What is the medication that can control the levels given below?

[sandybrown]

A1c level, 54 mmol/mol (no reference level given)

Total Cholesterol / HDL ratio 6 (no reference levels given!)

HDL 0.86

Total Cholesterol 5.2

Non - HDL 4.3

What to do to control these levels? looking for a good discussion.

[ramana42 Volunteer]

Your numbers are expressed in units that are not followed in India, as far as I know.Hope somebody will convert into units that are followe here.

[sandybrown in reply to ramana42]

A1C 6.9%

Total cholesterol 239 mg?dL

HDL 166

Ratio is ratio 6

Because of age it can be in this category!

Mild age-related diabetes (MARD), if this is the case what is the medication?

[Praveen55 Moderator]

For medications, Doctors should be consulted. We do not diagnose and prescribe medications for disease. We may suggest some dietary and lifestyle changes which might be helpful based on our personal experience.

Numbers are not that bad. It should be possible to resolve this issue by reviewing the current diet and following a healthy diet. At the same time, some regular physical activities should be included. If there are no other medical conditions, one should be able to resolve this within a period of 12 weeks by diet and lifestyle change. Many members on this forum have been managing conditions with dietary and lifestyle changes.

BTW, your unit conversions do not seem to be correct! but that does not matter. I do understand your original units.

[sandybrown in reply to Praveen55]

Thank you for your reply, for future reference, could you please let me know the units used in India and how the conversation is done. Thanks.

I have been in GP care for 7 years, we are monitoring the blood test annually, eye check, and foot check. I eat and drink what I want at the moment to enjoy one life, may be soon I have to take control of what goes into my mouth.

[Praveen55 Moderator in reply to sandybrown]

sandybrown

1. A brief paper on non-HDL cholesterol.

mayoclinic.org/diseases-con...

2. There are two different units in use for measurements of medical parameters. European nations including UK use the new SI units where as US, India and many other countries are still using old standard unit. You can google for conversion calculator from one to another. You will find many.

3. In clinical terms, HbA1C of 48 mmol/mol and above is diagnosed as diabetes.

[sandybrown in reply to Praveen55]

Have been looking for some understanding on units.

“An HbA1c of 6.5% is recommended as the cut point for diagnosing diabetes.” This is from WHO.

52 mmol/mol IFCC = 6.9 % NGSP = 152 mg/dL eAG = 8.4 mmol/l eAG

I took an example of 52.

Which unit of measurement for HbA1c is used in India. I do understand blood glucose is very different test.

[Praveen55 Moderator in reply to sandybrown]

Old standard unit : e.g. HbA1c of 6.5 % will be understood in India, USA, and most non-European nations.

[Ashka9]

Start intermittent fasting for few days a week. Keep eating window only for 8-10 hours during day and fast for another 14-16 hours overnight. Eat only 2-3 times a day during that window. Your numbers will improve as fasting even for few hours regularly can have an immense advantage.

If you prefer Ayurvedic herbal medicines, I can recommend one. Diabecon DS tablet from Himalaya herbals is good one as it reduces blood sugar to a great extent. Take one morning and one night.

[sandybrown in reply to Ashka9]

Thank you for your kind words. I can give fasting a try first.

[Stuthi in reply to Ashka9]

Diabecon DS tablet taken before food or after?

[Ashka9 in reply to Stuthi]

Befor meals

[Stuthi in reply to Ashka9]

thankyou

[gangadharan_nair]

Risk for cardiac disease is assessed by dividing the total cholesterol level by the HDL level. Target values are less than 5 for men and 4.4 for women.

Your TC/HDL is 6 which is higher than normal.

Your total cholesterol is 5.2 mmol/L which is borderline high risk.

Walk daily for more than 30 minutes daily.

Drink oats porridge with or without milk.

Links:-

en.wikipedia.org/wiki/Glyca...

en.wikipedia.org/wiki/Chole...

[sandybrown]

VLDL is often missed in communication!!

When blood cholesterol is checked "Do they report VLDL?"

VLDL definition

VLDL is created in your liver to carry triglycerides throughout your body. It’s made up of the following components Trusted Source by weight:

Main components of VLDLPercentage

cholesterol10%

triglycerides70%

proteins10%

other fats10%

The triglycerides carried by VLDL are used by cells in the body for energy. Eating more carbohydrates, or sugars, than you burn can lead to excessive amounts of triglycerides and high levels of VLDL in your blood. Extra triglycerides are stored in fat cells and released at a later time when needed for energy.

High levels of triglycerides are linked to the buildup of hard deposits in your arteries. These deposits are called plaques. Plaque buildup increases your risk for heart disease and stroke. Experts believe this is due to:

increased inflammation

increased blood pressure

changes in the lining of blood vessels

low levels of high-density lipoprotein (HDL), the “good” cholesterol

High triglycerides are also associated with metabolic syndrome and nonalcoholic fatty liver disease.

LDL definition

Some VLDL is cleared in the bloodstream. The rest is transformed into LDL by enzymes in the blood. LDL has less triglycerides and a higher percentage of cholesterol than VLDL. LDL is largely made up of the following components Trusted Source by weight:

Main components of LDLPercentage

cholesterol26%

triglycerides10%

proteins25%

other fats15%

LDL carries cholesterol throughout your body. Too much cholesterol in your body leads to high LDL levels. High LDL levels are also associated with the buildup of plaque in your arteries.

These deposits can eventually lead to atherosclerosis. Atherosclerosis occurs when deposits of plaque have hardened and narrowed the artery. This increases your risk for having a heart attack and stroke.

Recent guidelines from the American Heart Association now focus on the overall risk for developing heart disease, rather than individual cholesterol results.

Your levels of total cholesterol, LDL, and HDL, along with a variety of other factors, determine which treatment options are best for you.