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Superbob

Steely Resolve!
Supporting Member
Joined
Apr 21, 2005
Messages
8,481
Location
Coastal Carolina
Just wondering: Has anyone else been told their HDL ("good") cholesterol is too low, and been put on meds to try to raise it as an urgent medical priority?

I switched PCPs because I wanted one who would evaluate my meds and be willing to make changes if indicated. (Be careful what you wish for. :D )

As I noted in an earlier thread, he really zeroed in on my low HDL. It was 30, and should be at least 40, according to med guidelines. (My "bad" cholesterol is world-class low -- 63.)

He took me off Caduet, and started me on Advicor, a combo of niacin and a statin that is supposed to help raise "good" cholesterol.

During the first 8 days of taking it, my fasting blood sugar readings have increased about 10 points, thus vaulting me over the diabetic danger line. I am a Type 2 diabetic and I have worked hard over the past few years to bring my A1C down from 7.7 to 6.2. (The side-effect warnings said Advicor could raise blood sugar and to call your physician if it did.)

So I called yesterday, and his nurse called back and said the doc wanted me to keep taking the niacin/statin because it is very important for my heart health to raise the "good" cholesterol. She said a "little increase" in blood sugar should not concern me. (Well, looking at the consequences of unchecked diabetes, I beg to differ.)

Perhaps, though, there is method in this apparent madness. The final message was that if I want to get my blood sugars back down where they were while still taking the cholesterol med, I should do so with diet and exercise. He didn't want at this point to add another diabetes med. Well, in recent years before and after my OHS, I have been exercising more and trying to eat more sensibly, but I guess there's always room to do better in those departments.

Anyway, my real question is, has anyone else been pushed by a doc to raise "good" cholesterol? And were you successful?
 
Hello Bob. Yes, I am in a somewhat similar dilemma. My "good" low is 29, so I've got you beat there! :( My triclycerides are up and my other 2 measures are just abit out of whack....it's the ratio that is throwing everything off for me....and that is mostly because the low is so low.

I refused the statin. With my recent knee injections and switch to a different beta blocker, I'm finally feeling better than I've felt in years (oh, I suppose the AVR helped a bit, too ;) ) I just told my doctor that I wanted 3 months to see if I could bring things around (I've already dropped the triglycerides 70 points by practically giving up my beloved 3 glasses of orange juice a day).

My doctor told me that it was very unlikely that I could bring my numbers around without meds. But she honored my request since my blood showed a normal range for continuing life as a non-diabetic.

Has he looked at your C-reactive protein level for inflammation in the blood? I know that is a new and very important measure of how we are all doing.

I would feel similarly unsettled about the rise in blood sugar. I think you need to have some conversations with his nurse, or him to further understand what his plan is for you. Keep asking questions until you understand the answer! I have learned to be persistent because I often hang up and still do not really understand. My husband says that I just badger them until they give me the answers I want to hear! Maybe so! But at least I walk around each day understanding what is being designed for me.

Good luck. Let us know.

:) Marguerite

Thanks for the news story, Wayne. Bob.....I think there are some diet changes which can help. Flaxseed Meal is very high in Niacin (I know...it's flushing me!) and omego-3's and sprinkling 2 Tablespoons of it in your oatmeal doesnt' change thr taste too much. If you can't find any locally, we have a great hometown natural foods guy who packages it up....probable sells it online.. Bob's Red Mill www.bobsredmill.com
 
I just spent a little time Googling HDL and found this rather intersting site

www.labtestsonline.org Here's the link to the crp (c-reactive protein) test.

http://www.labtestsonline.org/understanding/analytes/hscrp/glance.html
just keep hitting the small "next" button at the end of the text for more pages/info. Guess it's time to start having abit more alcohol!! :D Now what kind of liquor is not high in sugar?? ;)

Bob. I think you might ask Ross to add "low HDL" to your thread title....might garner you more responses.

Marguerite
 
Marguerite53 said:
...I just told my doctor that I wanted 3 months to see if I could bring things around (I've already dropped the triglycerides 70 points by practically giving up my beloved 3 glasses of orange juice a day)....
Thanks for the news story, Wayne. Bob.....I think there are some diet changes which can help. Flaxseed Meal is very high in Niacin (I know...it's flushing me!) and omego-3's and sprinkling 2 Tablespoons of it in your oatmeal doesnt' change things too much. If you can't find any locally, we have a great hometown natural foods guy who packages it up....probable sells it online.. Bob's Red Mill www.bobsredmill.com

Hi Marguerite - Very interesting! How did you know about the OJ? How does that work against the cholesterol numbers? How are your numbers doing now?
 
Thanks!

Thanks!

Wow! -- you guys are great! Wayne, thanks for the links to the informative stories about the current emphasis on raising "good" cholesterol. And Marguerite, thanks for passing along your own experiences and also the links to further information. When I get a breather later today, I am going to carefully read everything.

As for c-reactive protein level, I recall the doc, on my first visit to him a month ago, saying something about some sort of protein. :) Maybe that was the one. I think he said it was just slightly elevated so that's one reason he did the med-switching. He said Caduet could be not so good for diabetics. He's going to do a complete blood work-up in April, so I will carefully grill him about everything (including the blood sugar, you can bet!).

For most of my life, all this would have passed right over my head. But since OHS, and especially since joining vr.com, I look at all this data much more closely. There's still tons that I don't know about, as I learn on vr.com daily, and as I just learned from your posts. Thank you, thank you. It is always reassuring to learn you are not "the lone ranger." :D I'll let you know how my further adventures in HDL-raising go and I hope you will do likewise.

Cheers,
 
Fortunately my HDL has always been higher than most. Probably from years of running. One thing be cautious about the c-reactive protein test. A lot of insurance companies will only pay it under certain circumstances. My PCPs PA said medicare rarely pays and so I've never had it done. Having a heart condition, a history of high cholesterol, etc, I'd think I'd be a good candidate for the test.
 
6-1/2 years ago, 8 months post op, my cardio looked at my HDL=34 and told me that he wasn't going to "decorate". He told me that everything else was fine and he didn't want to prescribe anything. Exercise didn't bring up the HDL much, and so it hovers in the mid-low 30's.
 
Susan BAV said:
Hi Marguerite - Very interesting! How did you know about the OJ? How does that work against the cholesterol numbers? How are your numbers doing now?

Susan, I was so determined not to catch any virus or bug post surgery that I started drinking tons of OJ for the vitiamin C (and it tastes great!). The cardiologist winced, the GP scolded and my current NP nodded. Too much sugar in OJ!!! I thought the triglyceride number was included in cholesterol....maybe it's just in risk factor calculations. I will be tested again in May. I've added 2 tablespoons of flaxseed meal to my daily cereal (I can't stand oatmeal....I eat Kashi...it's like the old fashioned puffed wheat) which I drench in vanilla flavored (yes, abit of sugar there) soy milk as I'm not good with milk products. I've started taking an Omega 3 fish oil pill with dinner each night. You must be very careful about those fish oil capsules and get organic or ones which state that they do not use fish sources (or plant souces) which might contain mercury. :eek: And, then I'm really getting serious about exercising consistently, and I've put the butter and whites away (rice, potatoes, bread, etc..) in favor of everything whole grain. For me, the butter is the hardest. I've always cooked mostly with butter or olive oil....I just love the taste of butter sauteed foods!! Oh well. Just for special times, now. We'll see........... :)

Marguerite
 
tommy said:
6-1/2 years ago, 8 months post op, my cardio looked at my HDL=34 and told me that he wasn't going to "decorate". He told me that everything else was fine and he didn't want to prescribe anything. Exercise didn't bring up the HDL much, and so it hovers in the mid-low 30's.

Tommy,

Your cardio sounds like a wise man to me! There's a whole lot of "decorating" going on these days. I'm going to humor my new doc and try the new med because he eliminated some other meds in the process. We'll see if it bumps the HDL up some, or not.

Adam,

Congrats on your good numbers.
 
Bob, I am not the heart patient,my husband is,but I do have Type 2 diabetes and went in for blood work on the 20th. The doctor called me at home last night and said he was calling me in a prescription for Tricor because my Tryglycerides were 228 and he wasn't happy with my Cholestrol readings. I questioned him about this and these were the numbers he gave me. I was tested in Oct. and had been working hard on bringing the numbers down with diet,exercise,green tea and Flaxseed.

OCT. FEB.
Total Cholestrol 208 190
LDL(BAD) 114 100
HDL(GOOD) 46 44
Triglycerides 238 228

I would like more time to work on bringing the numbers down myself. Maybe because I am 56 he thinks the levels are too high. But, outside of the Tri levels the others all look within the guidelines. I do not want to start on another drug. I take Glucophage for the diabetes and a blood pressure pill and a calcium pill already. I have not decided what to do yet.
 
Bad trade-off

Bad trade-off

P.J., thanks for the link to the interesting thread about cholesterol. I hadn't seen that one.

Sue, I'm not a doctor (obviously) but it looks to me from those numbers that you are making good progress naturally without another med. You might want to do some Internet searches on Tricor and see if one of the effects is to raise blood sugar. That's certainly been an effect for me of taking Advicor. I'm now into my second week with it, and again this morning my pre-breakfast glucose reading was 137 (despite my having been very careful with my carbs yesterday). When I was "prediabetes," I had it drummed in my head that a reading of 126 was the danger level and I had worked hard to bring it down so that it was almost always below that. It is darn frustrating to have the simple addition of a med cause it to bump up 10 or more points.

Now, my pharmacist, who is very helpful, told me tnat it might take my body two weeks to adjust and that my blood sugar levels might start coming back down then. Might. I'm sure going to watch this very closely. I don't want to sabotage my diabetes management for the sake of a few points better HDL.
 
Diabetes and the Heart

Diabetes and the Heart

Here is an interesting article in the International Herald Tribune (via the New York Times) about the relationship between diabetes and the heart. This is a complex matter and I gather that there are many uncertainties. Sue, there is a brief mention of Tricor. The article doesn't provide context. You might want to ask your doctor about it.

http://www.iht.com/articles/2006/01/11/healthscience/snheart.php
 
RobHol said:
Anyway, my real question is, has anyone else been pushed by a doc to raise "good" cholesterol? And were you successful?


Bob,
To answer your last two questions, "Yes!"

My husband, also Bob, use to have a very low HDL--27. He has been on Tricor, 145 mg, for several years, and that, combined with a substantial increase in his exercise, has brought his number up to 65! No one ever expected such good results, but in his case, persistence paid off.

I, on the other hand, have a HDL of 65 and LDL of 56:) . . . but of course, I'm the only one who's had to undergo OHS!:eek: :( :eek: :mad: :p
 
I called the doctors office this morning and spoke to the nurse about Tricor. She said it is the one they normally prescribe for diabetics with high Triglycerides. She said that diabetics normally have high blood pressure or high triglycerides or both. I am one of the lucky ones with all three. I still have not decided what to do about taking the Tricor. I will have to have my liver enzymes checked every month if I go on it. I may try my way for another 3 months get retested again and then decide.
 
Hey, Mary. Thanks for reporting the progress your Bob has made. It's encouraging to know that the numbers can improve like that (though I guess the lesson is to give it time and not expect overnight results). And wow to your own numbers -- LDL lower than the HDL! Is that achieved by beating up on Gadgetman so vigorously and at an aerobic level? :D :p
 
Originally Posted by Mary
I, on the other hand, have a HDL of 65 and LDL of 56 . . . but of course, I'm the only one who's had to undergo OHS!

Like you, my HDL also exceeds my LDL, and that didn't prevent OHS. The good news is the cath at least showed I have clean arteries! :D
 
Terry,
My husband only has his levels checked every 6 months, but he did start out at 3 month intervals when the Tricor was first prescribed.
Wayne, I too have arteries slick as a whistle which was why I was so shocked when I learned I had a heart murmur and a BAV. Now I understand that the two aren't related, but I was more than a little perturbed when I first got the news.
Bob, my family doc told me I could probably eat a dozen eggs a day and it wouldn't hurt my numbers! I attribute it to many years of eating little or no fat foods coupled with 22 years of regular aerobic activity. So no, it's got nothing to do with battling Gadget; I don't even break out into a sweat when beating him up!;) :p
 

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