Dana Gets Medical Tests: What a Low Carb Diet Has Done To My Blood Work

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I got basic blood work done recently, and in the interests of full disclosure I felt I ought to share the results with you.  I am 53 years old, and have been eating a low carbohydrate diet for 17 years, or 32% of my life.  In the past year I have deliberately slanted my diet toward higher fat and moderately lower protein — indeed, I shoot for 85% of my calories from fat.  My blood work is as follows:

Blood sampleTotal Cholesterol: 202.  Some of you may be thinking “That’s too high!”  But read on.

Triglycerides: 32.  Yes, 32.

HDL: 85

LDL: 111.  Again, some of you may think that’s high.  I’ll go into that in a moment.

VLDL: 6.  The form says that anything under 50 is good.  I’d say 6 is well within the healthy range. :-D

It also says that my heart disease risk factor is 2.38, with anything under 4.44 being healthy.

About that LDL:  It’s not much talked about, but LDL is not measured directly.  Apparently it can be done, but it’s expensive, so instead LDL is calculated using something called the Friedewald Equation.  The equation goes like this:  Total Cholesterol – (HDL + Triglycerides/5) = LDL.  This is reportedly pretty accurate for people with  average blood work.

But see that part about triglycerides/5?  When triglycerides get under 100, as they so often do on a low carbohydrate diet, one-fifth of that small number becomes quite a small number indeed.  (In my case, just 6.4.)  This throws off the equation, resulting in artificially elevated LDL values.  Indeed, at a previous visit my doc commented on my LDL being a little high.  I said “Yeah, but look at my triglycerides.  You know and I know that I could lower my LDL by raising my trigs.”  She laughed and said, “Bad idea.”

My HbA1C, the measure of average blood sugar over roughly the past three months, was 4.7, down from 5.1 a year or so ago.  This translates into an average blood sugar of 88 — that includes fasting and postprandial blood sugar, both, and everything in between.  Not too shabby for a girl who has been diagnosed with polycystic ovarian syndrome, and who has, in the past eight months or so, gone off both metformin and Victoza.

My doctor also ran a comprehensive metabolic panel, all of which came up stone normal.  Apparently my kidneys are not “asploding,” nor is my liver going wonky, nor any other internal creepiness.

Blood pressure measuringOh, and the day I went in to get my blood work done, my blood pressure was 120/80 –  perfect.

I am also happy to report that at 53 I still have no osteoarthritis, despite years of doing massage, I lift weights regularly, recently danced for three hours straight without wearing out or running out of breath, and can see close up without my glasses. :-D

Lest someone assume I simply won the genetic lottery, I will point out that my paternal grandfather dropped dead of a heart attack at 58, and my father, the parent I take after, was hospitalized with heart problems at the age of 55.  No genetic jackpot here.

In short, 17 years of meat, eggs, cheese, etc, etc, appears to have done me no harm.  And a good eight months or so of deliberately increasing fat as a percentage of my calories  has measurably improved my health.

 



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About Dana Carpender

You know Dana Carpender from her popular cookbooks -- all ten of them, so far. A pioneer of the low-carb frontier, Dana has been fighting the low-fat lie since 1996 at HoldTheToast. She lives in Indiana with three dogs, a cat, a backyard full of chickens -- and, of course, That Nice Boy She Married, with whom she shares much bacon on a pleasant Sunday morning.

Comments

  1. Shida says:

    Dear Dana- i just love your sense of humor and honsety. Do you tour and give speeches or talks? How about book singning??? I love to meet you and learn more from you. I just wished that I liked to cook- cooking is not of interst to me, but then again I went ahead and bought all your cook books. I hope they have nice pictures to amuse me.

    • Dana Carpender says:

      I’m sorry, but they don’t have pictures. They’d be vastly more expensive with photos of several hundred recipes in each!

      I actually like public speaking, but don’t really know anything about how to get on a speaking circuit…

      Thanks for buying my books! I hope you like them, even without pictures. The 15 minute book, in particular, may be really useful to you, since it has some ideas that call for very minimal cooking. And I do crack wise, even in my recipes. It’s instinctive, I can’t help it. ;-D

  2. rchap says:

    Dana -
    I just found this website and I’m so thankful that you posted your blood work results from last summer . Are you still as healthy now as you were then, and are you continuing with the higher level off fat on your low carb lifestyle? I recently got the news that my pre-diabetes has now shown up as something more with an A1C test of 7.0 – I do not want to believe or accept a diagnosis of diabetes, so that lab result was a wake up moment for me and I have been doing Atkins for 2 months. I think my total daily calories have been too high, so I am about to change that – I slowly lost 11 poounds, but then 6 came right back – and I have been so vigilant to keep Net carbs below 25, and some days below 20. But that is NET carbs and I think I need to keep my total carbs to that level and lower my calories if I want to lose weght. But I am writing to you now to ask what you know about metformin and how it might interact with a low carb diet, and will it help or hinder. I suspect that is what my doctor will propose when I see him for the first time since that last lab test with the A1C of 7. Do you have any comment on the pros/cons of using metformin? Thank you for sharing your perspective and insights with us. Gratefully -

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