1

votes

Fully compliant Paleo for over six months but no improvement of a1C & C-reactive protein

Answered on August 19, 2014
Created January 03, 2011 at 12:02 PM

Dear Team PH,

Just wondering what recommendations folks might have for improving a1C and C-reactive protein scores.

Total cholesterol = 120-140mg/dl (Robb Wolff Recommendation)
October 2010: 191 January 2011: 230

HDL = above 50 mg/dl (Robb Wolff Recommendation)
October 2010: 48 January 2011: 54

LDL = 40-70mg/dl (Robb Wolff Recommendation)
October 2010: 117 January 2011: 159
LDL particle size (Not available)

Triglycerides = (Ideally 30-40) (Robb Wolff Recommendation)
October 2010: 41 January 2011: 39

Glycated hemoglobin (A1C) [better in the 4's; 5+ is trouble] (Robb Wolff Recommendation) October 2010: 5.4 January 2011: 5.6

C-reactive protein = below 1
October 2010: 1.67 January 2011: 1.66

Thanks folks.

B22e5946e28a1845a6006737e59edfc6

(2437)

on January 05, 2011
at 02:53 AM

That's the answer right there. Look up the nightshade family becasue it's more foods than you think. Drop that and eggs and I bet by week 3 you'll be feeling much better.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 10:34 AM

Hi Geoff. I eat nightshades and eggs. I do have a mild allergy to eggs but I got off of them for a year and now eat about 2X week. I guess I could try going off of them again. No known problem with nightshades but if they are potentially a problem I certainly don't need them. I will cut back my consumption of tomatoes, which is about daily.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:33 AM

Thanks for the Cooling Inflammation Blog info, Quik77. I have been consistently Whole 9 Fish Oil Calculator-dosed on regular fish oil, which I think explains my low trigs. I would have thought that might also have affected the other scores positively but alas.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:29 AM

Thanks for the info, Rht. The post-prandial metric is new to me. I am, however, confused by the concept that Paleo eaters would tend to have higher a1c numbers than subsistence-food dieters as that would seem to run counter to the Robb Wolf concept that the proper foods would improve that metric.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:21 AM

Thanks, David. This is a real mystery. I will keep flossing and keep strict compliance.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:19 AM

The blueberry comment is interesting, Deb. That is the only type of fruit I ingest. Maybe 20 per week, though.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:18 AM

Thanks sherpamelissa -- I will keep trying to ratchet down my a1c and re-test in 6 months. I am not sure what to do other than maybe play with the fasting as my potato-style carb intake is extremely modest and my fruit intake even more so. Off the honey.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:15 AM

Stephen & Patrik -- I am strictly Paleo Solution-compliant. My exercise routine is kind of an Art Devany thing with a mild Crossfit(-style) chaser. Each week I will do three short conventional weight-training sessions and a couple of reasonable "cross-training" sessions involving KB's, agility, TRX, calisthenics. Also some Yoga and Pilates. I do not believe I am over-doing it, either in terms of intensity or frequency. The real issue may be the IF protocol, which I really like. But not eating until 2 pm everyday will always strike me as a bit hardcore. Thanks much! frankifries -- Done!

A968087cc1dd66d480749c02e4619ef4

(20436)

on January 04, 2011
at 12:05 AM

Walmart has a glucometer for $7 and 100 test strips for about $40.

F53a74de3f8df19a114c5ac702af2b12

(826)

on January 03, 2011
at 10:32 PM

This would be a great question to submit to RobbWolf's podcast

13c5a9f1678d75b93f269cdcf69f14d5

(2339)

on January 03, 2011
at 06:11 PM

The information from post prandial bg checks out weigh the A1c, ie are much more accurate. Dr. Harris has an A1c higher than would be expected from his checks, as do other paleo eaters. You cn read about the limitations of the A1c over at bloodsugar101.com

93f44e8673d3ea2294cce085ebc96e13

(10502)

on January 03, 2011
at 05:43 PM

Agreed with Stephen-Aegis --- you may be over-doing it with regards to exercise and fasting.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 03, 2011
at 04:41 PM

I want to thank everyone for all of the incredible advice. My Paleo food plan is basically exactly what Robb Wolf recommends. My only "carb" consumption as that terms is commonly used is some post-workout sweet potato/yam. My training is also consistent with his recommendations. But I think uberbulldog has hit on something with regard to a1c... I have been doing 16-hour intermittent fasting fairly consistently for the last three months. So the question is, do I eliminate the IF simply for the sake of reducing the a1c number? Thanks again, all!

4b97e3bb2ee4a9588783f5d56d687da1

(22913)

on January 03, 2011
at 03:16 PM

We need to know your specific diet, fasting?, exercise routine and schedule to be able to make recommendations

  • Cb9fa5a5d49b02fa532badb65b01e8a1

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6 Answers

2
7e746be2f0e550a8cd7df881322ae705

on January 03, 2011
at 02:57 PM

Anything under 6 in the A1C is considered non-diabetic. The normal range is listed as 4-6, so you aren't really in trouble, though I can see wanting to get that number down. The A1C is how much glucose is sticking to your red blood cells over about a 3 month period. Your change is minimal, though obviously not going the direction you wanted it to go. I would say to watch the amount of fruit/honey/potatoes type carbs that you are eating. You can still be full compliant Paleo and be on the high carb side.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:18 AM

Thanks sherpamelissa -- I will keep trying to ratchet down my a1c and re-test in 6 months. I am not sure what to do other than maybe play with the fasting as my potato-style carb intake is extremely modest and my fruit intake even more so. Off the honey.

1
E3267155f6962f293583fc6a0b98793e

(1085)

on January 03, 2011
at 03:48 PM

To get control of your a1c I have read that you should buy a glucose monitor, sometimes you can get the monitor free and the test strips cost around a dollar each. I got a free monitor from Walgreens with rebate, Tru2go blood glucose monitor, and a box of 50 test strips for $39. Check your blood glucose upon arising in the morning, 15 minutes after the beginning of each meal, then again after 1 hour and again after 2 hours. Keep a log of what you eat and which meals raise your blood glucose too high. Then eliminate the foods that you do not tolerate. Usually it is sweet or starchy vegetables and of course fruits. For instance I can eat 10 blueberries but not 20. Dr. William Davis of the Heart Scan Blog on Blood Glucose and HbA1c

A968087cc1dd66d480749c02e4619ef4

(20436)

on January 04, 2011
at 12:05 AM

Walmart has a glucometer for $7 and 100 test strips for about $40.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:19 AM

The blueberry comment is interesting, Deb. That is the only type of fruit I ingest. Maybe 20 per week, though.

1
Medium avatar

on January 03, 2011
at 02:58 PM

Improving a1c is helped by eating every 2-3 hours (to reduce low blood sugar levels), no high glycemic food consumption like alcohol, rice, potatoes, bananas. Also reducing or eliminating carbs in general.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 03, 2011
at 04:41 PM

I want to thank everyone for all of the incredible advice. My Paleo food plan is basically exactly what Robb Wolf recommends. My only "carb" consumption as that terms is commonly used is some post-workout sweet potato/yam. My training is also consistent with his recommendations. But I think uberbulldog has hit on something with regard to a1c... I have been doing 16-hour intermittent fasting fairly consistently for the last three months. So the question is, do I eliminate the IF simply for the sake of reducing the a1c number? Thanks again, all!

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:29 AM

Thanks for the info, Rht. The post-prandial metric is new to me. I am, however, confused by the concept that Paleo eaters would tend to have higher a1c numbers than subsistence-food dieters as that would seem to run counter to the Robb Wolf concept that the proper foods would improve that metric.

13c5a9f1678d75b93f269cdcf69f14d5

(2339)

on January 03, 2011
at 06:11 PM

The information from post prandial bg checks out weigh the A1c, ie are much more accurate. Dr. Harris has an A1c higher than would be expected from his checks, as do other paleo eaters. You cn read about the limitations of the A1c over at bloodsugar101.com

0
B22e5946e28a1845a6006737e59edfc6

(2437)

on January 04, 2011
at 09:35 AM

Do yo eat nightshades, eggs or dairy? All three caused inflammation issues for me.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 10:34 AM

Hi Geoff. I eat nightshades and eggs. I do have a mild allergy to eggs but I got off of them for a year and now eat about 2X week. I guess I could try going off of them again. No known problem with nightshades but if they are potentially a problem I certainly don't need them. I will cut back my consumption of tomatoes, which is about daily.

B22e5946e28a1845a6006737e59edfc6

(2437)

on January 05, 2011
at 02:53 AM

That's the answer right there. Look up the nightshade family becasue it's more foods than you think. Drop that and eggs and I bet by week 3 you'll be feeling much better.

0
0d821bf7d4028b84a6838062db0e9ce0

(754)

on January 03, 2011
at 04:04 PM

for more general anti-inflammation info that's paleo compatible try out some of the info from the Cooling Inflammation Blog the only other things I've heard of that's supposed to have a fairly good effect on c-reactive and both HDL and LDL cholesterol is Krill oil (0.5g to 1.5 g a day depending on body weight) and you can find those studies in pubmed, but for the most part the lower card suggestions above should be the main focus.

Also what is you activity level like? moderate exercise is another one of the general anti-inflammatory things you can do at almost zero time/money cost.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:33 AM

Thanks for the Cooling Inflammation Blog info, Quik77. I have been consistently Whole 9 Fish Oil Calculator-dosed on regular fish oil, which I think explains my low trigs. I would have thought that might also have affected the other scores positively but alas.

0
9f2b5def0bc7fd8ad615637d1ffeb9ec

on January 03, 2011
at 02:46 PM

Chasing down the cause of the high C-reactive protein (although yours went down, congrats!) is very difficult, because any inflammation in the system, from gingivitis to gout to something you might not even be aware of can raise that number. Its like finding a needle in a haystack without being able to look in the haystack. Your best bet is to try and gradually lower that number (which you are doing) with good paleo lifestyle choices.

I don't know much about A1C except that it is somewhat related to long term carb consumption.

Cb9fa5a5d49b02fa532badb65b01e8a1

(5)

on January 04, 2011
at 05:21 AM

Thanks, David. This is a real mystery. I will keep flossing and keep strict compliance.

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