LDL / HDL Ratio, Is it a big deal - Diabetes India

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LDL / HDL Ratio, Is it a big deal

Durham24 profile image
31 Replies

Good Day to every one:

My blood work report (as of 12th Dec) revealed as

Total Cholesterol 121 (normal)

HDL was 48 (OK)

LDL was 63 (OK)

Triglycerides 78 (good) - due to the reason that this # was way above 200 six months ago.

Cholesterol / HDL ratio was 2.5 (seems to be within range).

However, the cranky one was LDL / HDL RATIO which was 7.9.

(seems like the normal is < 3.5 ).

Please educate me.... LDL is good and HDL is good, still out of whack item bothers me.

Where did I go wrong ?

Is that some thing I can ignore for now ?

What remedy should I go for to bring it in acceptable range?

Thanks in advance and grateful to all for inputs / guidance....

Rgds,

Durham24

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Durham24 profile image
Durham24
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31 Replies
Durham24 profile image
Durham24

Thank you sir.

Probably a Typo while documenting.

Sorry to have bothered you.

Rgds,

Durham24

cure profile image
cureAdministrator

Bhai that is good question... but I don't think he ison statin... cause his HDL is good... statin will reduce his HDL ...alongwith LDL...

suramo profile image
suramoStar

Anup

cure

Yes. It's important to know how Durham24 could achieve such a good lipid profile.

Durham24 profile image
Durham24 in reply tosuramo

The straight and simple answer is:

I followed LCHF.

However, I have been struggling to put together the list of my intakes in terms of grams due to the reason that I was not able to exactly measure them.

I am still a learner, although I have been following this for quite some time.

I am a vegetarian.

I take Oatmeal in the morning once.

I dont eat unless I feel hungry.

I keep the carbs down as much as I can.

I take Virgin Coconut oil along with coffee in the morning.

I take some butter too in between.

I dont take more than one Chapathi or 2 pooris for lunch with some sabji (all home made).

I take one cup of tea with sugarless buiscuts.

I was taking too much of nuts (walnut, almonds and peanuts) not knowing they add high carbs too.

I have cut down on them in the last 2 months.

However, the problem I face is

'Frequent travels, attending some weddings where I let myself off the hook and indulge with CARBs'.

Currently I am on a visit to south India for a wedding of my niece.

These occasions (and travel) prevent me from monitoring the strict regime and carb intakes.

Hope I answered your questions.

My weight has come down by 3 kgs (now 62 kgs - I am a 66 year old with 5'6" height).

I will check my A1C when I go back to my home town after a month.

Not sure how my intakes would be in the meantime.

Thanks to every one for their guidance and support.

Rgds,

Durham24

suramo profile image
suramoStar in reply toDurham24

Durham24

Attending functions should not be an excuse to eat carbs. There are many items which contain less or no carbs.

Do you take statins?

What is your waist circumference ?

Durham24 profile image
Durham24 in reply tosuramo

You are absolutely right.

However, while travelling, I am forced to eat whatever I get (instead of being choosy)

Also, when we attend weddings, we cannot have a menu of our own. We just pick what we get, instead of being fuzzy or demanding.

We are forced to eat mostly rice (while I have been avoiding rice fully at home to reduce my BS) - No doubt Rice is the culprit for diabetics.

My waistline

Now all my pants are loose and it should, now be, 30. (it was 32 till 2015).

I have reduced significantly, which helped me partially to keep BS in achievable range.

Hope i answered your question.

Thanks and regards

alwaysoptimistic profile image
alwaysoptimistic in reply tosuramo

suramo ,My latest test results are as given below and I follow LCHF with IF:

Serum Cholesterol:142(150-250)

Triglycerides:72(10-190)

HDL:58.20(30-70)

LDL:69.40(75-150)

VLDL:14.40(5-40)

TC/HDL:2.43

cure profile image
cureAdministrator in reply toalwaysoptimistic

wow great results.... keep is up alwaysoptimistic

suramo profile image
suramoStar in reply toalwaysoptimistic

alwaysoptimistic

Excellent . But I would like to remind that lipids are not the culprits of chd/ cvd. You have to keep bs under control. But good control of lipids may help reduce the incidence of chd cvd. But frankly I would not care for my lipids unless they are alarmingly out of range . I care more for my bs.

Durham24 profile image
Durham24

Yes Anupji.

I take Atorvastatin 20 once a day in the night.

I have been on this for quite some time.

My wife is keen that I dont stop this, although I dont want to be on it.

Doctors instructed me NOT to stop this for some time.

I think that was a documentation ERROR (reference of 7.9 - LDL/HDL ratio) which is not UNCOMMON.

Just FYI.

One of my brother suggested that I do ECG and X-ray of the chest.

That revealed 3 items

(a) Unfolded Aorta

(b) Bilateral mildly Hyper inflated Lung fields

(c) Dorsal Spondolysis.

These may not be relevant directly to Cholesterol.

I was asked to ignore these things for now.

I am travelling in India for 15 days.

Thanks for your help,

Rgds,

Durham24 profile image
Durham24

Thanks.

However, if I try to UP the cholesterol to make up for shortfall in TC, the fear is it may end up in shooting up the BS level.

I am still not that conversant with the methodology of balancing the energy level between SHORTFALL of Carbs and intake of additional protein / Fat.

Of course, I dont starve though.

jan-ran profile image
jan-ran

Hello Anup, I seek your advice on this matter of cholesterol levels. I am currently disagreeing with my gp who wants to put me back on statins. Since I stopped taking atorvastatin 6 months ago, everything (except total cholesterol) has gone in the right direction (eg: HbA1c now 43, from 59, after 6 months lchf diet; liver gamma gt down to 60 from 254, etc). However, my total cholesterol is creeping up, now 6.3mmol/L, ( although other levels are remaining borderline or ideal.) Just how 'high risk' is this score of 6.3, can you tell me? Would you say that I could continue NOT taking a statin even though it looks as though my total cholesterol level is getting too high for comfort?

Just for info, these are the other levels in mmol/L: HDL 2: LDL 3.9: TRIG 0.9: chol/HDL ratio 3.2: non HDL 4.3

Thank you in advance. Jan R

shrisamarth profile image
shrisamarthVolunteer in reply tojan-ran

To get better idea about LDL check your apo B/LDL subfraction.(LDL particle no.)

Lp(a) and homocysteine are also important.

menonpkv profile image
menonpkv

Durham had a wrong calculation !!!

Durham24 profile image
Durham24 in reply tomenonpkv

Yes Menonpkv.

seems like there was an error while documenting the LDL/HDL ration in my report.

I confirmed this from the lab where I got it done.

They were cool and did n't even say sorry.

It happens.... we have to live with it in some places.

jan-ran profile image
jan-ran

Many thanks Anup. You have been very kind to reply so fully. I will study your advice and talk to my gp on Friday. I feel I have more information to give him now. Especially about maybe suggesting a lower dose if he s really anxious about it! Janet.

cure profile image
cureAdministrator

Bhai AnupBanerjee now days bahut culture culture ho raha hai.... kya passport change kar liya kya??? :))

cure profile image
cureAdministrator

hahaha ok.... chlo koi bat nahi.... NRI mat bano ...bas yehi duwa hai uparwale se

cure profile image
cureAdministrator

Dil ke sath dimag bhi jaruri hai..... nahi toh dil hindustani aur dimag Englistani.... lol

suramo profile image
suramoStar

Anup

Are you sure you have calculated correctly? I think mmol to mg is by multiplying with 18. Correct me if I'm wrong.

shrisamarth profile image
shrisamarthVolunteer in reply tosuramo

onlineconversion.com/choles...

Durham24 profile image
Durham24

Thanks Anupji,

I have decided to break the statin tablet and take only 10 mg (instead of 20) starting today.

Than you sir.

cure profile image
cureAdministrator in reply toDurham24

Durham24 Asians need less dose of statin than Caucasian population

read here...

ncbi.nlm.nih.gov/pmc/articl...

Typically, Asians achieve similar benefits as Westerners at lower statin doses (Table 16,9,28–39 and Table 240–48). In a comparison of atorvastatin and simvastatin in dyslipidemic patients at 6 Asian centers, just 10 mg of simvastatin and 10 mg of atorvastatin over 8 weeks resulted in average LDL cholesterol reductions of 35% and 43%, respectively, and >80% of patients achieved their United States National Cholesterol Education Program LDL cholesterol goals.6 In hypercholesterolemic Japanese patients, rosuvastatin doses ranging from 1 to 40 mg achieved LDL cholesterol reductions of 36% to 66% over 6 weeks.30 In the large-scale Japanese Lipid Intervention Trial (J-LIT), an open-label study of simvastatin at an initial 5-mg dose in 51,321 hypercholesterolemic Japanese patients, the 5-mg dose, which lowered LDL cholesterol by 29% over 6 years, was deemed as effective as the 20-mg dose used in Western countries.8 A small subgroup (1.4%) labeled “hyper-responders” had a reduction in total cholesterol of >40% during 6 years of low-dose treatment.8

Durham24 profile image
Durham24 in reply tocure

Thanks cure.

That was very helpful.

I reduced the statin intake to 10 now.

Rgds,

Durham24

anirudh profile image
anirudh

Anup, My figures and quoted are almost same. Then how these are good & mine are denger ? My innocent question

Please don't get angree as I know that you are well studied and no question on that.

suramo profile image
suramoStar

Anup

so hdl 77 isn't more than the best ?

Tc 244 and tg 80

lipids are good.

Ldl 151 a bit higher.

Overall nothing so scary.

suramo profile image
suramoStar

Anup

i have a different opinion. I stopped atorvastatin 20 mg all of a sudden and started taking lots of good fat, also going grain free 4 months back and now you see my lipid profile. I think extremely good.

Durham24 profile image
Durham24 in reply tosuramo

Hi Suramo:

Thanks.

Could you please elaborate little more on what you mean by "Grain Free" and how do you compensate with specific items and (if you can, in terms of calories).

Thanks and regards

suramo profile image
suramoStar in reply toDurham24

Durham24

No. I don't do calorie counting.

Grain free means i don't take wheat and rice at all. Infreqently i take a small thepla of methi leaves made with millets. I'm on hypocarb and hypocalori diet. Take salads, vegetables, legumes, etc. Eggs once in a while. I take lots of co, evoo, ghee. Dry fruits. Fenugreek seeds, cinnamon, turmeric pickles, chironjee, almonds etc. I take khaman dhokla made mostly with chana daal + soya + urad daal + Brown rice ( not more than 20% ) and methi daana added.

The key to my diet is vegetables and good fats co, evoo, ghee etc, lots of cauli and cabbage etc

suramo profile image
suramoStar

Anup

what i'm trying to tell you is that hdl 77 ! Is that high value possible ? How ?

anirudh profile image
anirudh

Anup ji, your reply is awaited

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