Diabetes and how you cope with it?

[wongminmin]

Yeah, not easy... that is why I always experimenting with different "intervention" & also because I am personally interested in this area.

For me I am more concerned with high blood glucose and high blood pressure... less on LDL....
so each individual decides what their own body risk factor.

I don't think the doctor can explain that to you ( what you want...)

he most likely will ask you to take a statin.

I was on statin for quite a number of years from 2000 but give me muscle problem.

Maybe you can try to ask the doctor about ezetimibe,

which is usually taken by those hyper absorber? ( This is one I might consider taking iso of statin).

Lastly I again repeat,

ask the doctor to refer you for CAC , 180, it is not expensive to know the answer ,

if U have zero score,

imagine the amount of money you save on statin for the next 5 years

and also the potential side effects from medication

and also the reduced stress and worry about High LDL ?

Anyway whatever you decides , all the best in your journey,

I think if every other biomarkers are in Optimal range

and you are enjoying life that is more important;

than worry about 1 , LDL which is basically derived from a maths formula calculation.

fish oil increase ldl

As reported in several studies, however, decreased TG levels, achieved by omega-3 fatty acids, have been accompanied by elevated LDL-C levels. In a meta-analysis of 21 studies, fish oil supplementation was associated with an average 6-mg/dL increase in LDL-C levels.

 

[Dopod007]

fish oil increase ldl

I think TG is more harmful than LDL. If fish oil decrease TG but increase LDL slightly, that is ok.

 

[16/8IF]

fish oil increase ldl

I think in my post yesterday I did ask you about fish oil, and to stop taking it for 3 months and than do another blood test.

See post 3692--- I went to bold that part so that U dont have to read everything again

Honestly more important to be metabolic healthy , ie as diabetic I think for us that is the GREATEST RISK factor compared to LDL.

I don't really stress myself over one single biomarker like LDL.

doing a CAC can set your mind at ease, if it is NOT zero than you still have time to discuss with your doctor what is the next course of action.

 

[16/8IF]

fish oil increase ldl

FYI

 

[wongminmin]

FYI

i think i know the root cause liao..... the bile acid keep recycle... cause higher ldl.....

 

[16/8IF]

i think i know the root cause liao..... the bile acid keep recycle... cause higher ldl.....

That is why I suggested ezetimibe, which will absorb the circulating LDL out of the system if you
are a hyper absorber.

It is good that you take an interest in this area and search for answers but finally it is all about RISK management...

Maybe good for you to sign up to listen to the free webinar I posted earlier and hear what the medical professionals views ( one of the topic:- CT Calcium risk stratification ).

My own practice is to find out where are my risk is, although LDL is one biomarker but a "clear cut risk factor" is to know whether there is blockage and here you can do it.

 

[Eien_kisu]

 

[Eien_kisu]

i think i know the root cause liao..... the bile acid keep recycle... cause higher ldl.....

have you tried feldman protocol to lower ldl?

 

[wongminmin]

have you tried feldman protocol to lower ldl?

dunnoe about feldman protocol.

Previously, 16 suggest the raise in ldl it could be temp surge from omad. So i didn't care much about ldl.

Right now, i stopped taking fish oil... and change in diet..... e.g eating fiber food. hopefully, it will work.
But most likely next week the doctor will intro statins.
she said statins good for body benefits.... even not high cholesterol. lol

 

[16/8IF]

dunnoe about feldman protocol.

Previously, 16 suggest the raise in ldl it could be temp surge from omad. So i didn't care much about ldl.

Right now, i stopped taking fish oil... and change in diet..... e.g eating fiber food. hopefully, it will work.
But most likely next week the doctor will intro statins.
she said statins good for body benefits.... even not high cholesterol. lol

NOT due to OMAD but if you are still loosing weight than tendence for LDL to go UP.

Once your weight stabilize it will come down, that was my personal experience and also others who have
gone thru the process . ( I dont think +/- 5 kg is considered stablilized )

I forgot to add, that webinar I post, there is a Q&A part where you can post your questions and they will answer you,

Maybe you can post your questions there and see how the medical professionals in SG answer them , would be
interesting , and they all looks young so they should be more in touch with current research ?

First you must answer yourself, why are you worried about your LDL level, is it to prevent Heart blockages?

For me , that is what I am concerned about,

so personally

I took the following action in order to understand my own risk factors eg having a
1) CAC Scan every 3 years instead of 5 years ;

testing yearly for

2) HsCRP ;
3) Homocysteine ;
4) ESR ;
5) Full Blood Count with Differential--- to ensure that my Inflammation Markers are in the Optimal Range and not just in the Lab Range.
edited forgot about
6) Fasting Insulin.

There are other inflammation Markers that I would like to take, but in SG , sometimes the doctors are not especially receptive , especially the Gov Hospital even though they might be young but they are still "stuck" in the old mindset.

Example Homocysteine test which is cheaper in Gov Hospital but the doctor that I requested for, turn down my request and I had to do it at a normal clinic but this test, your blood needs to be store in cold temp so not all clinic provide this test.

Just sharing with you what I do for my own risk management.

I think only You and your doctor know your condition better, example what are your diet consists of... or your other medical conditions and also the trend of all your blood tests etc etc.

 

[wongminmin]

NOT due to OMAD but if you are still loosing weight than tendence for LDL to go UP.

Once your weight stabilize it will come down, that was my personal experience and also others who have
gone thru the process . ( I dont think +/- 5 kg is considered stablilized )

I forgot to add, that webinar I post, there is a Q&A part where you can post your questions and they will answer you,

Maybe you can post your questions there and see how the medical professionals in SG answer them , would be
interesting , and they all looks young so they should be more in touch with current research ?

First you must answer yourself, why are you worried about your LDL level, is it to prevent Heart blockages?

For me , that is what I am concerned about,

so personally

I took the following action in order to understand my own risk factors eg having a
1) CAC Scan every 3 years instead of 5 years ; testing yearly for
2) HsCRP ;
3) Homocysteine ;
4) ESR ;
5) Full Blood Count with Differential--- to ensure that my Inflammation Markers are in the Optimal Range and not just in the Lab Range.

There are other inflammation Markers that I would like to take, but in SG , sometimes the doctors are not especially receptive , especially the Gov Hospital even though they might be young but they are still "stuck" in the old mindset.

Example Homocysteine test which is cheaper in Gov Hospital but the doctor that I requested for, turn down my request and I had to do it at a normal clinic but this test, your blood needs to be store in cold temp so not all clinic provide this test.

Just sharing with you what I do for my own risk management.

I think only You and your doctor know your condition better, example what are your diet consists of... or your other medical conditions and also the trend of all your blood tests etc etc.

if no control +/- 5kg
if got control +/- 2kg
if i jiak 2 normal meals, i will gain weight.

nope, the doctor see reading then give medication.
if ask further, she said eat healthy, exercise. then take out the food pyramid. i see the food pyramid until i scare.
if ask further, recommend go attend nutritionist talk.
i told her remission and not taking medication, no need a1c, she tell me still need monitor....
sigh...... this is why i rather ask chiu or google online....

 

[16/8IF]

if no control +/- 5kg
if got control +/- 2kg
if i jiak 2 normal meals, i will gain weight.

I don't know what is your ideal weight should be, If you have some more to reach the target

than maybe you still can consider adding slow walk,

ie walk in "fat burning mode" & NOT glucose burning mode.

Start with maybe only 10-15 mins first if you have not been doing any physical activity, no need to rush, slowly build up to 30 mins than after that to 1 hour.

To take the guess work out of whether you are in fat burning mode or still in glucose burning mode ( the previous Fitbit tracker Charge 5 indicates when you walk ).

buy a blood ketones meter and measure.... this is the most accurate method to know exactly rather than "guesstimate ".

I am sure you understand that using calories deficit for weight lost can only be short term,

as over a period of time YOU will stall as the body "adjust" accordingly.

I understand your experience with the medical professionals in Singapore with regards to this area, I have that experience too.

Luckily I found one doctor in one of the clinic;
that understand what I need from him and he is receptive and Don't insist I follow the standard practices

although he has to inform me about standard recommendation by MOH which I understand fully, I also don't want him to get into trouble.

He is the doctor I go to for the various non standard lab work and sometimes I have a list for him and he will give me all the pricing etc etc.

I try to sign up for all the Free Webinar like the one I posted yesterday, I normally post my questions there too , You can try too.

Not all Singapore Medical professionals are in the "old ways" you need to seek them out....

Some are very stubborn and refused any request you ask while a small number are quiet nice and will do what you requested as long as you can explain the reasons why .

For Statin and LDL is a very controversial topic , so really at this stage difficult to say which camp is right,
the only thing I know for myself is statin gives me muscle ache so I decided to stop many years ago, I think
somewhere in 2015.

As you can see what I do is to ensure my body has very low inflammation as far as possible, my last HsCRP was 0.20 which is in optimal range, while my Homocysteine was 11 within the lab range BUT not in Optimal Range, hopefully next result I am in 7 and below.

Currently I search some health screening from overseas, some of the packages looks interesting and the pricing is definitely much cheaper than SG even compared to Gov Hospital plus they have almost all the stuff I am looking for.... seems other countries are more "advance" in this area compared to SG.


I think YOU can gain more by going on X ( the former Twitter), I learn a lot on that platform...there lots of medical professionals on that platform although less now but still valuable .

I used to take my lab tests every 3 months the usual lipids and blood glucose but these days I only take them 1 year once but I do take my blood glucose daily...at least 5 times.

Hope my sharing of my own help you to understand and formulate your own.

nope, the doctor see reading then give medication.
if ask further, she said eat healthy, exercise. then take out the food pyramid. i see the food pyramid until i scare.
if ask further, recommend go attend nutritionist talk.
i told her remission and not taking medication, no need a1c, she tell me still need monitor....
sigh...... this is why i rather ask chiu or google online....

 

[16/8IF]

if no control +/- 5kg
if got control +/- 2kg
if i jiak 2 normal meals, i will gain weight.

nope, the doctor see reading then give medication.
if ask further, she said eat healthy, exercise. then take out the food pyramid. i see the food pyramid until i scare.
if ask further, recommend go attend nutritionist talk.
i told her remission and not taking medication, no need a1c, she tell me still need monitor....
sigh...... this is why i rather ask chiu or google online....

Just show you what is on X platform i just saw today.

I am not saying he is right or wrong but to show that even Medical professionals have different opinion on
Statin.

Quote :About Dr. Ahmad Ammous​

I am a board certified Internal Medicine physician. Unlike modern medicine which seeks to only alleviate symptoms. I believe the best medicine is to address the root cause of the problem, lifestyle. Through lifestyle modification, one can achieve a permanent cure for diseases, and reach their highest physical potential.
Unquote

 

[wawalau]

my 2 cents to this topic.

perhaps a more appropriate way to explain ldl changes in acute weight loss is due to the dietary method used.

a high fat low carb animal predominant diet in a significant caloric restriction will lead to high ldl. for some people the ldl may settle down after the acute phase.

a low fat high carb plant predominant diet in caloric restriction will lead to low ldl.

it is true that omad is not the direct cause ... any caloric restriction with the above methods can cause the phenomenon.

 

[Mecisteus]

Interesting face off.

Dr Gil vs Dr Ken. Read the comments also.

I wonder why Dr Ken can have so many followers.

 

[Mecisteus]

my 2 cents to this topic.

perhaps a more appropriate way to explain ldl changes in acute weight loss is due to the dietary method used.

a high fat low carb animal predominant diet in a significant caloric restriction will lead to high ldl. for some people the ldl may settle down after the acute phase.

a low fat high carb plant predominant diet in caloric restriction will lead to low ldl.

it is true that omad is not the direct cause ... any caloric restriction with the above methods can cause the phenomenon.

People who are lean and metabolically healthy will have LDL more sensitive to carbs intake.

By the way, LDL is really an outdated marker now. ApoB and Lp(a) are more crucial. Next crucial can probably consider triglycerides.

The rest HDL, LDL and total cholesterol are not so accurate and important.

 

[wawalau]

Interesting face off.

Dr Gil vs Dr Ken. Read the comments also.

I wonder why Dr Ken can have so many followers.

ken is a real embarrassment. got indicted for medical negligence before. talk until got dragon got phoenix .. haha

another one is shawn baker.

there's a common pattern.

 

[Mecisteus]

Absolutely true.

Some people are just focusing on the negative.

 

[Eien_kisu]

1. 防弹咖啡/红茶/抹茶/可可： 椰子油38ml，MCT C8 oil 12ml,无糖淡奶油 13ml. 搅拌均匀即可。纯脂肪50g.
2. 防弹椰浆：椰子油16ml,无糖椰浆24ml,无糖淡奶油19ml. 热水适量。搅拌均匀即可。纯脂肪26g.
3. 生酮面包：鸡蛋6个，杏仁粉180g,黄油60g,泡打粉10g. 烤箱200度C烤25分钟。切成8片：碳水4.5g，脂肪21.6g,蛋白质9.6g, 247cal.
4. 生酮巴斯克芝士：原材料:奶油奶酪500G、鸡蛋3个、无糖淡奶油240G、代糖根据口味添加。做法:混合均匀,200摄氏度烘烤40分钟。营养素比例:每十分之一,4.3G碳水、26.4G脂肪、4.9G蛋白质,274大卡。
5.椰子酸奶. 无糖椰浆发酵而成. 营养素比例:每100G:172大卡, 2.8G碳水,17G脂肪,2.8G蛋白质.
6. 坚果。夏威夷果15G:2.1G碳水,11.1G脂肪,1.1G蛋白质核桃15G:0.8G碳,10G脂肪,2.4G蛋白质。
7. 95黑巧克力。2块(16G):100大卡,1.5G碳水,9.1G脂肪,2G蛋白质
8. 纯肉午餐肉SPAM每50G:161大卡,0.9G碳水,14.3G脂肪,6.2G蛋白质
9. 3片刺身:123大卡、没有碳水、5G脂肪、18.4G蛋白质
10. 猪油渣：每20G:167大卡、0碳水、16.92G脂肪、3.48G蛋白质
11. 脂肪炸弹：原材料:100G黄油、250G杏仁粉、代糖按照自己口味
做法:混合均匀,冷冻30分钟即可营养素比例:每十分之一,222大卡,碳水5G、脂肪21.4G、蛋白质5.1G
12. 牛油果。每100G:160大卡、8.5G碳水(6.7G纤维)、14.7G脂肪、2G蛋白质

 

[Eien_kisu]

dunnoe about feldman protocol.

Previously, 16 suggest the raise in ldl it could be temp surge from omad. So i didn't care much about ldl.

Right now, i stopped taking fish oil... and change in diet..... e.g eating fiber food. hopefully, it will work.
But most likely next week the doctor will intro statins.
she said statins good for body benefits.... even not high cholesterol. lol