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lost 5kg but hba1c the same

The qrisk calculator doesn't have an option for diabetes in remission, it's either yes or no.
 
MarcR said:
The qrisk calculator doesn't have an option for diabetes in remission, it's either yes or no.
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The "bluntness" of the QRIsk calculator is often discussed.
It is not just remission or not, there is no difference between someone who has had a HBA1c of 80 for 10 years and someone who has had a HBA1c of 45 for 10 years.
Those of us with Type 1 have no option of remission but we can still have a HBA1C below 48.
 
MarcR said:
When I first got diabetes my doctor said my qrisk wasn't high enough for a statin but when he added in diabetes it was. But now my BG is back to normal, surely the risk is reduced?
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That is a question for your doctor to answer.

I share your concern having stopped statins while losing weight, for a forgotten reason. I am waiting for my next blood test results to decide (or not). It's said statins can affect brain function. I might not notice if it did, and it's bad enough.

In the the end it's a game of chance, that could be called 'Courage of your Statins Convictions', in which you will never know whether you were one of the lucky ones saved by statins.
 
JITR said:
That is a question for your doctor to answer.

I share your concern having stopped statins while losing weight, for a forgotten reason. I am waiting for my next blood test results to decide (or not). It's said statins can affect brain function. I might not notice if it did, and it's bad enough.

In the the end it's a game of chance, that could be called 'Courage of your Statins Convictions', in which you will never know whether you were one of the lucky ones saved by statins.
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As well as cognitive function, statins are said to increase cancer, diabetes, reduce immunity, deplete coq10, and has other side effects.

Just as the benefits of statins is cumulative over long periods, it's possible the side effects are too.

I guess a lot depends on your individual risk of CVD as to whether the benefits outweigh the risks.
 
Apparently there is an alternative to statins, PCSK9 inhibitors, although they might not be widely available.
 
MarcR said:
Apparently there is an alternative to statins, PCSK9 inhibitors, although they might not be widely available.
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My other half was offered bempedoic acid as an alternative to statins as he found they gave him pain and weakness in leg muscles but reading the potential side effects they sounded worse than statins and his cholesterol is well below 4, he declined to take them.
 
Leadinglights said:
My other half was offered bempedoic acid as an alternative to statins as he found they gave him pain and weakness in leg muscles but reading the potential side effects they sounded worse than statins and his cholesterol is well below 4, he declined to take them.
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There is evolocumab and alirocumab which involve injections every 2 weeks, a month, or 6 months depending on which type instead of pills.
 
According to Google Gemini:
"If a person meets the criteria for diabetes remission, they would typically be entered as "none" for their diabetes status in the QRISK calculator, assuming they are off all glucose-lowering medications and their HbA1c is below the diagnostic threshold."

I think it's been useful discussing this here, and I will wait until my next blood results without medication and see what my qrisk is then and base my decision on that. Seems as though over 10% definitely need a statin, under 5% don't, between maybe.
 
My antibody test came back negative, confirming I'm type 2, c-peptide showed sufficient insulin stores. It was hard to find data for what a normal c-peptide is, but Google Gemini found a research where there was a control group without diabetes where there levels were recorded. I feared I might be putting on weight without the Metformin but on the scales this morning weight was down a little. My fasting blood was 4.4mmol/L so all good.
 
Glad you’ve got a confirmation of your diabetes type @MarcR

And great to hear things are going well since coming off the Metformin :star:
 
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