Labs, Labs, Labs (not dogs)

Well, had my annual physical (4 months after I turned 40... but I did
get around to it and my labs are in as well...

In December i wrote:

> The Good: I made the 5% club! My A1C is 5.6! So, i did SOMETHING right
> these last few months It went down from 13.2 (July, DX). My VLDL went
> from 42 (March) to 22.

My A1C is still 5.6% which is amazing to me since I feel like I was not
doing as well this last six or so months. My VLDL is 21 so virtually no
change there.

> The Bad: My HDL only went from 27 (March) to 31. 40 is where my doc
> wants me to be at a minimum. That said, my mother has never gotten her
> HDL up very high so it could be genetic. Dunno. We're going to keep at
> it (see below).

My HDL is 33 so, also, no real change there either. I should be doing
more about it. I did increase my fish oil intake and also began taking
4,000 IU Vitamin D (gelcaps) per day. But I need to get better about
flax seeds/oil and more fish in general.

> The Ugly: My LDL went from 138 (March) to 191. As my Doc said, while my
> diet changes brought down my sugar, it killed my LDL. He suggested that
> I let sat fat creep into my diet. Which is odd because I tend to avoid
> sat fats. So, I need to go over my diet and see where I can cut more out.
> My BP was 118/80 which was better than a 120 something over 90 in
> September. He wants me to start taking 2.5 mg Lisinopril daily to lower
> it to reduce the risk of kidney damage.

Some here said that my LDL may have gone up as a result of my diet
changes. Well, they stayed up. Clocked in at 168. So, not as high as
last time but still way too high.

Also my Trigs are 105. My PSA normal (phew!) and my
Microalbumin/Creatinine ration is 3 which he said was lower than HE
probably was. My BP was 129/76. My weight (on their scale which is
always 5 pounds heavier than MY scale) is 237. My Fasting glucose at
blood time was 116 which is a bit higher than my usual 100-109.

My doctor understands why I didn't take the lisinopril he prescribed
last December but thinks the time has come to get moving.

So, I have in my hand prescriptions for Enalapril Maleate 2.5MB 1/day
(he said of all the drugs in this class, it has the lowest chance of
causing a cough). And I have Simvastin 20MG 1/day. He wants me to start
the simvastin for 2 weeks and then start the elanapril (he doesn't like
starting more than 1 drug at a time to check for side effects).

So, that's where I'm at today. I'm happy that I'm in good shape except
for the cholesterol and blood pressure but not happy about the need for
drugs. Meh.

-AW
--
Andy
T2 dx 7/2007; D&E, 500mg Metformin 1/day
A1C: 5.6%, BMI 31

Argue for your limitations and you get to keep them.