Reference ranges for each test would be helpful.
so I had my diabetes check up today and doc is, naturally, concerned about increased cholesterol. I told her about Paleo/Primal, and she encouraged me to eat more lean cuts. Which makes sense. I've been eating a lot of fat from non-grass fed critters. Any further insight from you guys would be great (especially if you can see anything that would help encourage weight loss). Doc suggested that going back on glucophage would help with the weight loss. Blah!
a1c- 5.8 (flag 4.5 - 6.0)
sodium- 138 (135-148)
potassium- 4.4 (3.5-5.5)
chloride- 106 (96-109)
bicorbonate- 128 (20-32)
glucose- 128 (65-109)
blood urea nitrogen- 23 (5-26)
serum creatinine- 0.9 (.5 -1.5)
serum calcium- 9.1 (8.5 - 10.6)
alanine aminotransferase- 23 (0 - 40)
asparate aminotransferase- 18 (0-40)
albumin- 4.2 (3.5 - 4.8)
alkaline phosphatase- 49 (25-160)
bilirubin- 0.4 (0.1 -1.2)
protein- 7.8 (6.0 - 8.5)
bun/creat ratio- 25.6 (3-40)
globulin- 3.6 (2-4)
a/g ration (calc)- 1.2 (1.1 -2.4)
anion gap - 8 (5-14)
GRF Female- 79.2 (59- )
cholesterol- 254 (100-199)
triglyceride- 191 (48-149)
hdl cholesterol- 49 (40-59)
cholesterol/hdl ratio- 5.2 (0-3.1)
ldl (calc)-167 (0-130)
ldl/hdl ratio- 3.4 ( - )
VLDL (calc)- 38 (0-50)
tsh- 1.85 (.23-3.07)
free t4- .98 (.58-1.64)
microalbumin- <0.5 (0 - 1.8)
urine creatinine random- 82.3 (-)
so, experienced friends/eyes, give me the low down on what that all means. See anything unusual?
Did not get results for total inflammation, LP(a), Vap, b/c doc said my insurance doesn't cover it.
She agreed to let me escape statin rx this time, b/c I promised I'd "work on it" over the summer. Have been meaning to cut back to leaner cuts of all critter, and also cook my way through Everyday Paleo in June. I think going fairly strict paleo for a month or two will be good for me.
Last edited by Dr. Bork Bork; 05-23-2011 at 12:25 PM.
Reference ranges for each test would be helpful.
Oh, sorry, lemme see if I can edit that real quick
P.S. Started PB Jan 16, 2011. 5'5.5", 28F, 177 lbs as of this morninggg
Last edited by Dr. Bork Bork; 05-23-2011 at 12:26 PM.
Looking at it from a traditional perspective, your A1C and glucose levels would indicate excellent control.
However, if you are following a primal diet, I would question why your numbers are so high.
Type 2 diabetes (which is what I assume we are talking about) means that your insulin is less effective at lowering your blood sugar. But, to be ineffective at lowering blood sugar, your blood sugar would have to rise, which should really happen eating carbs or sugars. Other foods would have very little effect on your blood sugar levels.
I have type 2, and I almost never see my blood sugar rise above 100. It is usually happily hovering around 90... even after meals.
Your trigs are also higher than what I would expect from a primal diet.
I think that your doctors recomendation for glucophage (metformin) is a good one. Do you have any baselines as to what your numbers were looking like while you were previously on it?
They were only slightly lower on it. My fasting sugars are creeping up slowly. I've been limiting my carbs to 50g a day or less. Fasting sugar this morning in the doctors office at 11:30 was in the high 130s. My last meal had been at 7p the night before. My hA1c since Nov has been 5.5 (off of insulin), 5.7 (off of glucophage 1 mo), and 5.8 (off of glucophage nearly 6 mos)
do you know for sure that you are type 2 and not type 1.5?
If your doctor thinks you are 1.5, has he done a C-peptide test? That would measure the function of the beta cells, and tell you if they are weakening. You could also try Dr. Bernstein's approach to eating: 6g carb for breakfast, 12g for lunch, 12g for dinner. 30g total. Then add however much protein it takes to make you stay full til the next meal (with fat added for more calories). I find a heavier lunch and a lighter dinner (less protein) keeps me from having really high fasting blood sugar, but it's not normal blood sugar, either...
The fact that your fasting blood sugar is slowly climbing makes me wonder if your beta cells are getting burned out. I hope not! I'm crossing my fingers for you!
Type 1 Diabetic. Controlling blood sugar through primal life.
Maintain A1c of 6.0 or lower
More dietary fat, less carbs, moderate protein
LHT and sprint as per PB fitness
Fasting blood glucose is high, as are trigs, LDL, and total cholesterol for how much HDL you have. Don't know about the other markers. High glucose is explained by the diabetes, of course. You should get tested for 1.5 if your doctor thinks it's likely, the fact that your blood sugars have been creeping up despite a Primal diet is not a good sign; aside from insulin resistance it could mean pancreatic beta cell failure which would be bad news. Since high glucose is toxic you might want to consider insulin until you can control it with diet, this will spare your beta cells if you're 1.5.
What is your diet right now, and what was it before PB? Typical consumption of animals, plants, and "other" is enough (and type, please). Assuming you're 80% compliant with the Primal diet lipid markers could indicate export of triglycerides from your liver (curing fatty liver) as well as taking care of accumulated inflammation/damage, but the truth is that what's really important is the trend. If these numbers trend in the direction they're supposed to (trigs and LDL down, HDL flat or up) that's what you want to see but again if the trend is in the wrong direction that means something's not being controlled.
BTW, congratulations on being normal
Jan 2011 I switched to PB, re-unleashed my inner carnivore who was exceptionally happy about it, and started enjoying high fat, conventional beef (which I think might be culprit, since grass fed fat I guess is supposed to have less impact on LDL? Something along those lines, right? Which is why I'm okay with scaling back to leaner cuts until we can afford grass fed)
Breakfast is usually IF, or-- if I'm hungry-- bacon & eggs. Lunch is either leftovers or whatever I'm in the mood for (tuna fish has been an easy go to lately), and dinner varies every night but is usually meat & veggies. There's fruit in the house, but lately I've been trying to keep it to varieties that are not my favorite so they're easier to resist. Tonight we had broccoli salad with bacon, grapes, and apple, no dressing.
We eat a lot of beef, chicken, and some seafood & pork. I told my doc our week is pretty well balanced between the 4. 2-3 nights of beef, 2-3 nights of chicken, fill in the random rest with pork & seafood.