Making Sense of Lab Tests - High Triglyceride Quandary
Wednesday, January 18, 2012
I had a rather comprehensive set of tests done on myself on 1/16 to assess what, if any, progress has been made to improve my numbers:
Waist circumference: 30
Risk Ratio: 2.7
Waist circumference: 27 (I lost about 10 pounds, all I need to lose, really)
HDL: 83 --- this is a really nice improvement, on diet alone. There's be LITTLE exercise
Trig: 164 -- Up 10 points. Analysis below:
LDL: 112 -- frankly, no idea if this is the large, "fluffy" kind or not. But high Trigs would not bode well...
Risk Ratio: 2.7 -- same ratio
Hba1c: 5.8 ---- that is not actually good! That is BAD. Encroaching risk...
Vit D: 33.8 -- almost to 30, which is the low threshold
My C-Reactive Protein was way low, 0.81, as was my fasting glucose (73, good enough), DHEAs were great, HDL was a great jump. Imagine what really good quality exercise is going to do!
What discouragement! Triglycerides are tied to high sugar intake, and I don't think of myself as doing that. Of course, my big brother (VERY trim and fit and energetic) says that his own high trigs are a "mystery to remain unsolved" by him, and big sis agreed, and she has the same trim, healthy, feels good profile. Sooooo.... what could have exacerbated the trig figure? And what can I do about it?
First of all, I feel way better now than 3 months ago. My body is just all round better. Skin issues, urinary tract incessant irritation issues, waking through the night and unable to sleep issues... POOF! Gone. Gone after years of no resolution. Gone with just a drop of grains. So, I'm sticking with what I've DROPPED.
The question is, what am I not doing well enough yet? And what happened in the last 3 months that wasn't so great?
1) Well, I spent 18 days straight on strong, strong antibiotics from end of November into December. That's pretty recent, and antibiotics WILL affect blood sugars. HbA1c being a measure of the last 2 months might have been spiked by all that hell I went through.
- Even though quitting grain carbs was easy as pie for me, I think my little bod CANNOT handle even 3 ounces of wine several times a week.
- I eat more fruit than veggies.
- I walked two and a half miles briskly to that test, and had green tea that morning. Was kind of dehydrated when I got there and had a really hard time providing for the urinalysis. I read today that very recent exercise can shoot the trigs up, and you need to be properly hydrated for the test, AND no coffee allowed. The green tea probably didn't help, either.
- OH, plus, the night before, my pre-fast meal was 3/4 pound of brussels sprouts cooked together with 4 slices of bacon, fat and all. And all the pre-trig test articles that tell you how to prepare before say, DON'T do that, Knucklehead. I mean, even Mark Sisson would say lay off the bacon more.
- I was so terrified of rupturing my tendons and muscles from Cipro that I didn't exercise after my 4 mile run on Thanksgiving morning. I only did walks, and a bit of lifting and calesthenics and office walks in the last 3 weeks as I've felt my way back. The 10 minutes a day thing I did do.
HOW I'M GOING TO MAKE IT ALL GOOD, or at least really give it a great go of it!
-- I'm going to dump the last third of a bottle that I have and go ALCOHOL-FREE until my doctor's visit in JUNE. Won't be the end of the world not to drink something that makes me tired and cranky anyway.
-- FLIP THE FRUIT TO VEG RATIO. I need to be eating a LOT more veggies and frankly fewer fruits. I've been so thrilled with the meats (particularly bacon), that I haven't been paying attention to veg. I like them, but I've been crowding them a bit with my rejoicing over reintroducing meat more. In an attempt to excite Savannah about the dinner table, I have too many pretty fruits emphasized. I've actually been eating a LOT of fruit with her. I'll bump the veg up. I am going to COUNT the veg servings, learn what a "serving" of each VEG is from the Spark People tools, and shoot for 9 PER DAY to crowd out the sugar carbs of excess fruit. Big a$s salad every day at lunch. THIS I will count until I understand what I need to do with veg.
- Back off so much pork--I loves me my bacon, but I'll focus on sensible helpings of beef and chicken, and especially...
-- BUMP UP the fish so I can get the OMEGA-3 emphasized. I like fish very much. Savannah only likes mild fish. So, she can eat the mild fish while I eat the mackerel or whatever. I got canned salmon I can do on those salads.
- SLEEP PROJECT GOOD--DO EVEN BETTER: I will continue respecting sleep and do an even better job on that. A biggie is that I MUST fix the way I spend evenings after I put Sav to bed. I have to budget computer time, unless it's very directed to recording my health progress. No more surfing or vegging. Sleep instead. Or just get the laundry done and do audiobooks while doing relaxing chores.
- EXERCISE: Do more of both of these: long walks, weight-lifting. Sprints are something I also will take on, but only every 10 days. I need to burn trigs and keep pushing that HDL up. HDL cleans the blood of baddies, so I'll enlist it as my friend.
- SUPPLEMENT OMEGA-3 AND VIT D3: I had stopped taking both of these weeks before the test because I wanted to understand what my body would do. Omega 3 will help.