Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
September 22, 2014, 12:55:51 AM

Login with username, password and session length


Members
  • Total Members: 23515
  • Latest: Sevans
Stats
  • Total Posts: 639726
  • Total Topics: 48560
  • Online Today: 179
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 5
Guests: 153
Total: 158

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Atripla, high cholesterol and blood sugar  (Read 1914 times)

0 Members and 1 Guest are viewing this topic.

Offline buginme2

  • Member
  • Posts: 2,946
Atripla, high cholesterol and blood sugar
« on: September 06, 2012, 04:31:34 PM »
Question

Had my recent blood draw and viewed the results online.  I would like to gather some info/questions before I see the doc next week.  My cholesterol has been running a little high since starting on Atripla.  At my last visit dr said if it continued we would be discussing it at this visit.  Numbers are:

Total Cholesterol 215
         LDL 132
         Triglyceride 148
         HDL 47

These are pretty much unchanged since last draw 6 months ago.  My diet is excellent, I exercise, dont smoke.  I'm at a loss on how to lower it. I would prefer not changing meds but would rather change than have to start on a statin.  If I have to change what combo is the best high cholesterol?  Isentress/Truvada? (thats what I am leaning towards).

Also my fasting blood sugars are also running a little high.  They are at 107.  Again diet doesnt seem to be working (and I am thin so I am at a loss).  Is it Atripla?  Should I be concerned?

One last thing.  My vitamin d level was 28...ugh what else?

Online Miss Philicia

  • Member
  • Posts: 24,109
  • celebrity poster, faker & poser
Re: Atripla, high cholesterol and blood sugar
« Reply #1 on: September 06, 2012, 04:47:40 PM »
1) I forget what the normal ranges are, but my doctor doesn't stress about lipid panel numbers that are only slightly out of range. For example, my total cholesterol numbers are always fine, but the good/bad are off, but only slightly. Also, my triglycirides are always over, but only slightly. It seems a lot of people have doctors that are uber-strident in insisting that everything be in the normal range, but my numbers have been like this for over a decade, spanning four different HIV specialists, and not a single one has ever suggested my stressing over it other than to take some fish oil supplements.

I'm not overweight, eat a balanced diet, walk everywhere and climb stairs every day. I've also been on 4-5 different drug regimens during that period so I can't blame any single HIV med. Isentress is less likely to cause issues than sustiva though.

2) my last vitamin d level was 28.8, normal is 30 and higher. And?
"Iíve slept with enough men to know that Iím not gay"

Offline newt

  • Member
  • Posts: 3,885
  • the one and original newt
Re: Atripla, high cholesterol and blood sugar
« Reply #2 on: September 06, 2012, 05:29:46 PM »
What Miss P said

These are borderline "bad" results and if they stay that way all well and good, other factors are prob more important eg family history of heart disease.

Efavirenz, changing of, may help but not significantly. Isentress is good on the blood fat front and may assist (at least enough to make you happy).

Vit D, at 28+ don;t sweat it. Eat (even) more dark greens or sommat.

- matt
"The object is to be a well patient, not a good patient"

Offline Common_ground

  • Member
  • Posts: 288
Re: Atripla, high cholesterol and blood sugar
« Reply #3 on: September 07, 2012, 09:20:57 AM »
Would be interesting to see how many in the general population that actually falls into "normal range" in all these tests we HIVers get for liver,kidney,blood sugar,minerals, vitamins etc etc.

Since turning + Im kind of anal about my health and all these numbers, expecting and working for all to be as close to perfect as possible, but sincerely if I, as HIV negative would have these tests I would probably not care that much, or at all....  Eat a salad a day for a week and then back the booze and steaks , kind of....

Now I think its good to care but It also made me realize what an impact HIV made on my life.

2011 May - Neg.
2012 June CD4:205, 16% VL:2676 Start Truvada/Stocrin
2012 July  CD4:234, 18% VL:88
2012 Sep  CD4:238, 17% VL:UD
2013 Feb  CD4:257, 24% VL:UD -viramune/truvada
2013 May CD4:276, 26% VL:UD

Offline bocker3

  • Member
  • Posts: 3,386
  • You gotta enjoy life......
Re: Atripla, high cholesterol and blood sugar
« Reply #4 on: September 09, 2012, 02:12:58 PM »
Would be interesting to see how many in the general population that actually falls into "normal range" in all these tests we HIVers get for liver,kidney,blood sugar,minerals, vitamins etc etc.

Most "reference ranges" (what most folks, doctor's included, like to call normal ranges) are supposed to encompass what ~95% of healthy individuals in an area results fall.  Of course, most labs no longer create their own reference ranges, but go with standard ones.  For most tests, this probably makes no difference -- exceptions are things that can be impacted by location -- like RBC - which should have a higher ref range in Denver than in LA, due to elevation and lower amounts of oxygen.

Bottomline is that I would rarely worry about tests that a little outside the reference ranges.  As Newt pointed out, a slightly elevated chol level is not that compelling to me -- unless you have a strong family history of heart disease.  I'd be more watchful with the elevated Glucose, however.  Is it trending up over time?

Of course, you should discuss with your doctor and work together to see if a drug change would be warranted.

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.