5 doctors weighed in:

What is the correlation between high hba1c 8.19, total cholestrol 130.2, low HDL 31.6, and low LDL c?

5 doctors weighed in
Dr. James Underberg
Internal Medicine
2 doctors agree

In brief: Diabetes Insulin LPL

Patients with diabetes, Insulin resistance and or high triglycerides often have changes in lipoprotein lipase levels, driving the exchange of triglycerides with cholesterol between vldl and LDL and hdl.
This creates cholesterol depleted LDL and HDL particles, hence the measure of cholesterol in HDL and LDL is low. In addition small HDL particles are unstable and break apart, hence low levels.

In brief: Diabetes Insulin LPL

Patients with diabetes, Insulin resistance and or high triglycerides often have changes in lipoprotein lipase levels, driving the exchange of triglycerides with cholesterol between vldl and LDL and hdl.
This creates cholesterol depleted LDL and HDL particles, hence the measure of cholesterol in HDL and LDL is low. In addition small HDL particles are unstable and break apart, hence low levels.
Thank
Dr. Milton Alvis, jr
Preventive Medicine
1 doctor agrees

In brief: DM & Low HDL Bad

Optimal hba1c ~5.
0%. Cholesterol is a fat made by every body cell, ldl-c calculated, not measured & often misleading, but promoted because cheaper. Ldl & HDL are lipoproteins, i.e. Protein particles which carry all fats in the water outside cells. Yes, LDL drives disease. Ldl is always in nmol/l, best <700, HDL in µmol/l, best large-hdl >10. See NMR particle test <$100. Cut all sugars, add victoza (liraglutide).

In brief: DM & Low HDL Bad

Optimal hba1c ~5.
0%. Cholesterol is a fat made by every body cell, ldl-c calculated, not measured & often misleading, but promoted because cheaper. Ldl & HDL are lipoproteins, i.e. Protein particles which carry all fats in the water outside cells. Yes, LDL drives disease. Ldl is always in nmol/l, best <700, HDL in µmol/l, best large-hdl >10. See NMR particle test <$100. Cut all sugars, add victoza (liraglutide).
Thank
Dr. Kathleen Hands
Internal Medicine - Endocrinology
1 doctor agrees

In brief: Metabolic syndrome

This is caused by Insulin resistance.
Lose 20 lbs, eat more protein, less carbohydrates. An a!c of 8 is poor controlled diabetes. This needs to be treated aggressively, to prevent diabetic complications.

In brief: Metabolic syndrome

This is caused by Insulin resistance.
Lose 20 lbs, eat more protein, less carbohydrates. An a!c of 8 is poor controlled diabetes. This needs to be treated aggressively, to prevent diabetic complications.
Thank
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