difference in glucose levels

[medico76]

I had a blood test on 26/4/2019. the results are hba1c 6.8 glucose fasting 128 pp 200. uric acid 9.4. urea 28 creatinine 1.07 cholesterol 1.25 triglycerides 115 hdl 43.Ldl 63 vldl 23 Tch hdl ratio 2.9. I am 83 years old. is my parameters o.k my doubt is when my hba1c is 6.8 why glucose levels are high.is uric acid level alarming

[ramana42 Volunteer]

HbA1c gives you the average sugar level for the past 10 to 12 weeks. FBS and PPBS are point of time readings and will be fluctuating through out the day depending on what you eat,your physical activity,any stressful happenings etc.An average of these fluctuations is reflected in HbA1c test result.High uric acid level is caused by sub normal functioning of the kidneys.This may be due to your medication,overweight etc.Only your doctor can pinpoint the cause and prescribe proper course of remedial action.

[sandybrown]

Can you please re type your cholesterol numbers, one line at a time.

Total cholesterol 1.25 confusing!!

Uric acid testing, do have gout?

[medico76 in reply to sandybrown]

total cholesterol 125

[sandybrown in reply to medico76]

Please ask the people who did the test to look at at your lipid numbers as they do not add up as explained.

[sandybrown in reply to medico76]

At your age you should be enjoying life, do not worry about any blood sugar or blood cholesterol, if you are doing all daily routine by your self.

Enjoy one life.

Below is detailed information:

"The blood cholesterol level

We need to start by saying that the blood cholesterol level is about as reliable as the England football team in penalty shootouts. The time of day, the time of year, whether or not you fasted beforehand, how much sun you’ve had recently, current stress levels, even running late for the blood test appointment – all can impact blood cholesterol levels. When people talk about their test results as if they are accurate they should be made aware of all of this.

The formula for blood cholesterol levels is: Total cholesterol = LDL + HDL + triglycerides/5

Few people know that we can only measure total cholesterol and HDL with the standard blood test. Yes – 1 equation, 4 unknowns, 2 measurable = not very scientific.

After measuring (albeit inaccurately and inconsistently) total cholesterol and HDL, triglycerides and LDL together are assumed to account for the difference. The estimation is refined with the Friedewald equation, using the two assumptions that i) virtually all triglyceride is carried by VLDL and ii) that the triglyceride: cholesterol ratio of VLDL is constant at approximately 5:1 (Friedewald et al 1972) (neither assumption being strictly true) to establish the final equation:

Total cholesterol = LDL + HDL + Triglyceride/5

Lipoproteins

There are five lipoproteins – in order of size (largest to smallest) they are chylomicrons, Very Low Density Lipoprotein (VLDL), Intermediate Density Lipoprotein (IDL), Low Density Lipoprotein (LDL) and High Density Lipoprotein (HDL). (Ideally chylomicrons would be called Exceptionally Low Density Lipoproteins (ELDL’s) and then the density concept would be more consistent. However…). Confusingly, VLDL is also referred to as triglyceride. People will tell you their triglyceride levels after their blood test and are pleased when these are low. They don’t know that VLDL isn’t even measured, let alone triglyceride.

The National Cholesterol ‘Education’ Programme have no right to educate anyone about cholesterol if they don’t know that LDL is not even cholesterol. LDL is Low Density Lipoprotein. LDL contains cholesterol; it is not cholesterol.

All five lipoproteins contain four substances – cholesterol, triglyceride, phospholipids and protein. The proportions of each substance vary.

The Garrett & Grisham, book “Biochemistry” estimates:

– VLDL is approximately 50% triglyceride, 22% cholesterol, 18% phospholipids and 10% protein.

– LDL is approximately 8% triglyceride, 45% cholesterol, 22% phospholipids and 25% protein.

– HDL is approximately 4% triglyceride, 30% cholesterol, 29% phospholipids and 33% protein.

So, Total cholesterol = LDL (all approximate – 8% triglyceride, 45% cholesterol, 22% phospholipids and 25% protein) + HDL (all approximate – 4% triglyceride, 30% cholesterol, 29% phospholipids and 33% protein) + VLDL/5? (all approximate – 50% triglyceride, 22% cholesterol, 18% phospholipids and 10% protein) or just the triglyceride part of VLDL/5?

So what is the blood cholesterol measurement? Is it the cholesterol in each lipoprotein? Is it the whole lipoprotein? If the latter – then we’re back to the relevance of Mat’s original observation – if cholesterol is converted at a factor of 38 and triglyceride at a factor of 86 – how is this being allowed for?"

[medico76 in reply to sandybrown]

no gout

[sandybrown]

Total cholesterol = HDL + LDL + Triglyceride/ x + VLDL

= 43 + 63 + y + 23

= 129 +y

From the ratio it appears total cholesterol is 125.

I am afraid this does not add up. There is a value for y, your total cholesterol is going to go more than 125?

[sandybrown]

Uric acid level 9.4, Did your doctor say it is elevated?

[medico76 in reply to sandybrown]

advised febuget 40

[sandybrown in reply to medico76]

You can go for food and drinks that do not elevate uric acid. Have a look at this link:

google.com/search?rlz=1C1AW...

[Hidden]

cholesterol up to 200 to 240 is not a problem . This is all the greed of pharma companies which has brought this level . The normal ranges of BP , Bs , CHOLESTEROL all are getting lowered time to time to make more profits by making people to go for their medicines . Doctors should be ashamed of their attitude and greed in getting sold to pharma companies for monetary gains . This is a stinking racket where pharma companies ,medical fraternity , labs ,some other vested interests all are working hand in glove . The entire medical profession is going to be cursed by mother nature and they are going to face the consequences of their greed one day in the form of incurable diseases to their children and grand children because they are the custodians of public health which they have forgotten .