Dinner is meat and veg.(not potatoes) with sugar free jelly summer fruits and cream. Supper is half a bottle of red wine and occasional 4 pieces of wholenut (12g carb). I eat well under the 75 to 100mgs of carb per day. Exercise is 3 - 1/2 hour walks with the dog, also my job as an electrician is quite physical at times. My question (not very well put) is should I push for the max dose of metformin to help my lipids by lowering my insulin resistance, I can only see benefits in metformin but maybe there are draw backs (yes I know about the side effects) that I should be made aware of. I understand that metformin does not lower BG's just makes the body less Insulin Resistant so going on the max dose may allow me to eat more carbs?. I must admit that as time goes on the low carb diet has started to get to me and probably my infrequent treats have got more frequent, so I am looking for ways to allow me to treat myself without the spikes. Am I right in thinking that bad lipids are related to high spikes rather than high carb intake and that if I can eliminate the spikes this will help my lipids. > Am >I right in thinking that bad lipids are related to high spikes rather >than high carb intake and that if I can eliminate the spikes this will >help my lipids. Trigs are directly linked to carb levels. Not sure about the other linkages, except that wine and exercise do good things to HDL. If you're bored with low carbing, maybe collecting some new recipes would help? alt.food.diabetic is a good start, also typing "recipe low carb <whatever>" into google gives tons of ideas. If you want a new cook book, I'd recommend anything by Dana Carpender; I'm also enjoying Low Carb for Dummies. I was talking to someone earlier today who is convinced his IBS was linked to metformin; it went away when he stopped. Personally, I got much more tired than usual, which also went away. I thought metformin was a wonderful aid in taming my liver, but I'm glad to be off it; I'm getting better mileage from exercise. Your exercise amounts sound good; maybe you could add a bit of weightlifting to supplement it and decrease your IR? Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 Thanks for that Nicky have ordered the 500 low carb recipes. Did you give up on the metformin because of the side effects associated with metfartin, I have that to find out yet. Off to look at alt.food.diabetic now >Thanks for that Nicky have ordered the 500 low carb recipes. >Did you give up on the metformin because of the side effects >associated with metfartin, I have that to find out yet. It wasn't doing anything for me any more, and was making me feel knackery. I was on it for around a year, 2x500mg daily, and it was great for getting me over the initial IR hump and taming my liver. I stopped last September, and A1c has drifted up .2% - I got it taken off my repeat prescription this MOT. Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 On 25 Jun, 16:34, t...@rausse.co.uk wrote: > Hi my name is til > I am a T2 diagnosed in 2000 age 56 height 6'0" weight 15.5 stone [quoted text clipped - 13 lines] > Generally in reasonable health > Thanks in advance Hi, Ihave been in the same position as you, cholesterol was reported as 5.2, but now I have got it down to 4.2, without medication. I take 3x500mg Metformin a day as well as Insulin, I basically got it down but cutting down on my saturated fat intake - I have been following weight watchers eating plan for six years now and lost 5stone in total, which isn't bad going really, and I limit fry ups to once a week, and chips once a week, just try to be sensible but don't go without anything! Hope this has helped. Tracy xx |
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