Reversing diabetes after a visit to the emergency room

Before and after

Before and after

I received a fascinating story from Anthony in Australia about what happened when he ended up in the emergency room, where it was discovered that he had high blood pressure. This led him to search for better health on his own, not following the usual diet recommendations he was given. Here’s his story:

The Email

Hi Doctor Andreas,

Here is my story!

In January 2014 my family was enjoying a well-earned holiday on the Australian Central Coast, just north of Sydney. Unfortunately, I came down with an eye infection that led to a visit to the local Emergency/Casualty department. Upon arrival, my blood pressure was taken as a matter of normal procedure. It measured 195/110. The nurse immediately gave me an ECG test that fortunately showed no abnormalities in my heart. However, I was urged to visit my GP to further investigate this alarmingly high blood pressure reading.

My doctor confirmed the extremely high blood pressure and ordered appropriate blood tests. I was also immediately put on blood pressure medication. The blood test revealed I had diabetes with my HbA1c result measuring 7.4. My fasting blood sugar was 9 (162 mg/dl). He recommended a visit to the practice dietician for advice on losing weight and improving my diet as a first measure in managing my diabetes. The dietician showed me the famous ‘plate’ and gave me the usual recommendations on a healthy diet.

However, like any obsessed person who has access to the Internet, I googled my condition and found that this disease is both permanent and progressive. Most likely I would die of a sudden heart attack while bouncing around on one leg and being blind for good measure. Pumped with adrenalin, caused by fear of my imminent demise, I then googled ‘cures for diabetes’ and soon found a pathway to your website as well as the recent ‘Newcastle University’ study on reversing diabetes through weight reduction. Dr Michael Mosley’s sites on the fast diet and fast exercise also proved to be very valuable.

I made a decision to change my life!

1. I would eat ‘real food’ and dramatically cut my intake of sugar and carbohydrates while increasing my consumption of natural fats and proteins.

2. I would engage in a program of intermittent fasting using Doctor Mosley’s five/two approach.

3. I began lifting weights three times a week to increase muscle mass.

4. I undertook a high intensity training program (based on fast exercise) which consisted of four ‘flat out’ sprints of 30 seconds with 90 second rest periods between them.

Listed below is a summary of my initial results and starting statistics as at January 20, 2014. Besides them are my current readings as at 6 June 2014 (my own personal ‘D Day’!). I am 54 years old.

Summary of health markers

Summary of health markers

(copies of both blood tests are included)

The good news is that I have effectively reversed my diabetes and now have a normal blood pressure. I am taking no medications! My sleep apnea has disappeared much to my wife’s delight and I have been relatively free of new skin cancers for the first time in two years (I wonder about the link between sugar and cancer?).

Thank you for both the great information, as well as the inspiration, you give in relation to this horrible disease. It is indeed a brave person who is willing to stand apart from the established order.

Kind regards and best wishes,

Anthony

Comment

Congratulations on reversing diabetes and improving your health in many other ways as well!

More

LCHF for Beginners

Diabetes – How to Normalize Your Blood Sugar

Previous health and weight success stories

More on high blood pressure

PS

Do you have a success story you want to share on this blog? Send it (photos appreciated) to andreas@dietdoctor.com. Let me know if it’s OK to publish your photo and name or if you’d rather remain anonymous.

39 comments

Top comments

  1. Dan
    First---I've got 100 lbs to go so I'm not done.
    Second--Sure, you could fast or do other radical things, but not feel this good during it AND have so little of the other issues--for example, the "hanging skin" and other things you see on people who've had gastric bypass and other measures--I find everything keeps on tightening, slimming, and improving just fine and we're talking TWO YEARS August 1 here, not short-term or up/down/sideways.And I don't weigh or worry or measure or obsess--I just eat the good stuff and avoid the bad stuff and it HAPPENS. Everyone has their own style, but I'm just not one to do the keto stix stuff and check every day or week or mark progress on charts or graphs. I have a life and it is rich and fulfilling and MUCH healthier. Thanks for the compliments, all, but my point wasn't to shout my accomplishment but to point out what it means--that aside from the scientific bickering, the specific-case tinkering, etc. etc. the REAL WORLD proof is that this just plain WORKS, and every day, week, and year, more and more everyday people are finding that out in a relaxed, non-invasive, relatively benign lifestyle change. Indeed it is easier to EAT this way than to SHOP this way in our carb-forward food industry culture. But when more people do, that industry will change too because it will have to in order to continue to profit. At some point there will BE a tipping point in the commercial reality. If you are willing to wait that long, I hope you're still alive and well then, but I'm already moving forward. If you're reading this and on the fence, today is a good day to start.
    Reply: #22
    Read more →
  2. FrankG
    Oh I see.. you're quibbling over the use of the word "reversed"?

    I don't see this as a "cure" because, as you rightly point out he (along with yourself and myself) STILL has Type 2 Diabetes (perhaps a ready definition of which is "glucose intolerance") but in terms of "rolling-back" the symptoms, slowing, stopping or reversing a chronic progressive disease process, I would say he most certainly seems to have done that much and more.

    Are your symptoms worsening? Peripheral Neuropathy? Renal Failure? Blindness? Amputations? etc... etc..? Or have you also effectively slowed, stopped or even reversed the progress of a disease process, that for too many following the standard advice, is assumed by their health-care team to inevitably lead to an early, painful death?

    Reply: #13
    Read more →

All comments

  1. Brett Graham
    What an amazing story!

    As to wondering about the link between sugar and cancer, Otto Heinrich Warburg won the Nobel Prize in Physiology in 1931 for discovering that cancer cells are fueled only by glucose. But this never seems to be mentioned when people talk about in the treatment of cancer. We're always looking for a pill that will cure it. It seems that the answer is prevention and the answer is low-carb. And we've known it since 1931!

  2. Kat
    Stunning! And you look amazing as well. Good going!
  3. Alain
    This is a 180 ° turn.

    Indeed, there is à link between carbohydrates and cancer as well as many degenerative diseases.

    Here two links about health in the past:

    http://www.proteinpower.com/drmike/low-carb-diets/nutrition-and-healt...

    http://www.proteinpower.com/drmike/obesity/obesity-in-ancient-egypt/

  4. Kat
    Brett,

    Actually, oncologists do look at the idea of cancer being a metabolic diseases. Thing is, it's more complicated than just pointing to glucose. Also, since glucose can be manufactured from protein and it's possible for cancer cells to get enough glucose from protein. The research seems to show promising results in brain cancers and brain diseases like epilepsy and possibly dementia, but researchers can't figure out the mechanism by which ketogenic diets help.

    Ketogenic diets may help with other cancers or they may not. Nobody knows yet and anecdotes like Anthony's shouldn't be mistaken for data. For me, I see no downside to a ketogenic diet whether it helps with cancer or not. So, I'm on board.

    For those interested in cancer (and I am as it is common in my family), you might keep up with Dr. Peter Attia's output as he is an oncologist and is part of the LCHF world. He partners with Gary Taubes in NuSi. His blog has lots of valuable information. http://eatingacademy.com

  5. paulc
    OK, what happens if he takes an Oral Glucose Tolerance Test then?
  6. FrankG
    Good for you Anthony!

    I chuckled when I read your "Most likely I would die of a sudden heart attack while bouncing around on one leg and being blind for good measure." That is telling it like it really is and I was heading that way myself 'till I learned about LCHF :-)

    Incidentally I note there is no HDL listed in your blood results... to my thinking, this is a more important marker than the [calculated] LDL.

    --

    paulc -- I would expect an OGTT to show a significant degree of glucose intolerance.. so what is your point?

  7. paulc
    that he hasn't reversed T2 Diabetes at all...

    I myself am under control with my diet (LCHF) and exercise and have good blood glucose values pre and post meals and a good HBa1C and an execellent fasting BG level in the morning of only 5.5, but I've not reversed mine as I fail an OGTT still (hit diabetic values at the one and two hours points after the glucose dose.

    Reply: #8
  8. FrankG
    Oh I see.. you're quibbling over the use of the word "reversed"?

    I don't see this as a "cure" because, as you rightly point out he (along with yourself and myself) STILL has Type 2 Diabetes (perhaps a ready definition of which is "glucose intolerance") but in terms of "rolling-back" the symptoms, slowing, stopping or reversing a chronic progressive disease process, I would say he most certainly seems to have done that much and more.

    Are your symptoms worsening? Peripheral Neuropathy? Renal Failure? Blindness? Amputations? etc... etc..? Or have you also effectively slowed, stopped or even reversed the progress of a disease process, that for too many following the standard advice, is assumed by their health-care team to inevitably lead to an early, painful death?

    Reply: #13
  9. Dan
    Congrats and of course this is not unusual--this is TYPICAL results from doing the RIGHT thing instead of the conventional thing! Just as a comparison, here are my numbers as of yesterday's tests:

    BP: 122/68
    Total cholesterol: 127
    Triglicerides: 75
    HDL: 37
    LDL: 75
    A1C: 6.4

    But here is the kicker, folks: I have lost a little over TWO HUNDRED POUNDS In the last two years on an LCHF diet, and my CURRENT weight (by no means my goal..still at it) is....

    339lbs with a bmi of 48.64!

    Now you tell me when you've EVER heard of somebody that HUGE with numbers like those above? If that isn't proof of why and how this thing works (even if the weight loss isn't enough proof!) well....what is? Now imagine how my numbers will be with another 100 lbs gone?

    Replies: #11, #12
  10. Henk
    Dan, look at last success stories at http://www.marksdailyapple.com That woman lost more than 360 pounds. But 200 pound is also very remarkable.

    Regards,
    Henk

  11. erdoke
    Dan,
    That's certainly a great achievement.
    Actually there are quite a few closely followed cases in medical literature where people lost similar amount of weight by controlled fasting. It means they had no food, just water, salts and some vitamins. This one is an example of a man fasting for 382 days and losing 276 pounds:
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2495396/pdf/postmedj00315...
  12. François
    Frank, you make a very important point, and it goes beyond semantics. What is type 2 diabetes? It is truly insulin resistance, caused by excess insulin levels (this is not unusual in the body: the body becomes "resistant" or "numb" to the effect of any substance in an abnormally high level. Think of alcohol. Many people will be tipsy on their first glass, but will become resistant", ie "accustomed" if they drink regularly. Back to diabetes. The problem is thus the high insulin levels, not the high sugar levels. High sugar is the symptom, not the problem.

    Let's use an analogy. Treatment for an abscess is opening and antibiotics. But an abscess gives symptoms of pain and fever. Tylenol will bring the fever and the pain down. But the abscess is still there. Eventually, people will die fo sepsis. The same goes for diabetes. Conventional treatment is aimed at the symptom, the high sugar. And many pills do this by INCREASING the insulin levels. Which does exactly what tylenol does for an abscess.

    High insulin levels will create a constant vascular inflammation. There are even insulin receptors in vascular plaques, which explains why atherosclerosis progresses so quickly in diabetics, even in those treated with medication.

    So, technically, Frank, you are right: you still have insulin resistance (and at least, you were aware of it and did something about it). For each diabetic, there are 3 pre-diabetics with normal sugars at the expense of high insulin levels. Which is as dangerous as true diabetes. Are you still a type 2 diabetic? That, we could discuss at length. But what you will NOT have is all the complications of diabetes (the atherosclerosis, the amputations, the blindness) because your insulin levels are low.

    LCHF and intermittent fasting are the only ways - to my knowledge - to truly reverse the evolution of type 2 diabetes.

    Reply: #14
  13. FrankG
    Thanks François, although I think in my case you'd be hard pressed to convince me that I don't still have Type 2 Diabetes, or at least the underlying condition which manifests itself as that :-)

    I have often used the analogy of a dam, along the lines of: how much easier it is to shore up the dam and lower the water pressure BEFORE it has burst. After it has already burst, I'm not so sure it can ever be put back 100% as it was.

    In the same way you allude to Type 2 Diabetes as being on a continuum; with far too many well on their way to that bursting dam without even realising it... IF they were to take action now, it may well be the case that they never present with full-on Type 2 Diabetes.

    The other considerations are degree and length of exposure: think of a person who holds their hand over a candle flame... if it is only occasional, for a very short while and at a safe distance, they may just feel some warmth. Closer and for longer they may get some local redness. Longer still and blistering occurs, which may take a day or two to heal up. Even longer still OR repeated short exposures, without sufficient recovery time in between and you could end up with permanent scarring that never heals completely.

    It still surprises and saddens me that many health-care professionals refer to Type 2 Diabetes as a "chronic progressive disease" without making the logical leap to realise that "progressive" works BOTH ways! I didn't suddenly "get" Type 2 the day I was diagnosed... it had been building over many years or decades... that means early intervention could have made all the difference in the World!

    Meantime, august bodies like the American Diabetes Association have taken a conscious decision to DELAY diagnosis until there is no possible doubt ... too late... the dam has already burst!

    Misdiagnosis By Design - The Story Behind the ADA Diagnostic Criteria @ Blood Sugar 101 http://www.phlaunt.com/diabetes/14046782.php

    One of my health-care team suggested that it may be inevitable for the complications (as you mention) to come along sooner or later... I'm just pushing mine back 'till I'm about 120 years old :-P

  14. Anthony
    Hi everyone ,thanks for the comments. In response ; today I had a "sugar" breakfast of tinned fruit with two pieces of toast to test what would happen over a 2 hour period. My sugar peaked at 11.0 after 1 hour and at the 2 hour mark it was 8.0. I think this indicates that I am still glucose impaired. But nearly there !
    Reply: #17
  15. Alain
    What a McDonald's Commercial should look like

    http://www.youtube.com/watch?v=6ECR-AYgpL0

  16. François
    And you'll always be that way. Mind you, by eating bread, you chose something that raises the blood sugar tremendously, diabetes or not. The "new wheat" is scary in that regard. This being said, as long as you avoid starches, fruit juices, sodas and sweets (and to some extent, fruits), you will not raise your glucose, you will not raise your insulin and you'll avoid all diabetes complications.

    And by the way, a high protein intake also raises the insulin. High protein diets don't cut it. The only diet that works is high fat, medium protein and low carb.

    I wish you success. Please google Dr Jason Fung. He has very interesting videos on diabetes reversal. It may help.

    Replies: #18, #25
  17. tony
    François you said "The only diet that works is high fat, medium protein and low carb."

    Would you please provide the percentages of the only diet that works?

    Thanks!

    Replies: #19, #20
  18. Alain
    "You must eat 80% fat, 15% protein and 5% carbohydrates in the first stage of trying to reach ketosis"

    http://www.stephanieperson.com/the-ketogenic-diet/

  19. Francois
    I agree with Alain. Now: I have always had a hard time to compose a diet with percentages. Initially, the only thing I could see is myself eating lard by the spoonfull, which is absolutely not the case!

    Please do google Fatfast. They have an e-book cookbook which is quite good. Tasty recipes. Will give you a basis. Look up in this chain of comments: there is a referral to intermittent fasting also. This also helps tremendously. Or simply skip breakfast. Jason Fung has had great successes with this approach with his patients.

    I also suggest you consider buying a ketonix. (you'll find the links on this blog). It gives your ketone levels in your breath in real time. Good product.

    Good luck!

  20. Dan
    First---I've got 100 lbs to go so I'm not done.
    Second--Sure, you could fast or do other radical things, but not feel this good during it AND have so little of the other issues--for example, the "hanging skin" and other things you see on people who've had gastric bypass and other measures--I find everything keeps on tightening, slimming, and improving just fine and we're talking TWO YEARS August 1 here, not short-term or up/down/sideways.And I don't weigh or worry or measure or obsess--I just eat the good stuff and avoid the bad stuff and it HAPPENS. Everyone has their own style, but I'm just not one to do the keto stix stuff and check every day or week or mark progress on charts or graphs. I have a life and it is rich and fulfilling and MUCH healthier. Thanks for the compliments, all, but my point wasn't to shout my accomplishment but to point out what it means--that aside from the scientific bickering, the specific-case tinkering, etc. etc. the REAL WORLD proof is that this just plain WORKS, and every day, week, and year, more and more everyday people are finding that out in a relaxed, non-invasive, relatively benign lifestyle change. Indeed it is easier to EAT this way than to SHOP this way in our carb-forward food industry culture. But when more people do, that industry will change too because it will have to in order to continue to profit. At some point there will BE a tipping point in the commercial reality. If you are willing to wait that long, I hope you're still alive and well then, but I'm already moving forward. If you're reading this and on the fence, today is a good day to start.
    Reply: #22
  21. erdoke
    Dan,
    No doubt you've been doing a fantastic job, one that is much more convenient to follow on the long term. I've been on the same diet for only six months and got rid of 60 pounds and have only 10-15 remaining to shed. So my point was definitely not to diminish your achievement, just to show that there are other "big losers" in the literature.
    Keep up the good work and I'm sure you will reach your goal of 100 more to lose by your 3rd anniversary of starting on LCHF!
  22. Murray
    Dan, I expect this has been expensive for you in terms of buying new wardrobe. A friend who lost a lot of weight (but not nearly as much as you), she thought getting a new wardrobe was the best part.

    I admire your attitude that the solution has to be a livable one. Culture, it seems to me, is the art of making delightful that which is necessary. The French seem to achieve this best. It takes genius to make snails delicious.

    In terms of avoiding loose skin and neck wattles, it helps to have collagen-rich meats and bone broth. French cooking typically adds a sauce with a bone broth base.

    Reply: #24
  23. erdoke
    You don't need to lose 200 pounds to face an expensive wardrobe "revitalizing" process. The 60 pounds I mentioned represented just over 20 % of my total body weight, but it meant 4-5 inches at the waistline, from 40 to 35-36. Fortunately it was clear after only 2 months what was happening and I was able to survive the interim period with just 2 pairs of pants for example. Shirts and t-shirts turned out to be a more significant investment, although an XXL=>XL shift is not so drastic, so some can be further used by binding them with the belt into the pants...
    My transition the other way (35" => 40") happened over much longer time, almost 15 years in fact, so there was no big short term cost involved.
    I'm not so fascinated about my wardrobe (being a practical male), but quite understandably, this time around I was happy to invest in smaller size clothes.
  24. tony
    François, thanks for the tips. I have a question. An author declared that doing daily IF of 12-20 hours per day would be as effective as LCHF, even if you ate anything (low fat, high carb, etc.) during the eating window. Is that true?
    Reply: #26
  25. Francois
    Intermittent fasting can be done in a number of ways and each has its advantages and disadvantages. All (except maybe skipping breakfast) need some form of training to get used to this way of eating. Fasting (whether intermittent or not) has been part of the human way of eating - not by choice but rather by obligation.

    Dr Fung uses the skipping breakfast way of intermittent fasting with rather impressive success in treating type 2 diabetics. This brings down dramatically insulin levels and achieves the wanted results.

    This being said, I am not aware of any well done study looking at the effect of intermittent fasting (would have to identify which type) associated with different diets, say LCHF, HCLF, high protein, vegan, macrobiotic,,,, Variants could be numerous.

    If one thinks physiologically, I doubt that you will have as good results with Intermittent fasting if you gorge on carbs during your non fasting periods (massive stimulation of insulin) which would be rather counterproductive.

    Intermittent fasting may give interesting results, but in my opinion, results will be even better when combined with a low carb, ideally high fat and medium protein diet.

    Hope this helps.

  26. GrannyM
    Congrats to Anthony for taking charge of your health & well being! I'm another believer that Diabetes 2 can be cured/reversed...whatever anyone wants to call it...it works!
    I just wanted to add a couple of thoughts.
    First on that "starvation therapy" study...what a horrible and unnecessary thing to do to patients. I had several issues with the report...least of which would be the "five fatalities" reported and then they offhandedly say at the end that caution should be use! Another issue is that they don't mention what, if any, food was eaten-what the person's diet was before and more importantly, what his diet was after, since it says he maintained his weight loss for 5yrs. I think some significant dietary changes must have occurred that might explain his maintenance better than the fact that he had the starvation therapy. Also, it seems this poor guy was mostly treated with IV solutions but, as I mentioned it doesn't really talk about if or what he ate. My final issue is with their conclusion...this is where they do the-maybe caution should be used-bit! But in the final paragraph they even use the 'blame the patient' BS that's been used to denigrate obese persons ever since the lousy low fat dogma began. Horrible study & even more horrible conclusion. Needless to say, I was quite disturbed by that report.

    My other thought is that there is so much anecdotal material, many with med stats like Anthony, all over the internet showing that people do not have to succumb to Diabetes 2 and many other diseases of civilization. There are also many, many good studies that show the last 40yrs of low fat advice has been a massive experiment on humanity and that it was a huge failure. Therefore I think medical professionals now must be considered remiss in their duty if they are not aware of these things!

    Huge thanks to people like Doctor Eenfeldt and many others who are getting the message out loudly and clearly and especially Doctor Atkins who had it right all along!

    PS: I was supposed to go on insulin 12+yrs ago. I changed my diet & it never happened. All my health markers are great, I take no meds and hardly ever see a Doctor.

    Reply: #28
  27. erdoke
    GrannyM,
    Please note that the study I provided a link for was carried out in the early 70's. They refer to other papers from the 60's. At that time there was no obesity epidemic, these 300-400+ pound cases were rare and treatment was experimented on. On top of that there is no clear indication about mortality ratio of these long term fasting experiments. Obviously, some patients were in bad CV condition before starting and that should have been a contraindication for enrolling them.
  28. Brett Graham
    I’ve been doing LCHF for six months now and I feel it’s the best thing I’ve ever done with my health. I’ve lost over 15lb and I’m no longer classed as overweight. I don’t get hungry any more, I don’t crave sweet things and I don’t get energy dips throughout the day. My skin feels amazing and my teeth have a mirror like polish to them. I feel fantastic and never shut-up trying to recommend the diet to others. It’s not a diet, it a change to what I eat.

    I went for a 20 mile bike ride yesterday evening, having eaten only my breakfast ten hours earlier, and I felt amazing. I didn't tire or get out of breath despite keeping in the highest gear for most of the ride, pushing myself the whole time. Had I not been restricted by time, I feel I could have done another 20 miles.

    However, today I’m in a bit of a strange place. I had a private health assessment through my company’s scheme. Everything came back as brilliant and better than average; low cardiac risk, excellent blood glucose, excellent heart function, etc, etc. The problem was my LDL. The doctor said my triglycerides and HDL were great, but my LDL is too high. I tried to explain that I was expecting this might happen and that I needed to know my LDL particle size. But she didn’t want to know about any new-fangled science. She just talked over the top of me and said high LDL is bad and that I need to see my GP. She said "whatever you’re doing is great, it’s working for you, as you've lost weight and your bloods are great (except LDL)". But then, "but your LDL is high and, If you were my patient, I would recommend a statin."

    I’ve not got my results on paper yet, I’ll have these in two-three weeks. All I have to go off for now are the numbers that I remember she wrote down when she called the blood lab;

    LDL: 7.5
    HDL: 1.49
    Ratio: 5.1

    I was reading these upside-down, so they may be inaccurate. Do I need to be concerned about these figures? Do I only need to be concerned with LDL particle size and, if so, how do I get this tested in the UK?

    The ratio is concerning me as this is the same as Anthony's above from his January reading when he was bad.

    I’d be grateful for any advice.

    Replies: #30, #31
  29. Zepp
    Wait till you got the result on paper befor you draw any conclusions!

    First.. on a standard lipid panel.. the best way to find risk for future cardio vaskular events is,

    Totchol/HDL=x!

    And it should be 6 or less, better if its 5 or less, very good if its 4 or less!

    But Im no cardiologist to make any safe assumptions.. but Dr Sigurdsson is!

    http://www.docsopinion.com/2013/12/15/10-pitfalls-of-using-ldl-choles...

  30. murray
    Brett, you are going to have to take ownership of the issue. Most physicians will follow official standard of care guidelines for malpractice liability reasons and because of the compensation incentives/disincentives in the healthcare bureaucracy. The leading edge science, however, paints a much different picture than the guidelines.

    LDL on its own is ambiguous. You might find the following lecture quite useful, in which a process-control chemical engineer analyzes the cholesterol research from a process-control perspective. This is the best review I had seen yet.

    https://www.youtube.com/watch?v=fuj6nxCDBZ0&feature=youtu.b

    As you have only been LCHF six months, are losing weight and are doing intense exercise, your metabolism may still be adjusting and your cholesterol numbers are in flux. You will see one chart in the lecture where LDL cholesterol is not a statistically material risk factor where HDL is over 1.68. I'm not sure if 1.49 would be enough to make LDL insignificant. (The graph showed only the risk correlation lines for four different HDL levels.) If you are eating less than 20% calories from carbs, it is unlikely you have much if any small dense LDL.The ratio triglycerides:HDL is also a decent proxy for estimating the extent of small dense LDL particles.

    Reply: #35
  31. Zepp
    One should always look at the HDL and compare it to LDL befor any conclusions drawn at all!

    http://i60.tinypic.com/vzy6h1.jpg

    Becuse.. its those whit low HDL and high LDL that is in harms way!

    And on top of that.. now there is better ways.. and its to look ant APOb/APOa1!

    http://www.medscape.com/viewarticle/489738

  32. jennifer
    Hi Anthony,

    Congratulations, you look really great, and thanks for the inspiration.

    I wonder if you could clarify how you managed your two days "fasting", in your LCHF?

    I was under the impression that if I did LCHF(, which I am thinking about at the moment, )that at some point I would start to automatically have periods when I was less hungry. Therefore, I am unsure how a self imposed "fasting" period would work.

    What did you eat on your fasting days?

    Jen

  33. Anthony
    Thanks Jennifer, my two fasting days were Monday and Wednesday. I had two boiled eggs for breakfast, no lunch and a Chicken salad for dinner . (Total calories equal too 500.)Plenty of tea and water ! Also in my original post I forgot to include my HDL results ; JAN 0.98 ....JUNE 1.52.

    Best wishes Anthony

    Reply: #39
  34. Brett Graham
    Thank you very much murray and zepp!

    Both of you have helped me feel a lot more confident about my results. I watched the talk, that murray suggested, on the leading-edge science around how cholesterol works and I was brilliant. So well presented and easy to understand.

    I called the hospital back to ask it I could have my blood numbers emailed earlier and had to wait for a doctor to call me back. He left a message on my phone saying "I need you to call me back ASAP, as I'm concerned about your cholesterol and I’m going to contact your GP." When I eventually spoke to him he asked what I'd been doing, because my 'bad cholesterol' was so high, the highest he's ever seen. I explained I was on a low-carb, high-fat diet and had lost a lot of weight. He replied "you might have lost weight, but it’s killing you.” As you might imagine, this conversation unnerved me a bit.

    He sent through my blood results and it turns out that when I read them upside when I originally spoke to the doctor (a different one) after my assessment, I got the HDL value wrong;

    Total chol: 9.9
    HDL: 1.94
    LDL: 7.5
    Ratio: 5.1
    Trig: 0.9

    I seem to be a carbon copy of the guy in the Cereal Killers documentary movie!

    After re-reading murray and zepp’s posts and watching the cholesterol talk, I feel a lot better as my HDL is actually 1.94, meaning that the LDL should be insignificant.

    I KNOW I’m 100% healthy. I feel the best I’ve ever felt I’m my life and I’m not having some doctors tell me that all my health markers are brilliant but, because my LDL is high, I need to be on statins.

    I now need to take this fight to my GP and I’m not looking forward to it. My plan is; if they want me to go on a statin then I want my LDL examined to prove I need it. I might have high LDL, but I’m 100% it’s all healthy LDL. I just know that they’re not going to be able to do it.

    If anyone else has any ideas on what ammunition I should be taking with me when I go to see my GP it would be very much appreciated.

    Replies: #36, #37
  35. Zepp
    Well, first of all I think its good to have a good relation with ones GP.. dont lecture them!

    Arm you whit your new confidens.. and your high HDL.. and those other healt progress that you have made!

    Becuse.. lipids is one (1) of a lot of healt marks that predict.. your future healt.

    And ofcourse.. tell that you are not stupid.. now you are trying a ketogenic approche.. to see how that works.. and how it works with your healt markers!

    And then.. one get other values on a high fat diet then on a high carb diet!

    Second.. if its not going to be perfect.. one can always try another approche.. more monosaturated fat and some more low GI carbs!

    The thing to present is that you like him/she to monotoring the process!

    And It seems that my links didnt work.. its Interheart studie by Yusuf et al!

    Put this in Google to read the whole studie!

    INTERHEART: A Global Case-Control Study of Risk Factors for Acute Myocardial Infarction

    And at last.. the new golden standard is APOb/APOa1!

    "These results indicate that the apoB/apoA-I ratio is at present the best single lipoprotein-related variable to quantitate coronary risk. Given the additional advantages apolipoproteins possess - fasting samples are not required, apoB/apoA-I is a better index of the adequacy of statin therapy than LDL-C, and the measurement of apoB and apoA-I are standardized, whereas LDL-C and HDL-C are not - there would appear to be considerable advantage to integrating apolipoproteins into clinical practice."

    http://www.ncbi.nlm.nih.gov/pubmed/15576296

  36. Murray
    Brett, your TRG:HDL ratio is about 0.5 which is very good. Take in a few published papers showing this is a good indicator.

    Regarding the LDL, the chart Zepp linked with the Framington data showing LDL-C has minimal relevance when HDL is high would be helpful.

    Third, you must consider that whether you have been prescribed treatment for cholesterol will likely be asked for as part of life or disability insurance applications which you would have to disclose (or risk coverage being voided later) and may result in denial of coverage or significantly higher premiums.

    So something to consider is this. Ask your physician to measure apoB and apoA as a more reliable indicator. Then, tell your physician your LCHF included coconut oil and you have read that many people have LDL-C that goes way up as a result, so suggest you eliminate coconut oil and test again in six weeks or so. You may indeed be someone whose LDL goes up from lauric acid (C-12 sat fat in coconut oil and dairy). So cut this from your diet in the six weeks. Also, consider taking niacin for the six weeks. The net effect will likely be to reduce LDL-C significantly. I can manipulate my numbers easily this way. Switching from coconut oil to 100% chocolate (stearic acid, C-16) lowers LDL-C for me a lot. However, my skin health improves a lot with coconut oil, so I go back and forth.

    You have not mentioned other data, such as HbA1c or blood pressure. If these are fine, then in conjunction with weight loss and regular exercise, you should emphasize your overall health being low risk factor.

    Some caveats. A ratio of 5.1 total-C to HDL-C is borderline. This should drop to about 4.0 and less as you give LCHF more time.

    Is there any evidence of calcification of arteries, such as your physician hearing swishing sound of blood going through the artery in your thigh when listening with a stethoscope. My cousin went from being overweight on a high carb diet with vegetable oils (despite triathlon training and daily running and gym time) to a low carb, high fat diet. He lost over 40 pounds and felt great. However, he had already built up a CAC score of over 900. He was extremely lucky not to have had a heart event. Lowering the CAC score takes some focused effort, and the Track your Plaque group founded by Dr. William Davis is instructive on that. Among other things, you need to ensure your diet has the activator vitamin K-2 (vitamin K-1 from plants is inadequate for this), as well as retinol (animal vitamin A) and vitamin D3. These in combination activate the removal of calcium from soft tissue and into bones and teeth.

  37. Nicholas Aujalay
    Congrats. There is a misconception that Diabetes type 2 is a disease. It is not. In fact it qualifies as a toxidrome. Excessive sugar and starch damages the body and target many organ systems. If you exclude this intake, the damage is reversible. Thus - a toxidrome.
    Nicholas Aujalay, Emergency Physician
  38. Nadir
    Is your 2h after meal stil good even if you take sugar. Thank you

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