Changes Over Time

Pegsy
By Pegsy Latest Reply 2015-01-30 12:45:49 -0600
Started 2015-01-28 17:24:40 -0600

This morning I went for my fasting lab work. Since diagnoses last fall, I have a lot of difficulty with this. I felt terrible while fasting. I couldn't take my meds on an empty stomach so I had to wait until after the blood draw. I normally eat breakfast at 6:00am and the lab doesn't open until 7:30 so by the time I can eat and take my meds it is 8:00, two hours late. By that time my glucose is usually soaring high and I feel terrible for the rest of the day. Normally I take the entire day off work and just take it easy.

Today was different! I tested immediately following the blood draw and I was in the 160's. That isn't bad. It used to soar over 200 when fasting. I had breakfast waiting for me in the car so I ate and took my meds at exactly 8:00am. Two hours later I tested and I was at 132 which was OK. And I felt fine. I met with some friends and we had lunch together. Two hours after lunch I tested at 112! This is awesome! I went for a long walk this afternoon and did grocery shopping and tonight we are spending the evening with friends. I actually have the energy for it and am looking forward to it.

My other concern is cholesterol. I don't think it is all that bad but my doctor must get brownie points for writing scripts because she just can't wait to put me on a statin. I just can't bring myself to go there. I plan to tell her that as long as I am losing weight I am not going to consider it. When a person is losing fat, where is it going to go? Are you not going to burn it off? Will it not show up in your blood? That makes a lot of sense to me. What has been strange is that sometimes it is up and sometimes it is in the normal range. I don't get it.

I can't wait to receive the lab results next week. I am hoping for an A1c below 6 (and for good cholesterol). Not sure if it will be that low yet but it is consistently heading downward. My hope is to be able to taper off the Metformin and no longer need it by the end of the year.

I am encouraged by progress and just wanted to share it!


35 replies

suecsdy
suecsdy 2015-01-30 07:26:06 -0600 Report

I am on a very low dose of statin and it has done the job. My cholesterol,which was only slightly elevated is now all in the good ranges. At one of my drs visits, I asked if I would have to take all these meds for the rest of my life and was told yes. Part of what is so depressing about diabetes. I know it is supposed to be for my own good, but…it feels a little like overkill. If the drug has achieved the intended result, is it really necessary to continue, especially when lifestyle changes have been made?

Pegsy
Pegsy 2015-01-30 12:43:12 -0600 Report

Perhaps you could discuss with your doctor how you feel about it and try going off the statin for a while just to see what will happen. A lot of people have gone off them and their cholesterol stayed down because of healthy diet and exercise.

valentine lady
valentine lady 2015-01-30 11:26:16 -0600 Report

Hi sue,
The way taking these meds (or not taking them) strictly depends on your body. Because heart disease is dominate in both my parents, it's dominate in me. I'll probably be on a low dose of a statin the rest of my life as well. I know the letdown that came with that news. But some people are
fortunate enough they don't have to. As far as diabetic medication I can't look *n your Dr's mind nor do I know your history, medically, but I always thought that was the point.. To get healthy enough to go off of your medication. If I were you I would question my dr further as to why. Hope everything works out for you. Hugs, VL

valentine lady
valentine lady 2015-01-30 04:49:01 -0600 Report

Hi Pegsy
You are very determined not to take a statin. You even said (later down this discussion) you would rather get heart disease
or cancer than to deal with statins . You obviously have never watched someone die from cancer or slowly die with heart disease. Both are horrific and mind blowing because this person you love is in so much pain and there's nothing you can do. My parents died one of each. My heart broke and I was helpless. My father had heart disease and went through a triple bypass surgery. Later he died from cancer. Please don't say these things so lightly. your so worth more than that. Just because your A1C is.going down doesn't't necessarily mean your cholesterol levels are too. I've lost a lot of weight too and still my cholesterol is slow at coming down. It's hereditary from both my parents. I am forced to tale a statin or possibly face a stoke. No thank you I have enough problens without adding that. When my cholesterol gets down my dr will slowly ween me off of lipitor. Please for your own sake chose your words.
bit more carefully. Hugs, VL

Pegsy
Pegsy 2015-01-30 07:50:13 -0600 Report

You completely misunderstood what I said. I said, "I WOULD RATHER DIE FROM HEART DISEASE THAN CANCER." I have watched several loved ones die from both. I took care of an aunt who died from cancer due to decades of heavy smoking. I understand suffering. I also watched the suffering of my mother that was CAUSED by the drugs she was taking. She preferred to swallow pills rather than take responsibility for her health by changing her eating and lifestyle habits. The sad thing is that all those pills caused miserable side effects that made her feel worse. While they may have extended her life they did nothing for her quality of life.

Anyone who wants to or feels the need to take statin drugs, have at it. I choose not to.

valentine lady
valentine lady 2015-01-30 04:34:02 -0600 Report

Hi Pegsy
You are very determined not to take a statin. You even said (later down this discussion) you would rather get heart disease
or cancer than to deal with statins . You obviously have never watched someone die from cancer or slowly die with heart disease. Both are horrific and mind blowing because this person you love is in so much pain and there's nothing you can do. My parents died one of each. My heart broke and I was helpless. My father had heart disease and went through a triple bypass surgery. Later he died from cancer. Please don't say these things so lightly. your so worth more than that. Just because your A1C is.going down doesn't't necessarily mean your cholesterol levels are too. I've lost a lot and still my cholesterol is slow at coming down. It's hereditary from both my parents. I am forced to tale a statin or possibly face a stoke. No thank you I have enough problens without adding that. When my cholesterol gets down my dr will slowly ween me off of lipitor. Please for your own sake chose your words.
bit more carefully. Hugs, VL

GailMadison
GailMadison 2015-01-29 14:30:58 -0600 Report

I wish you worked at a hospital - I get my results back the same day as the blood work. My doctor e-mails my results - I can also go to the on-line program called mychart - sign in and review the results and compare to prior reports

Type1Lou
Type1Lou 2015-01-29 10:06:59 -0600 Report

Total cholesterol limit for people with diabetes are lower than for those without. My endo advised that my total cholesterol should be 170 or less. I believe that is due to the higher risk we have for cardiovascular complications.
Congratulations on your progress and control!

Pegsy
Pegsy 2015-01-29 12:20:17 -0600 Report

Hmmm. I wasn't given that advice by my doctor. I can't wait to see my results next week.

Gabby
GabbyPA 2015-01-29 05:25:28 -0600 Report

Good to hear that it is getting easier. They say practice makes perfect. LOL
I had to sit in the clinic one time until almost 2:00 pm for a fasting blood work. OMG, I was not really ready for that either.

As for the cholesterol. Yes, doctors do get incentives for prescribing meds. I think they would rather do that then try to encourage you to exercise and eat right. They get lazy, we get lazy, it's all a huge cycle. I know that the thinking is that as diabetics, we need to have lower than normal cholesterol because we are prone to heart disease. So they try to give us statins even when we are in the normal range. That's what happened to me. But the statins make my body ache so bad I cannot sleep. So I told him I would not take them anymore. We tried 3 varieties, but they all did the same thing. So now I take fish oil and make sure I exercise daily.

Pegsy
Pegsy 2015-01-29 12:25:46 -0600 Report

Frankly, I would rather die from heart disease than cancer or some of the other "options".

valentine lady
valentine lady 2015-01-30 04:55:21 -0600 Report

Pegsy
My sincere apologies I miss read what you wrote. My sincere apologies again. I'm grateful you chose not to die from cancer. VL

Pegsy
Pegsy 2015-01-30 07:56:00 -0600 Report

Unfortunately most of us don't get to choose what we will die from. My stepmother is currently on hospice care, dying from cancer and my dad is battling bladder cancer.

haoleboy
haoleboy 2015-01-29 12:45:21 -0600 Report

I do not advocate using statins … but … one of the risks of diabetes AND high cholesterol (and hypertension) is stroke and, trust me on this, it is not an option you want either.

After almost a year on statins I stopped (with the encouragement of my doctor) and have been able to maintain "ideal" numbers and ratios with diet and exercise.

Steve

Pegsy
Pegsy 2015-01-30 08:02:42 -0600 Report

My grandmother suffered a massive stroke at a young age and was paralyzed on her right side for the rest of her life. Even then she didn't want to quit smoking. She actually expected her caregivers to hold her cigarettes to her mouth for her. Seriously? She wouldn't cooperate with physical therapy either. Stroke, heart disease, cancer are all in my family. Unfortunately there is NO GUARANTEE that statin drugs will prevent stroke or heart attack. I just don't trust the drug companies on this one. That's all there is too it.

valentine lady
valentine lady 2015-01-30 03:44:09 -0600 Report

Hi Steve
I have never suffered a stroke but have
friends that have. I agree with you, would use a station then to suffer a stroke. If that's what I'm facing well that's why I am on lipitor. That's just for awhile though and my heart dr will wren me off. VL

Jibber Jabber
Jibber Jabber 2015-01-28 17:58:18 -0600 Report

Glad you had a good day…always great to hear..as far as satins go…I wouldn't touch them with a ten foot pole…unless you are one of the few that just has naturally high cholesterol due to family history..it is much safer to bring your cholesterol down with dietary changes…it seems pretty screwed up to me that a doctor would EVER recommended a statin to a diabetes patient when they are known to raise glucose levels. they will tell you it will prevent heart disease which is laughable because the higher blood glucose caused by taking the statin actually elevates blood cholesterol…which is why most diabetics also have high cholesterol..too much sugar in the blood.. .my cholesterol was very high as well when I was diagnosed..and my script happy doctor at the time tried to write me a script for Lipitor…long story short I didn't take the script and now my cholesterol is fine…

NewSong53
NewSong53 2015-01-29 06:26:00 -0600 Report

Wow! I didn't know they increase BG!! I was borderline and began taking the cholesterol med just as I started the Metformin. Maybe it's one of the reasons I'm having so much trouble controlling my blood sugar, even with diet and exercise. I'm going to stop taking them and see what happens. My diet is much healthier than it was when she got my results.

Pegsy
Pegsy 2015-01-28 18:10:07 -0600 Report

Thank you for the encouragement. I have no intention of going on statins. Even if the cholesterol doesn't come down. My mother had serious cholesterol issues. She was also grossly obese, was a chain smoker for 40 years and never exercised. She also had a horrendous diet. I have never smoked, lost the weight and I exercise daily. Despite this, my cholesterol has not been ideal. Well, it was 6 months ago but was back up 3 months ago. Go figure. I am just going to live with it. I'm going to die of something, right?

Jibber Jabber
Jibber Jabber 2015-01-28 18:22:53 -0600 Report

not ideal..doesn't mean high…my income isn't "ideal" but I make due..lmao

Pegsy
Pegsy 2015-01-28 18:29:44 -0600 Report

7/16/2014 - total cholesterol 204, HDL 49, LDL 127, triglycerides 140
10/8/2014 - total cholesterol 250, HDL 57, LDL 162, triglycerides 154
She said it should be - total cholesterol less than 200, HDL greater than 46, LDL less than 130, triglycerides less than 150.
She is not looking at particle SIZE which I am told makes a big difference.

Gabby
GabbyPA 2015-01-29 05:28:20 -0600 Report

When your HDL goes up it's great! That does increase the over all, but the HDL is the good one. You are still so close to the norm, I would not freak out. There are a lot of schools of thought on Cholesterol, it might help to know what her thinking is and see if you guys are on the same page.

Pegsy
Pegsy 2015-01-29 12:28:24 -0600 Report

We're not, LOL. She is prescription happy. Every time I see her she offers a prescription of some kind…sleeping pills, other diabetes meds (even though they aren't necessary), statins, etc.

debcox
debcox 2015-01-29 02:26:11 -0600 Report

Every since I was diagnosed the doctor started pushing meds for cholesterol. In August/September it was 203 but I got serious about lowering my numbers and stopped buying any processed foods. Also, I started making better choices when eating out such as no appetizer or dessert. I did not feel like I was missing anything because my attitude had changed. In any case, my numbers fell 31 points. My doctor was happy and stopped bugging me about meds.

Pegsy
Pegsy 2015-01-29 12:29:36 -0600 Report

I have made similar changes. I hope my falls low enough and stays that way so she will leave me alone about it.

Jibber Jabber
Jibber Jabber 2015-01-28 18:35:29 -0600 Report

it does…I read that is several places..don't remember why..lmao but yes I did read that particle size matters…my cholesterol was 220 at diagnosis..with terrible ratios..it has fallen 40 points with much better ratios ..I credit my low carb diet..

TONY101365
TONY101365 2015-01-28 17:52:40 -0600 Report

Do not start Statin medication. My cholesterol level was always in the low 200, and for years my doctor wanted me on Statin medication. He finally convinced me that it would it almost guarantee no complications with my heart and keep me away from a stroke. So ok he started me on Lipitor and it brought a whole bunch of side affects so he switched me to Crestor and it worked my total cholesterol went down to a 141. Wow I said so the cholesterol is ok so no more Crestor. My cholesterol jumped to 331 because once you start Statin medications it would be for life. I was told that a good Dictor would suggest a bowl of oatmeal a day and that in a month time your cholesterol level would drop from 30 to 50 points with no life medication complications and expenditures.

Pegsy
Pegsy 2015-01-28 18:15:26 -0600 Report

Thank you for sharing your experience and advice, Tony. If my doctor keeps bugging me about the statins I will definitely seek a new doctor. She needs to work with ME and MY concerns.

Oatmeal tends to raise my glucose a little too much but I am going to try adding ground flax seed to it in order to raise the fiber content. If I do that, I may be able to tolerate it on a regular basis. I really like oatmeal. It just hasn't liked me.