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09/24/09 10:31 AM

"I have been taking Niaspan for almost 3 months to increase HDL. BS is increasing, recommendations? Niaspan, Trilipix???"
Asked By: mastblaster  
Category: Type 2

Background Info Hide
Type 2 diagnosed Nov '08. No meds for diabetes, but Dr. wants to boost HDLs (38) because of correlation with diabetes and heart disease. BS is up at least 20 points acrcoss the board. Last A1c 6.3...No A1c on Niaspan, yet. Wife's cardiologist said that Niaspan has longer proven history than Trilipix. Does the diabetes community have any position on meds for improving HDLs.

Expert Answers (1)

10/02/09 05:53 PM

Hello,

Thanks for bringing your question to dLife.

Niaspan is a sustained release form of niacin. Niacin is a HDL-cholesterol raising medicine. It may slightly increase blood glucose (sugar) levels, especially in people with prediabetes or newly diagnosed diabetes, because it inhibits the release of insulin from the beta cels of the pancreas.

Weight loss and reduced fat in the diet are known to increase HDL-cholesterol

The most effective method with fewest side effects is regular physical activity. Yes, regular exercise is very effective in increasing HDL-cholesterol. It also lowers blood glucose and helps with weight control. That's triple duty! It's worth fitting into everyone's schedule. The Mayo Clinic presents additional suggestions. Click here to read learn more about boosting your good cholesterol!

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE,CPT
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