Open Future Health

Heart Disease

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Most heart attacks occur while PRE-DIABETIC HbA1c below 6.5%

Dr Ken Sikaris (4 minutes)

Published by: Doctors to Trust - 12 Sept 2023

Randomized, control trials in low carb for type 2 diabetes creates lower triglycerides; HDL rises; and HbA1c is lower.
This is much better than the high carb; low fat diet, once recommended.
Red color in blood is hemoglobin - sugar sticks to red blood cells [that is HbA1c]
-hemoglobin stays in blood for about 3 months so HbA1c is measure of glucose for past 3 months.

If you go on low carb eating, HbA1c won't change for awhile...
"My own HbA1c was 5.4; fell to 5.2 after 3 months but, after 1 year, it is now 4.8"
As your HbA1c rises, so does coronary heart disease risk.
-Above 6.5%: diabetes is diagnosed and there is increased risk of eye and & kidney disease.

Heart risk did not start when you hit 6.5%, but started way back at 5.5...
-most people who have heart attacks are not diabetic, they are prediabetic, and the heart attack got them before diabetes was diagnosed.

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HEART ATTACK PREDICTOR?

Dr Ken Sikaris (7 minutes)

Published by: Doctors to Trust - 9 Feb 2025

If triglycerides are over 1.5, you will have sdLDL…
-To be confident that you are free of sdLDL, are your triglyceride should be less than 1.
That is likely if on ultra low carb eating [less than 50g / day]

What's the best lipid marker ratio to predict sdLDL? -TC/HDL -better than TG or HDL

TC/HDL is also the best predictor of cardiovascular disease
-Other tests, non-HDL, apoB, or apolipoprotein A-1 are no better than TC/HDL

There is a high correlation between TC and LDL [.83 & .88]…
-in the ratio TC/HDL, don't use HDL, use 1/HDL -1/HDL correlates with TG [.89]

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