FEELING A LITTLE BIT JADED!

[Wirrallass]

So....yesterday I was given my HbA1c result of 41🙂 Still in non diabetic range but.. I half expected it mindful that I was taking steroids & antibiotics prior to Christmas that more than likely impacted my bgls. However my GP was pleased. Last two HbA1c's were 33 and 31.

I was also given my Trigs result. Not good at all After giving me a stern but gentle warning my GP insisted that I should take statins to potentially avoid CVD (Cardio Vascular Disease) This is serious business and has scared me somewhat. Aarrrggghhh! Last time I was prescribed statins I couldn't tolerate them coz they caused nausea & vomiting. My GP took this into consideration and prescribed Rosuvastatin Aristo saying I should be able to tolerate this med and wants me to have my bloods taken in three months. So....time to adjust my diet and exercise regime ~ tho the exercise might cause some difficulty due to current health issues but I'll give it my best shot. I've been concentrating on my Diabetes bgls so much so that I've inadvertently overlooked taking care of my Cholesterol Lesson learned!

My Hypothyroidism is a little off target but only just and to have bloods in three months. *Have also been prescribed iron tabs for anaemia. To say I'm a walking Chemist is an understatement but hey ho I'm still breathing!

So it's back to the drawing board for *Wirralass!
WL
Edited to add *

 

[MrDaibetes]

Ah sounds frustrating for you. Fingers crossed you can get it all sorted, and the medication will help and not give you side effects.

 

[Robin]

Have also been prescribed iron tabs for anaemia. To say I'm a walking Chemist is an understatement but hey ho I'm still breathing!

Anaemia can affect the results of your HbA1c, making the result higher than it really is (if you’ve got fewer red blood cells for the glucose to stick to, more glucose sticks to each of the red cells you have) so I wouldn’t worry about a small rise, and the steroids certainly won’t have helped!
It’s so frustrating, though, isn’t it, when you’ve got several issues that all seem to need the opposite treatments!

 

[AndBreathe]

Wirrallass so much going on there to ponder.

Undoubtedly the steroids in play won't have helped you out, and perhaps your Doc is acknowledging that in being happy for your raised A1c result. I be there it could have been a heap worse.

When you say your hypothyroidism is a bit odd, but not much, my ears perked up. Our thyroid I see central to our whole metabolic health. Diagnostic and maintenance levels in UK are relaxed by comparison to other parts of the world, so maybe a tweak in that area could be more helpful than we acknowledge.

I'm not a long standing person with hypothyroidism and my numbers we're only just over the line for a trial fand mds, based on my symptoms. It has taken what feels like a lifetime to get my symptoms into an acceptable place.

Had I not experienced I myself, I would never have believed it. Do you have your thyroid results that you could research and see if you want to push for retest, or a thread least a retest slightly sooner than 3 months?

 

[Grannylorraine]

Sending you hugs.

 

[KARNAK]

Good HbA1c result @wirralass just be careful with the statins I can`t tolerate them in any shape or form. xx

 

[everydayupsanddowns]

Sorry to hear you've had a bit of a mixed bag of results @wirralass

I would certainly agree with @Robin though - anaemia will almost certainly have had an effect on your HbA1c (which is still great, even if a little higher than your previous ones.

Trigs are a bit of a worry aren't they - I think they are sometimes used as a proxy for the smaller denser vLDL particles. There are various ratios and comparisons you can make with different parts of your Lipid panel which can help to unpick the detail I think - but I'd have to go looking for the suggestions.

Hope you can make some small changes that begin to turn these other numbers around, while keeping your BGs in a good place.

 

[Jodee]

Its a real balancing act with different health issues to contend with, I feel for you wirralass, great news on the BG and here's wishing you every success in bringing the rogue results back into balance.

Just take one step at a time, I am sure you will get there, and hoping the new statin will suit you just fine and work well in bringing the cholesterol down.
Bes wishes x x

 

[Maz2]

I am sorry to hear about your problems. Afriend of mine has multiple medical problems including diabetes and it is a real juggling act for his GP trying to get it right. I also heard anaemia can make it higher.

 

[Wirrallass]

Sorry to hear you've had a bit of a mixed bag of results @wirralass

I would certainly agree with @Robin though - anaemia will almost certainly have had an effect on your HbA1c (which is still great, even if a little higher than your previous ones.

Trigs are a bit of a worry aren't they - I think they are sometimes used as a proxy for the smaller denser vLDL particles. There are various ratios and comparisons you can make with different parts of your Lipid panel which can help to unpick the detail I think - but I'd have to go looking for the suggestions.

Hope you can make some small changes that begin to turn these other numbers around, while keeping your BGs in a good place.

Thank you Mike. I've been taking the Rosuvastatin Aristo since 02 February and also Ferrous Fumarate for my anaemia. My GP was right ~ thankfully to date no side effects with the statins. I have to say I initially was reticent to take them!

Hopefully when I have my bloods in 3 months my HbA1c will have dropped back to the 30's again & my Cholesterol levels will have improved too. I'm optimistic as I'm making a concerted effort to reduce my carb intake even more so to maintain in range bgs.

So far as exercise is concerned I'm doing my best by taking short walks to start with ~ and I mean short. I'm pleased to say that I've received a Physiotherapy appointment for my right leg & hip. An appointment was made for me to have Physio on my back but then it was cancelled and I'm waiting for a new appointment. It can't come soon enough.

Will update further in April/May.

Thank you for your concern.
WL

 

[Wirrallass]

I'm in demand atm folks, inundated with letters from the hospital with new appointment dates, cancellations and rescheduled appointments.

1. *MSK Physiotherapy for my right knee, femur and hip.
2. Recall to Urology.
3. Asthma review.
4. And a long awaited appt at last (8months) to attend the pain clinic, praise be.
5. Opticians for regular eye test.
Expecting a dental appointment soon.

All of them span between 1wk ~ and 2months. Just as well I haven't booked a winter holiday!
WL

Edited to add *MSK

 

[Wirrallass]

Ah sounds frustrating for you. Fingers crossed you can get it all sorted, and the medication will help and not give you side effects.

Thank you MrDiabetes and yes very frustrating indeed. As you say, fingers crossed.
WL

 

[Wirrallass]

Anaemia can affect the results of your HbA1c, making the result higher than it really is (if you’ve got fewer red blood cells for the glucose to stick to, more glucose sticks to each of the red cells you have) so I wouldn’t worry about a small rise, and the steroids certainly won’t have helped!
It’s so frustrating, though, isn’t it, when you’ve got several issues that all seem to need the opposite treatments!

You're absolutely right Robin, thank you.

The above isn't very clear ~ try tapping on it to expand the details.

I'm not finding it easy to find a happy balance between Cholesterol and Diabetes If I go for low fat foods, the carbs are high, cant win!. I think I'll eat lots of leafy green veggies, chicken meals, and stay hydrated by drinking lots of water ~ which I do anyway coz for some reason I've gone right off tea & coffee. Instead I favour green tea and lady grey tea.
Thanks again Robin.
WL

 

[Wirrallass]

Sending you hugs.

Thank you GrannyLoraine hugs are always welcomed.
WL

 

[Wirrallass]

Good HbA1c result @wirralass just be careful with the statins I can`t tolerate them in any shape or form. xx

Thank you Ted. So far the statins seem to agree with me thank goodness. They're only a low dose 5mg. I'm a anticipating a good Cholesterol result in 3months time.
WL

 

[Wirrallass]

Wirrallass so much going on there to ponder.

Undoubtedly the steroids in play won't have helped you out, and perhaps your Doc is acknowledging that in being happy for your raised A1c result. I be there it could have been a heap worse.

When you say your hypothyroidism is a bit odd, but not much, my ears perked up. Our thyroid I see central to our whole metabolic health. Diagnostic and maintenance levels in UK are relaxed by comparison to other parts of the world, so maybe a tweak in that area could be more helpful than we acknowledge.

I'm not a long standing person with hypothyroidism and my numbers we're only just over the line for a trial fand mds, based on my symptoms. It has taken what feels like a lifetime to get my symptoms into an acceptable place.

Had I not experienced I myself, I would never have believed it. Do you have your thyroid results that you could research and see if you want to push for retest, or a thread least a retest slightly sooner than 3 months?

Thank you AndBreathe. So far as my thyroid is concerned I feel that had the level been totally out of range then my GP would have adjusted the dose. It's something I can't control else I'd take steps myself. Will see what my blood results are in 3months.
WL

 

[Wirrallass]

Its a real balancing act with different health issues to contend with, I feel for you wirralass, great news on the BG and here's wishing you every success in bringing the rogue results back into balance.

Just take one step at a time, I am sure you will get there, and hoping the new statin will suit you just fine and work well in bringing the cholesterol down.
Bes wishes x x

Thank you for your encouraging words Jodee. Meal times have suddenly become a nightmare juggling between what's best to eat to lower my Cholesterol levels and my Diabetes bgs! The statins are agreeing with me which I'm pleased about as I don't ever want to suffer with CVD. It scares me.
WL

 

[AndBreathe]

Thank you AndBreathe. So far as my thyroid is concerned I feel that had the level been totally out of range then my GP would have adjusted the dose. It's something I can't control else I'd take steps myself. Will see what my blood results are in 3months.
WL

I admire your absolute trust inyour GP. Of course, I have no reason to doubt they are fantastic, but my GP has openly admitted to me that her knowledge of thyroid disorders, aside from understanding diagnostic threasholds and understanding th eprimary treatment for diagnosed hypothyroidism is Levothyroxine, slowly titrated until the TSH is back in range.

As someone diagnose at a TSH of 5.8, due to symptoms, plus "modestly elevated TSH" levels, I appreciate it is a frustrating and sometimes changeable condition.

In your shoes, I might have been asking if I could trial and adjustment to my thyroid meds to see how I felt.

It has taken me some years to get to a place where it feels to me my thyroid has been wrangled somewhere near to being in decent shape. That has been much, much harder to sort out that my T2.

I hope you get to the bottom of your issues.

 

[Wirrallass]

Thank you for your encouraging words Jodee. Meal times have suddenly become a nightmare juggling between what's best to eat to lower my Cholesterol levels and my Diabetes bgs! The statins are agreeing with me which I'm pleased about as I don't ever want to suffer with CVD. It scares me.
WL

I lurve your new avatar Jodee🙂
WL