To: TheyCallMeLazarus: Hi, I posted the orig. question, & I can't express how much I appreciate your time and help. (I've been MIA, settling my Son W/ Asperger's into college). Wish I lived near Vermont! (I'm near Dallas, TX). I have 2 sets of July labs on my Husband. One fasting, one not. (Some of The designations seem to vary from what you asked for, so I'll post the stand-outs). These are all from 7/25/13 Fasting: Glucose Serum: 134 (previous week was 135), BUN: 25, BUN/ Creatinine Ratio: 23, Bilirubin total:1.4, TTL Cholesterol: 127, Triglycerides: 197, HDL: 34 (on 1000 mg. Niaspan), He has small particulate LDL from past testing, I don't know why this M.D. didn't test for that (!). TSH: 5.070. Under "CBC with Differential/ Platelet", the standouts are: WBC: 3.1, Neutrophils: 35, Lymphs: 51, Neutrophils Absolute 1.1 (If this is TMI, I apologize)!
All Non Fasting: (Coincidently, done @ a work wellness screening also on 7/25/13) Standouts: Glucose: 112, A1c: 5.7, VAP Lipid Panel: (Direct Measured Cholesterol Panel): Total LdL: 52 with dense size pattern B, Total HDL: 31 (HDL2 is 8, HDL3 is 22), Total VLDL: 37 (VLDL 1+2 is 20.4, VLDL 3 is 16), Total Cholest is 119. Triglycerides: 269. Apolipoproteins: Apo Al is 113. Homocysteine: 12.2, C-reactive Protein, hs is 1.4. Bilirubin Total: 1.4, Hgb A1c with eAG Estimation Hemoglobin A1c: 5.7. (Again, sorry if TMI)! We will find somewhere to get a water body fat test and do the photo op. I may have to strong arm him on those photos!
Can you help me understand why Ketosis may not be beneficial for him? He doesn't fast and gorge; he has 3 meals a day, typical is very low carb like organic 12 lettuce salad with salmon, or eggs w/ organic butter, onion, mushrooms, jalapeno. He has a p.m. snack of heavy cream. We started to cut back on the protein a bit & increase healthy fats, since he hasn't hit more than the edge of ketosis in 3 weeks of low carb according to Ketostix (I hear they're not a very good gage. His blood meter will arrive soon). The only time he did hit more than trace ketosis was after more than 2 hours of busting it on his mountain bike. (He's Motivated! I'm so proud & impressed)! He was well hydrated.
His brother had type 2 Diabetes that he didn't take enough self responsibility for (+ many additional health issues) and died last year @ the young age of 55. Doctors could not determine cause of death, except that it was not heart attack or stroke. If it wasn't for his Mother's help, he probably would have died sooner. It's very sad, and definitely Not happening to my Husband.
Bty, I don't find your style intimidating at all (referencing someone else's post). Do you have anyone you can refer us to in the Dallas, Tx area who has an approach like yours? Or, ideas on how to find a doc like you? I don't have enough faith in our family internal medicine m.d. His "solution" was a metformin script, but my husband said he wanted to do lifestyle changes instead. Our Doc said "Fine, watch what you eat, exercise, lose weight & we'll check you in 2 months". That was it, not very helpful. I'm guessing I should start by looking for an endocrinologist that espouses low carb?
Thank you SO much for helping us, and clearly many others in your practice and Marks Daily Apple. I wish more M.D.'s had your approach, sense of sharing information and responsibility!