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The Question
Fri Mar 02 13:13:43 UTC 2012

I have concerns and my doctor blows me off. Please help.
Asked By: jenalynn  

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I have heart palpatations all the time and light headedness. When I check my blood sugar it is usually perfect.I have had EKGs and a stress test which were normal so my doc says my heart is fine and it is all anxiety, but I do not have anxiety when these things occur, which is all the time lately. My A1C is well controlled. My cholesterol levels at last check were TOTAL-178, HDL-44, TRIGLYCERIDES-90, and LDL-116. I am working on getting my LDL down and my HDL up, but my doctor says they aren't concerned, but I am not convinced. Should I be worried and/or should I get a second opinion?
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Expert Answers (1)
2012-03-06 13:43:34.0


Thanks for asking dLife.

Glad that all your other labs tests came back within normal range. It is recommended that LDL-cholesterol level be below 100 mg/dL. Your reading of LDL-cholesterol appears to slightly above target. Should you be concerned with the one value slightly above target? Yes and no.

We would like for all our patients have lipid profiles within the target range. With everything else is within target range, health care providers tend not to worry about the one value that is slightly above. It would be worthwhile to work on fine-tuning your lifestyle to bring the LDL to target without being overly obsessed.

Continue to eat healthfully and enjoy regular physical activity. Definitely stay on top of your lipid profile by having it checked periodically about every 6-12 months.

We encourage our patients to share their concerns with their doctors much like the way you write in with questions and concerns. If something does not right, let it be known. If you are not getting the answer, say as much. It is the only way your healthcare team can take action. And if that does not work, maybe it is time to shop around for someone more suitable.

Read about what is cholesterol and what to do when My doctor is not giving me answers!

Take care

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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Community Answers (2)
2016-01-02 13:51:34.0

Hi Jenalynn, You more than likely are dealing with Autonomic Neuropathy. Swings in blood glucose eventually lead to its manifestation. Do some research online. The Cleveland Clinic is a great resource. (http://www.ccjm.org/view-pdf.html file=fileadmin/content_pdf/ccjm/content_68_928) They believe that us Type 1's manifest some aspect of DAN (diabetic autonomic neuropathy) within two years of initial diabetes diagnosis. Just not bad enough at that point to cause significant problems. I've had Type 1 for 53 years. Dealing with DAN for more than 15 years. Yes, palpitations, blunted heart rate, etc. Still workout, ski, mountain bike, etc. But find it necessary to use albuterol to get my heart rate up to normal exercise rate. You will find it is difficult in many areas of the country to find a doctor that has even heard of DAN, let alone knows how to treat the symptoms. Keep searching, there is hope.
Answered By: jkhiatt

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2012-03-15 21:19:15.0

Hi jenalynn, You didn't mention anything about your thyroid. Have you had that checked lately? Recently, I also was having heart palpitations and some other issues as well. My thyroid dose was too high. Now that I am back under control, no more palpitations. Just a thought to check out if you haven't already! Good luck, Sheri
Answered By: itsmesheri

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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