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Re: [IPk] Re: Statins

Hi Julian,

Preferred is under 4 (last heard from the mouth of a doctor prescribing
statins - treat that how you will).

What was your cholesterol like before you started statins?  What is your
risk of death or disablement from high cholesterol at the moment?  What
would it be if you didn't take the statins?  You need these hard
numbers, first to evaluate the risks of a trial period off statins, and
second to evaluate the results.  

What could you do - apart from statins - which would have different
effects on your life?  E.g. dietary changes?  Using a continuos bg meter
so that you were rarely out of range and therefore had a better bg?
Increasing time in diabetes management and/or exercise so that you could
have better bg?  Would any of these things be easier if you didn't have
the (allegedly) statin-induced problems?

It isn't fair: you shouldn't be having to do this research - this is
what your GP should be doing for you.  But risk analysis is very
difficult, and many people shy away from it.  You should have seen the
new doctor I saw blanche as I attempted to talk him through the risk-
benefit analysis I and my gp had undertaken 2 years ago on hrt (when it
seemed simply a question of cancer on the one hand and osteoporosis and
sexual enjoyment on the other.  Now on the one hand remains cancer, on
the other, sexual enjoyment isn't an issue, and osteoporosis much less
of an issue, but weight gain has become an issue.  I shall go back to
the GP!

I think that medical statistics is a much under-valued aspect of health
care - if something goes wrong with my bones or your legs, there are
specialists to whom we can be referred, but ask the hard, hard,
questions about quality of life, length of life, risks and
probabilities, and the doctors who can take a holistic _and_ numerate
view are few and far between. My last specialist did not take me
seriously when I said 'I would like a research student to work with me
on my blood glucose results'.  But I would.  And it would teach the
student so much.  

Let's put an advert in the lancet! 

Hoping that is some help, but fearing not,


In message <email @ redacted>,
email @ redacted writes
>'m reluctant to stop the statin because of the apparent benefits and the fact
>that my cholestorol is at a perfect level. What are the official preferred
>levels these days? Does anyone know?

Pat Reynolds
email @ redacted
   "It might look a bit messy now, 
                    but just you come back in 500 years time" 
   (T. Pratchett)
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