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hack a diabetic's bloodwork

Answered on August 19, 2014
Created June 08, 2011 at 3:54 AM

I recently got some bloodwork done, and would really appreciate any input from the Paleo community. I got my bloodwork back directly from my lab, and feel like I'm wasting my time to go over the results with my doctor. I think the paleo community here could offer me better input!

I'd say I eat paleo 85% of the time. My big flaw might be beer a few times a week. I otherwise stick to paleo foods. I take fish oil and vitamin D regularly. Lately I've gotten myself very lean.. maybe 7-8% bodyfat

I am 30 years old and have diabetes (type 1), so I take insulin. But due to the paleo diet, I take very little doses of insulin... sometimes none at meals

Anyways, here is my bloodwork--
Chol tot-- 191
Triglycerides- 41
HDL- 72
LDL - 110

A1C- 6.2 -- this is acceptable to some, but really high for me! I am normally in the low 5's. I have been drinking (non paleo) artifically sweetened drinks a lot lately. Perhaps this is the cause of my high A1C?

If anyone can offer any input on my cholesterol & a1c results, I'd appreate it! Thanks!

3c6b4eed18dc57f746755b698426e7c8

(5147)

on October 25, 2011
at 08:19 PM

Diet sodas shouldn't raise your A1c. It seems to be your beer, your protein supplements, and your habit of not using insulin. If you love beer too much, switch to Miller Lite before quitting for good. Start using insulin when you eat carbs. Quit taking protein supplements, as that would convert to carbs in the absence of carbs. 6.2 is an average BG of 130-140. That's pretty high.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:33 PM

prescription. A bad doc will keep you as a patient and watch you die.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:33 PM

But how hard is it to lose an eye or a leg or have a cardiac event? Let's say the doc says he knows beyond a shadow of a doubt, you are going to die in 6 months from a heart attack brought on by your type I. You say what can I do to prevent that and he says, strictly eat 90% fat, 10% real protein with absolutely no cheats at all and I guarantee you, you will not die of a heart attack in 6 mo. Do you question that advice and say...what about my beer or my Mom's birthday party cake? A good doc will say, get out...if you will not follow my prescription. Come back when you decide to follow my

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:26 PM

But how hard is it to lose an eye or a leg or have a cardiac event? Let's say the doc says he knows beyond a shadow of a doubt, you are going to die in 6 months from a heart attack brought on by your type I. You say what can I do to prevent that and he says, strictly eat 90% fat, 10% real protein with absolutely no cheats at all and I guarantee you, you will not die of a heart attack in 6 mo. Do you question that advice and say...what about my beer or my Mom's birthday party cake? A good doc will say, get out...if you will not follow my prescription. A bad doc will let you die.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:16 PM

If the zero carb protein product is dairy based, you will get a spike in blood sugar according to Dr Davis at Heart Scan Blog...now http://www.trackyourplaque.com Sugar spikes because of the amino acids in the milk products. Proteins in a can are not paleo. Get your protein and fat from animal sources. Until you do, your A1c will be higher than you want. The Quilt wants A1c at 4.5 and you will not achieve it til you eliminate the protein in a can. Go ketogenic for 6 months and then measure your A1c. A1c is a long term measurement of blood sugar. Ketogenic for 6 months will be hard.

9dcb73188d8f17d64ba7921a624a8936

on June 08, 2011
at 06:01 PM

thanks for the answer! I also have been supplementing (a lot) with zero-carb protein. I can sometimes consume up to 80-100g a day of this. I imagine this could contribute to my higher A1C..

Ed71ab1c75c6a9bd217a599db0a3e117

(25477)

on June 08, 2011
at 12:44 PM

Great advice here

Ed71ab1c75c6a9bd217a599db0a3e117

(25477)

on June 08, 2011
at 12:43 PM

You are headed in the right direction.....the HbA1c will take 18 months to come down. You need to start getting insulin level drawn too because these correlate best when the hba1c falls. You want to be at 4.5. That is my target. I want my patients fasting insulin no higher than three. I trend this number

6371f0ae0c075ded1b8cd30aafd4bf16

on June 08, 2011
at 04:22 AM

Our stats match but our cholesterol doesn't. My A1C is at a 6.0 and TC at like 300. I would try dropping the beer first and then see what happens.

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2 Answers

2
06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 04:33 AM

The only thing you are missing is a NMR or VAP test to determine the particle size of your LDL.

If your LDL particles are made up primarily of Large Bouyant particles you are in good shape. If, however, most of your LDL particles are the small dense sdLDL...these are the particles that can worm there way into junctions along your vascular system and cause plaque to build up and cause a cardiac event.

Since you have been controlling your blood sugar (almost) with diet as indicated by the small units of insulin you need....why don't you go 100 percent ketogenic 85-90% fat and 10 percent protein and no carbs whatsoever? Means no more beer. I know. What a sacrifice! Your A1c would probably fall father than you think. You may find you still have some beta cell output from your pancreas. And there have been people who have gotten off their meds because they discovered they can function just fine without injecting insulin...ie they do have some Beta cells left...Maybe you are a type 1.5

I would encourage you to read The Quilt's new blog aka Dr Jack Kruse who posts here. He talks about the small dense LDLs and diabetes. http://www.jackkruse.com

I would also send you to this video of Gary Taubes talking about sdLDL and Large LDL and cancer.
http://www.youtube.com/watch?v=XDtiYahxr5I&NR=1

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:33 PM

prescription. A bad doc will keep you as a patient and watch you die.

Ed71ab1c75c6a9bd217a599db0a3e117

(25477)

on June 08, 2011
at 12:44 PM

Great advice here

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:16 PM

If the zero carb protein product is dairy based, you will get a spike in blood sugar according to Dr Davis at Heart Scan Blog...now http://www.trackyourplaque.com Sugar spikes because of the amino acids in the milk products. Proteins in a can are not paleo. Get your protein and fat from animal sources. Until you do, your A1c will be higher than you want. The Quilt wants A1c at 4.5 and you will not achieve it til you eliminate the protein in a can. Go ketogenic for 6 months and then measure your A1c. A1c is a long term measurement of blood sugar. Ketogenic for 6 months will be hard.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:33 PM

But how hard is it to lose an eye or a leg or have a cardiac event? Let's say the doc says he knows beyond a shadow of a doubt, you are going to die in 6 months from a heart attack brought on by your type I. You say what can I do to prevent that and he says, strictly eat 90% fat, 10% real protein with absolutely no cheats at all and I guarantee you, you will not die of a heart attack in 6 mo. Do you question that advice and say...what about my beer or my Mom's birthday party cake? A good doc will say, get out...if you will not follow my prescription. Come back when you decide to follow my

9dcb73188d8f17d64ba7921a624a8936

on June 08, 2011
at 06:01 PM

thanks for the answer! I also have been supplementing (a lot) with zero-carb protein. I can sometimes consume up to 80-100g a day of this. I imagine this could contribute to my higher A1C..

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 08, 2011
at 11:26 PM

But how hard is it to lose an eye or a leg or have a cardiac event? Let's say the doc says he knows beyond a shadow of a doubt, you are going to die in 6 months from a heart attack brought on by your type I. You say what can I do to prevent that and he says, strictly eat 90% fat, 10% real protein with absolutely no cheats at all and I guarantee you, you will not die of a heart attack in 6 mo. Do you question that advice and say...what about my beer or my Mom's birthday party cake? A good doc will say, get out...if you will not follow my prescription. A bad doc will let you die.

0
7fe08b47d7d073a906802a4170ae24bf

(350)

on June 08, 2011
at 08:08 PM

Your numbers look great! As for getting A1c down I would have to second Dexter, cut the beer.

In fact just try cutting the beer first, that MAY be enough. Beer is not just carb heavy but contains gluten which may be contributing to higher A1c levels. I'm a celiac (in full remission thanks to paleo), so I know how inflammatory gluten can truly be if you're sensitive!

Based on your low Trigly levels and high HDL, your LDL particle size should be large and fluffy, so I wouldn't sweat that!

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