Please help me to understand this

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Someone shared:

" My last A1C back in May was 13.2. my Triglycerides were 239. last week my

A1C is down to 7, but my Triglycerides have more then doubled to 511. I

know this is way to high and dangerous to boot. he wants to put me on a

pill for my Triglycerides, but the pill cost $600 a month. my insurance

will pay $400 of it, but I will go in the doughnut hole as it is called

really fast by taking it. Seems to me if my A1C came way down from 13 to 7,

then why did my triglycerides double? I do take 1000 Met Forman twice a day

and I'm thinking this is why the A1C came down so much. can I just cut way

down on the fats in my diet and bring the triglycerides number down? my Hdl

was only 37 and I know this needs to be around 50 or higher. my LDL they

said they couldn't measure. "

Me:

You packed alot of info in that paragraph. Let's try to break down the

factors that might be at work.

Trigs are most often the storage form of fat from the consumption of carb

rich foods as excess energy. In other words your body makes it to store

carbs as fat. Sources of fat we consume are not the cause except they add

to excess calories and that makes excess carbs into trigs all the more

likely.

So the thing to try is obvious, cut way way back on the carbs. Exercise

also helps trig levels and diabetes in general.

Your ldl was not done because they use trigs and hdl to calculate it.

With numbers that high in the trigs the number would not be reliable. Ask

your doc, a hdl of 45 is the lowest mark in men.

You are likely correct the metformin helped the a1c. That is almost the

max dose of it. Here are the things that will help even more and you ight

even lower the dose:

1. lose weight for the biggest bang for effort in controlling diabetes.

The a1c number will fall most doing this. Go for the normal range for the

very best results.

2. exercise because it causes the cells to work much better in a diabetic

and need less insulin to remove glucose from the blood. Added to weight

loss the a1c will fall even more.

3. eat to your glucose meter. What this means is to do a measure about 2

hours after eating. If that number exceeds 140 or so then you need to

reduce the carbs and/or toss those foods you just ate. This is the test to

use for any foods in your diet. Have a target a1c of 6 or less. The

better the after meal glucose number the better the a1c will be over time.

If the a1c doesn't improve decrease the after meal target until it does.

4. to reduce carbs and lose weight eat more lean protein. A good fat to

use when cooking is olive oil. Eate more veggies which are not starchy.

The starch ones are such as rice and bread and pasta and just about

anything made of wheat and potatoes, you get the idea. Get yourself a

chart of the carbs in foods. There is one offered in past here, ask for

it.

Good luck.

XB

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