Paleo Diet and Paleolithic Diet Questions & Answers

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I recently got some bloodwork done, and would really appreciate any input from the Paleo community. I got my bloodwork back directly from my lab, and feel like I'm wasting my time to go over the results with my doctor. I think the paleo community here could offer me better input!

I'd say I eat paleo 85% of the time. My big flaw might be beer a few times a week. I otherwise stick to paleo foods. I take fish oil and vitamin D regularly. Lately I've gotten myself very lean.. maybe 7-8% bodyfat

I am 30 years old and have diabetes (type 1), so I take insulin. But due to the paleo diet, I take very little doses of insulin... sometimes none at meals

Anyways, here is my bloodwork--
Chol tot-- 191
Triglycerides- 41
HDL- 72
LDL - 110

A1C- 6.2 -- this is acceptable to some, but really high for me! I am normally in the low 5's. I have been drinking (non paleo) artifically sweetened drinks a lot lately. Perhaps this is the cause of my high A1C?

If anyone can offer any input on my cholesterol & a1c results, I'd appreate it! Thanks!

edited Jun 8 2011 at 4:17

asked Jun 8 2011 at 3:54

Diablogger
1●2

	Our stats match but our cholesterol doesn't. My A1C is at a 6.0 and TC at like 300. I would try dropping the beer first and then see what happens. – Caveman formally known as Dan Jun 8 2011 at 4:22
	You are headed in the right direction.....the HbA1c will take 18 months to come down. You need to start getting insulin level drawn too because these correlate best when the hba1c falls. You want to be at 4.5. That is my target. I want my patients fasting insulin no higher than three. I trend this number – The Quilt Jun 8 2011 at 12:43
	Diet sodas shouldn't raise your A1c. It seems to be your beer, your protein supplements, and your habit of not using insulin. If you love beer too much, switch to Miller Lite before quitting for good. Start using insulin when you eat carbs. Quit taking protein supplements, as that would convert to carbs in the absence of carbs. 6.2 is an average BG of 130-140. That's pretty high. – Namby Pamby Oct 25 2011 at 20:19

Dexter · Answer 1 · 2011-06-08 04:51:08Z UTC

The only thing you are missing is a NMR or VAP test to determine the particle size of your LDL.

If your LDL particles are made up primarily of Large Bouyant particles you are in good shape. If, however, most of your LDL particles are the small dense sdLDL...these are the particles that can worm there way into junctions along your vascular system and cause plaque to build up and cause a cardiac event.

Since you have been controlling your blood sugar (almost) with diet as indicated by the small units of insulin you need....why don't you go 100 percent ketogenic 85-90% fat and 10 percent protein and no carbs whatsoever? Means no more beer. I know. What a sacrifice! Your A1c would probably fall father than you think. You may find you still have some beta cell output from your pancreas. And there have been people who have gotten off their meds because they discovered they can function just fine without injecting insulin...ie they do have some Beta cells left...Maybe you are a type 1.5

I would encourage you to read The Quilt's new blog aka Dr Jack Kruse who posts here. He talks about the small dense LDLs and diabetes. http://www.jackkruse.com

I would also send you to this video of Gary Taubes talking about sdLDL and Large LDL and cancer.
http://www.youtube.com/watch?v=XDtiYahxr5I&NR=1

Amit · Answer 2 · 2011-06-08 20:08:31Z UTC

Your numbers look great! As for getting A1c down I would have to second Dexter, cut the beer.

In fact just try cutting the beer first, that MAY be enough. Beer is not just carb heavy but contains gluten which may be contributing to higher A1c levels. I'm a celiac (in full remission thanks to paleo), so I know how inflammatory gluten can truly be if you're sensitive!

Based on your low Trigly levels and high HDL, your LDL particle size should be large and fluffy, so I wouldn't sweat that!

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