Like Dave said, we're still not sure cholesterol means much, but if you do put stock in the numbers, those numbers actually look great to me. Low trigs, high HDL, and you'd need a VAP or NMR test to see whether the LDL pattern is A or B. I'm guessing if she's eating paleo, it's pattern A, especially with the low triglyceride number.
The hba1c is actually pretty good for a diabetic.
P.S. Long-time lurker, first-time poster. Hello everyone!
Not only do her numbers already look good, but consider that her calculated LDL is done using the Freidenwald formula which becomes inaccurate if Trigs are under 100. Her's are considerably under 100, so the Iranian formula (look it up) is more accurate. I'm guessing her LDL will be near or under 100 if you use the correct formula, so if they want to treat her "high cholesterol" because LDL is over 100 they're full of ^%$#@.
Doctors think that statins are benign and "preventative" when there's no evidence of cardiovascular disease, but that is not true. Serious side effects are COMMON.
If the dumb doctors say her cholesterol is too high, it should be based on her ldl. US NCEP guidelines for a type 1 diabetic, without other significant risk factors, is ldl less than 130. Type 2 diabetics are considered to be at equivalent risk as someone with known disease and their goals are for more aggressive lowering. As a type 1, even following the "guidelines", your wife's numbers are fine. Good luck with the dumb doctors.
Paleo diet and cholesterol levels 16 Answers