RE: Fw: lab

August 9, 2005

Vicki:

To begin with, some of us use insulin, some take oral medication and a

few of us control diabetes with diet alone. Likewise, some of us (due to

our body chemistry and the history of our disease as in whether we're

Type 1 or Type 2, whether we're overweight or not and what our

triglycerides, cholesterol and blood pressure are) have more restricted

diets than do some of the rest of us. Therefore, the complex answer is

that there is no one answer to your question which fits all of us. I,

for instance, am not under either sodium or fat restriction as excesses

of either were not responsible for my diabetes; also, although every one

of us could stand to lose weight, I'm fairly husky with fair muscle mass

(I lifted weights when young) so I get a hefty 2200 calories per day --

a food intake level that my Significant Other couldn't eat and lose

weight on.

Having listed all the caveats -- the usual " I am not a lawyer " stuff --

there *is* a common denominator which all of us that have good control

keep as our religion: we count carbs. Our diets prescribe how many grams

of carbohydrate we should have in a day and at each meal and snack.

Those who are on flexible insulin regimens can vary this some and can

add extra insulin for extra carbohydrate they may eat at a meal or

snack. But one always pays the piper and so that extra carbohydrate may

well end up as unwanted fat even if one takes enough insulin to keep the

blood glucose from heading for orbit.

You are, I suspect, on a diabetes oral medication or your doctor is

attempting to control your diabetes with diet alone (a few people can

manage this but quite a few cannot). So you'll have to count the grams

of carb quite strictly. This isn't as bad as it sounds; there are good

tables of processed and nonprocessed foods that give the grams of carbs

per serving. But watch the serving size; often, it's smaller than we

think. We Americans tend to eat far more than we need to.

If you encounter the old diabetic exchange system, one " exchange "

amounts to 15 grams of carbohydrate. Eventually, you get a feel for

portion sizes.

I'm on a fixed insulin regimen twice a day. So what would *I* do about

Thanksgiving Dinner? Well, I'd stuff myself on turkey (no carbs there),

have a fairly decent helping of dressing, a mouthful or two of mashed

potatoes (carbs can mount up quite fast in dressing and mashed potatoes

and the latter also can raise your glucose level faster, believe it or

not, than table sugar) and skip the cranberry sauce and pumpkin pie.

Depending upon what my bG reading was later, I might have a small slice

of pie for a snack.

Those who take fast-acting insulin with meals can figure the approximate

grams of carbs they'll stuff themselves with and adjust their insulin

dose accordingly. They then can stuff themselves. But even they have to

count carbs and ought not get in the habit of stuffing themselves as

this will make them fat as it does everyone else. (grin)

So what does all this mean? It means that you are not stuck with boring

food. What you *are* stuck with is MAKING CHOICES; you can't just eat

without thinking. And if food was a central part of your life, you might

want to cultivate some other interests so you are not constantly

thinking about what you're missing and feeling deprived. Eventually, as

you feel better, if you stick with it, some of the " junk food " won't

seem nearly as appetizing as it once did and you'll wonder how you ever

were enamered of it.

HTH!

Mike

> Hi all, this is interesting. Well as I am only about two weeks into this

> thing I'm afraid of eating anything lest it send me to my death. I feel

> like I'm not bad at all but I know I wouldn't be here if I weren't bad

> enough. I am eating as perfect a diet as I know so far but at times wonder

> what kind of life is this? I have always eaten pizza and junk food, and all

> of that. It's kind of hard to adjust to this meager meal stuff, but I

> really am doing well, I think. What do you guys do for thanksgiving and

> birthdays and stuff? Do you just ignore the holidays and not have hardly

> anything? I know it is far off but I need to know this now.

> Vicki Breffe

> " For if we believe that Jesus died and rose again, even so God will bring

> with Him those who have fallen asleep in Jesus. Then we who are alive and

> remain

> will be caught up together with them in the clouds to meet the Lord in the

> air, and so we shall always be with the Lord. " (1 Thessalonians 4:14 & 17)

> lab

>>> > >

>>> > > Dear Mr. Ruth,

>>> > >

>>> > > I have recently received the result of your laboratory

> testing.

>>> > >

>>> > > Complete blood count currently reveals normal findings.

> There

>> is

>> no

>>> > > indication of anemia.

>>> > >

>>> > > Chemistry shows a glucose of 127, which is stable.Kidney

>>> studies as > well > > as liver function studies appear to be

>>> stable. Sodium, potassium, > > chloride, and calcium levels are

>>> normal. > >

>>> > > Total cholesterol level is 257, triglyceride level 243, LDL

>>> > cholesterol

>>> > > 168, HDL cholesterol 40.Total normal cholesterol is typically

>>> > considered

>>> > > less than 180, with LDL less than 130. For a diabetic or

>> cardiac

>>> > patient

>>> > > we desired to have the LDL less than 100. We desire these

> ideal

>>> numbers

>>>

>>> > to

>>> > > help reduce the risk of heart attack and/or stroke. LDL is

>>> typically > > considered the " bad cholesterol " . We typically

> desire

>>

>>> the triglyceride > > level to be less than 180. HDL cholesterol

> is

>>> considered the " good > > cholesterol " , and we prefer to have this

>>> number elevated above 30,

>> if

>>> > > possible. Exercise tends to improve the HDL cholesterol.

> Your

>>> numbers > > are somewhat elevated.

>>> > >

>>> > > Hemoglobin A1C (average sugar) (good control < 6.5 for a

>> diabetic)

>>> was

>>> > > 6.5. This is excellent!

>>> > >

>>> > > Urinalysis appears to be entirely normal.

>>> > >

>>> > > Muscle enzyme studies are again elevated with the level of

> 466,

>>> normal

>>>

>>> > is

>>> > > typically less than 232. Your previous study performed on May

>>> who had > > returned to normal. Please contact my office and

>>> schedule repeat > > evaluation within one week, So we can also do

>>> additional testing > regarding

>>> > > the muscle enzyme elevation. We will need reperform the same

>> study

>>> as

>>> > > well as checking a sedimentation rate to check on inflammation

>>> > potentially

>>> > > occurring within the muscle itself. I'm not aware of any of

>> your

>>> > current

>>> > > medications that would be contributing to this present

>> condition.

>>> > >

>>> > > Please watch your cholesterol diet closely. I would love to

>> start

>>> you

>>>

>>> > on

>>> > > a cholesterol-lowering medication, but with your muscle enzyme

>>> studies > > elevated. We certainly would not want to do this.

>>> > >

>>> > > Please otherwise continue all of your other same medication.

>> If

>> you

>>>

>>> > have

>>> > > further questions, difficulties, or problems, please contact

> me.

>>

>>>> > > > I apologize that this is a duplicate letter I had to

> make

>>> one > typographic

>>> > > correction.

>>> > >

>>> > > Sincerely,

>>> > >

>>> > > Mark Wellington D.O.

>>> > >

>>> >

>>> > >

>>>

>>

> ------------------------------------------------------------------------

>> ----

>>> ----

>>> > > This e-mail may contain identifiable health information that

> is

>>

>>>> subject > > to protection under state and federal law. This

>>> information is intended

>>>

>>> > to

>>> > > be for the use of the individual named above. If you are not

> the

>>

>>>> intended > > recipient, be aware that any disclosure, copying,

>>> distribution or

>> use

>>>

>>> > of

>>> > > the contents of this information is prohibited and may be

>>> punishable by > > law. If you have received this electronic

>>> transmission in error, please

>>> > > notify us immediately by electronic mail (reply).

>>> > >

August 9, 2005

You're not the friendlinest brother to say the least! Ken B

lab

> > > >

> > > > Dear Mr. Ruth,

> > > >

> > > > I have recently received the result of your laboratory testing.

> > > >

> > > > Complete blood count currently reveals normal findings. There

> is

> no

> > > > indication of anemia.

> > > >

> > > > Chemistry shows a glucose of 127, which is stable.Kidney

> > studies as > well > > as liver function studies appear to be

> > stable. Sodium, potassium, > > chloride, and calcium levels are

> > normal. > >

> > > > Total cholesterol level is 257, triglyceride level 243, LDL

> > > cholesterol

> > > > 168, HDL cholesterol 40.Total normal cholesterol is typically

> > > considered

> > > > less than 180, with LDL less than 130. For a diabetic or

> cardiac

> > > patient

> > > > we desired to have the LDL less than 100. We desire these ideal

> > numbers

> >

> > > to

> > > > help reduce the risk of heart attack and/or stroke. LDL is

> > typically > > considered the " bad cholesterol " . We typically desire

>

> > the triglyceride > > level to be less than 180. HDL cholesterol is

> > considered the " good > > cholesterol " , and we prefer to have this

> > number elevated above 30,

> if

> > > > possible. Exercise tends to improve the HDL cholesterol. Your

> > numbers > > are somewhat elevated.

> > > >

> > > > Hemoglobin A1C (average sugar) (good control < 6.5 for a

> diabetic)

> > was

> > > > 6.5. This is excellent!

> > > >

> > > > Urinalysis appears to be entirely normal.

> > > >

> > > > Muscle enzyme studies are again elevated with the level of 466,

> > normal

> >

> > > is

> > > > typically less than 232. Your previous study performed on May

> > who had > > returned to normal. Please contact my office and

> > schedule repeat > > evaluation within one week, So we can also do

> > additional testing > regarding

> > > > the muscle enzyme elevation. We will need reperform the same

> study

> > as

> > > > well as checking a sedimentation rate to check on inflammation

> > > potentially

> > > > occurring within the muscle itself. I'm not aware of any of

> your

> > > current

> > > > medications that would be contributing to this present

> condition.

> > > >

> > > > Please watch your cholesterol diet closely. I would love to

> start

> > you

> >

> > > on

> > > > a cholesterol-lowering medication, but with your muscle enzyme

> > studies > > elevated. We certainly would not want to do this.

> > > >

> > > > Please otherwise continue all of your other same medication.

> If

> you

> >

> > > have

> > > > further questions, difficulties, or problems, please contact me.

>

> > > > > > I apologize that this is a duplicate letter I had to make

> > one > typographic

> > > > correction.

> > > >

> > > > Sincerely,

> > > >

> > > > Mark Wellington D.O.

> > > >

> > >

> > > >

> >

> ------------------------------------------------------------------------

> ----

> > ----

> > > > This e-mail may contain identifiable health information that is

>

> > > subject > > to protection under state and federal law. This

> > information is intended

> >

> > > to

> > > > be for the use of the individual named above. If you are not the

>

> > > intended > > recipient, be aware that any disclosure, copying,

> > distribution or

> use

> >

> > > of

> > > > the contents of this information is prohibited and may be

> > punishable by > > law. If you have received this electronic

> > transmission in error, please

> > > > notify us immediately by electronic mail (reply).

> > > >

August 9, 2005

You're not the friendlinest brother to say the least! Ken B

lab

> > > >

> > > > Dear Mr. Ruth,

> > > >

> > > > I have recently received the result of your laboratory testing.

> > > >

> > > > Complete blood count currently reveals normal findings. There

> is

> no

> > > > indication of anemia.

> > > >

> > > > Chemistry shows a glucose of 127, which is stable.Kidney

> > studies as > well > > as liver function studies appear to be

> > stable. Sodium, potassium, > > chloride, and calcium levels are

> > normal. > >

> > > > Total cholesterol level is 257, triglyceride level 243, LDL

> > > cholesterol

> > > > 168, HDL cholesterol 40.Total normal cholesterol is typically

> > > considered

> > > > less than 180, with LDL less than 130. For a diabetic or

> cardiac

> > > patient

> > > > we desired to have the LDL less than 100. We desire these ideal

> > numbers

> >

> > > to

> > > > help reduce the risk of heart attack and/or stroke. LDL is

> > typically > > considered the " bad cholesterol " . We typically desire

>

> > the triglyceride > > level to be less than 180. HDL cholesterol is

> > considered the " good > > cholesterol " , and we prefer to have this

> > number elevated above 30,

> if

> > > > possible. Exercise tends to improve the HDL cholesterol. Your

> > numbers > > are somewhat elevated.

> > > >

> > > > Hemoglobin A1C (average sugar) (good control < 6.5 for a

> diabetic)

> > was

> > > > 6.5. This is excellent!

> > > >

> > > > Urinalysis appears to be entirely normal.

> > > >

> > > > Muscle enzyme studies are again elevated with the level of 466,

> > normal

> >

> > > is

> > > > typically less than 232. Your previous study performed on May

> > who had > > returned to normal. Please contact my office and

> > schedule repeat > > evaluation within one week, So we can also do

> > additional testing > regarding

> > > > the muscle enzyme elevation. We will need reperform the same

> study

> > as

> > > > well as checking a sedimentation rate to check on inflammation

> > > potentially

> > > > occurring within the muscle itself. I'm not aware of any of

> your

> > > current

> > > > medications that would be contributing to this present

> condition.

> > > >

> > > > Please watch your cholesterol diet closely. I would love to

> start

> > you

> >

> > > on

> > > > a cholesterol-lowering medication, but with your muscle enzyme

> > studies > > elevated. We certainly would not want to do this.

> > > >

> > > > Please otherwise continue all of your other same medication.

> If

> you

> >

> > > have

> > > > further questions, difficulties, or problems, please contact me.

>

> > > > > > I apologize that this is a duplicate letter I had to make

> > one > typographic

> > > > correction.

> > > >

> > > > Sincerely,

> > > >

> > > > Mark Wellington D.O.

> > > >

> > >

> > > >

> >

> ------------------------------------------------------------------------

> ----

> > ----

> > > > This e-mail may contain identifiable health information that is

>

> > > subject > > to protection under state and federal law. This

> > information is intended

> >

> > > to

> > > > be for the use of the individual named above. If you are not the

>

> > > intended > > recipient, be aware that any disclosure, copying,

> > distribution or

> use

> >

> > > of

> > > > the contents of this information is prohibited and may be

> > punishable by > > law. If you have received this electronic

> > transmission in error, please

> > > > notify us immediately by electronic mail (reply).

> > > >

August 10, 2005

Exactly right, Mike. I know a whole of nurses who are very fat. They know

better, but... (At least I am not that.)

Re: Fw: lab

>

> Makes a lot of sense to me.

>

> But I find it interesting that you were a nurse and *still* were on that

> African river, i.e., in denial! (grin) I know another nurse whose diabetes

> is well-controlled now but it's only been recently that she's truly

accepted

>

> it. I don't get it; one would think nurses would know all-too-clearly what

> will happen from uncontrolled diabetes.

>

> This is no criticism of you or anyone else; I merely express my

> bewilderment!

>

> Mike

>

> lab

>> > > >

>> > > > Dear Mr. Ruth,

>> > > >

>> > > > I have recently received the result of your laboratory

>> testing.

>> > > >

>> > > > Complete blood count currently reveals normal findings. There

>> is

>> no

>> > > > indication of anemia.

>> > > >

>> > > > Chemistry shows a glucose of 127, which is stable.Kidney

>> studies

>> as

>> > > well

>> > > > as liver function studies appear to be stable. Sodium,

>> potassium,

>> > > > chloride, and calcium levels are normal.

>> > > >

>> > > > Total cholesterol level is 257, triglyceride level 243, LDL

>> > > cholesterol

>> > > > 168, HDL cholesterol 40.Total normal cholesterol is typically

>> > > considered

>> > > > less than 180, with LDL less than 130. For a diabetic or

>> cardiac

>> > > patient

>> > > > we desired to have the LDL less than 100. We desire these ideal

>> > numbers

>> >

>> > > to

>> > > > help reduce the risk of heart attack and/or stroke. LDL is

>> typically

>> > > > considered the " bad cholesterol " . We typically desire the

>> > triglyceride

>> > > > level to be less than 180. HDL cholesterol is considered the

>> " good

>> > > > cholesterol " , and we prefer to have this number elevated above

>> 30,

>> if

>> > > > possible. Exercise tends to improve the HDL cholesterol. Your

>> > numbers

>> > > > are somewhat elevated.

>> > > >

>> > > > Hemoglobin A1C (average sugar) (good control < 6.5 for a

>> diabetic)

>> > was

>> > > > 6.5. This is excellent!

>> > > >

>> > > > Urinalysis appears to be entirely normal.

>> > > >

>> > > > Muscle enzyme studies are again elevated with the level of

>> 466,

>> > normal

>> >

>> > > is

>> > > > typically less than 232. Your previous study performed on May

>> who

>> > had

>> > > > returned to normal. Please contact my office and schedule

>> repeat

>> > > > evaluation within one week, So we can also do additional

>> testing

>> > > regarding

>> > > > the muscle enzyme elevation. We will need reperform the same

>> study

>> > as

>> > > > well as checking a sedimentation rate to check on inflammation

>> > > potentially

>> > > > occurring within the muscle itself. I'm not aware of any of

>> your

>> > > current

>> > > > medications that would be contributing to this present

>> condition.

>> > > >

>> > > > Please watch your cholesterol diet closely. I would love to

>> start

>> > you

>> >

>> > > on

>> > > > a cholesterol-lowering medication, but with your muscle enzyme

>> > studies

>> > > > elevated. We certainly would not want to do this.

>> > > >

>> > > > Please otherwise continue all of your other same medication.

>> If

>> you

>> >

>> > > have

>> > > > further questions, difficulties, or problems, please contact

>> me.

>> > > >

>> > > > I apologize that this is a duplicate letter I had to make one

>> > > typographic

>> > > > correction.

>> > > >

>> > > > Sincerely,

>> > > >

>> > > > Mark Wellington D.O.

>> > > >

>> > >

>> > > >

>> >

>>

>

----------------------------------------------------------------------------

>> > ----

>> > > > This e-mail may contain identifiable health information that

>> is

>> > > subject

>> > > > to protection under state and federal law. This information is

>> > intended

>> >

>> > > to

>> > > > be for the use of the individual named above. If you are not

>> the

>> > > intended

>> > > > recipient, be aware that any disclosure, copying, distribution

>> or

>> use

>> >

>> > > of

>> > > > the contents of this information is prohibited and may be

>> punishable

>> > by

>> > > > law. If you have received this electronic transmission in

>> error,

>> > please

>> > > > notify us immediately by electronic mail (reply).

>> > > >

August 10, 2005

Exactly right, Mike. I know a whole of nurses who are very fat. They know

better, but... (At least I am not that.)

Re: Fw: lab

>

> Makes a lot of sense to me.

>

> But I find it interesting that you were a nurse and *still* were on that

> African river, i.e., in denial! (grin) I know another nurse whose diabetes

> is well-controlled now but it's only been recently that she's truly

accepted

>

> it. I don't get it; one would think nurses would know all-too-clearly what

> will happen from uncontrolled diabetes.

>

> This is no criticism of you or anyone else; I merely express my

> bewilderment!

>

> Mike

>

> lab

>> > > >

>> > > > Dear Mr. Ruth,

>> > > >

>> > > > I have recently received the result of your laboratory

>> testing.

>> > > >

>> > > > Complete blood count currently reveals normal findings. There

>> is

>> no

>> > > > indication of anemia.

>> > > >

>> > > > Chemistry shows a glucose of 127, which is stable.Kidney

>> studies

>> as

>> > > well

>> > > > as liver function studies appear to be stable. Sodium,

>> potassium,

>> > > > chloride, and calcium levels are normal.

>> > > >

>> > > > Total cholesterol level is 257, triglyceride level 243, LDL

>> > > cholesterol

>> > > > 168, HDL cholesterol 40.Total normal cholesterol is typically

>> > > considered

>> > > > less than 180, with LDL less than 130. For a diabetic or

>> cardiac

>> > > patient

>> > > > we desired to have the LDL less than 100. We desire these ideal

>> > numbers

>> >

>> > > to

>> > > > help reduce the risk of heart attack and/or stroke. LDL is

>> typically

>> > > > considered the " bad cholesterol " . We typically desire the

>> > triglyceride

>> > > > level to be less than 180. HDL cholesterol is considered the

>> " good

>> > > > cholesterol " , and we prefer to have this number elevated above

>> 30,

>> if

>> > > > possible. Exercise tends to improve the HDL cholesterol. Your

>> > numbers

>> > > > are somewhat elevated.

>> > > >

>> > > > Hemoglobin A1C (average sugar) (good control < 6.5 for a

>> diabetic)

>> > was

>> > > > 6.5. This is excellent!

>> > > >

>> > > > Urinalysis appears to be entirely normal.

>> > > >

>> > > > Muscle enzyme studies are again elevated with the level of

>> 466,

>> > normal

>> >

>> > > is

>> > > > typically less than 232. Your previous study performed on May

>> who

>> > had

>> > > > returned to normal. Please contact my office and schedule

>> repeat

>> > > > evaluation within one week, So we can also do additional

>> testing

>> > > regarding

>> > > > the muscle enzyme elevation. We will need reperform the same

>> study

>> > as

>> > > > well as checking a sedimentation rate to check on inflammation

>> > > potentially

>> > > > occurring within the muscle itself. I'm not aware of any of

>> your

>> > > current

>> > > > medications that would be contributing to this present

>> condition.

>> > > >

>> > > > Please watch your cholesterol diet closely. I would love to

>> start

>> > you

>> >

>> > > on

>> > > > a cholesterol-lowering medication, but with your muscle enzyme

>> > studies

>> > > > elevated. We certainly would not want to do this.

>> > > >

>> > > > Please otherwise continue all of your other same medication.

>> If

>> you

>> >

>> > > have

>> > > > further questions, difficulties, or problems, please contact

>> me.

>> > > >

>> > > > I apologize that this is a duplicate letter I had to make one

>> > > typographic

>> > > > correction.

>> > > >

>> > > > Sincerely,

>> > > >

>> > > > Mark Wellington D.O.

>> > > >

>> > >

>> > > >

>> >

>>

>

----------------------------------------------------------------------------

>> > ----

>> > > > This e-mail may contain identifiable health information that

>> is

>> > > subject

>> > > > to protection under state and federal law. This information is

>> > intended

>> >

>> > > to

>> > > > be for the use of the individual named above. If you are not

>> the

>> > > intended

>> > > > recipient, be aware that any disclosure, copying, distribution

>> or

>> use

>> >

>> > > of

>> > > > the contents of this information is prohibited and may be

>> punishable

>> > by

>> > > > law. If you have received this electronic transmission in

>> error,

>> > please

>> > > > notify us immediately by electronic mail (reply).

>> > > >

August 10, 2005

Exactly right, Mike. I know a whole of nurses who are very fat. They know

better, but... (At least I am not that.)

Re: Fw: lab

>

> Makes a lot of sense to me.

>

> But I find it interesting that you were a nurse and *still* were on that

> African river, i.e., in denial! (grin) I know another nurse whose diabetes

> is well-controlled now but it's only been recently that she's truly

accepted

>

> it. I don't get it; one would think nurses would know all-too-clearly what

> will happen from uncontrolled diabetes.

>

> This is no criticism of you or anyone else; I merely express my

> bewilderment!

>

> Mike

>

> lab

>> > > >

>> > > > Dear Mr. Ruth,

>> > > >

>> > > > I have recently received the result of your laboratory

>> testing.

>> > > >

>> > > > Complete blood count currently reveals normal findings. There

>> is

>> no

>> > > > indication of anemia.

>> > > >

>> > > > Chemistry shows a glucose of 127, which is stable.Kidney

>> studies

>> as

>> > > well

>> > > > as liver function studies appear to be stable. Sodium,

>> potassium,

>> > > > chloride, and calcium levels are normal.

>> > > >

>> > > > Total cholesterol level is 257, triglyceride level 243, LDL

>> > > cholesterol

>> > > > 168, HDL cholesterol 40.Total normal cholesterol is typically

>> > > considered

>> > > > less than 180, with LDL less than 130. For a diabetic or

>> cardiac

>> > > patient

>> > > > we desired to have the LDL less than 100. We desire these ideal

>> > numbers

>> >

>> > > to

>> > > > help reduce the risk of heart attack and/or stroke. LDL is

>> typically

>> > > > considered the " bad cholesterol " . We typically desire the

>> > triglyceride

>> > > > level to be less than 180. HDL cholesterol is considered the

>> " good

>> > > > cholesterol " , and we prefer to have this number elevated above

>> 30,

>> if

>> > > > possible. Exercise tends to improve the HDL cholesterol. Your

>> > numbers

>> > > > are somewhat elevated.

>> > > >

>> > > > Hemoglobin A1C (average sugar) (good control < 6.5 for a

>> diabetic)

>> > was

>> > > > 6.5. This is excellent!

>> > > >

>> > > > Urinalysis appears to be entirely normal.

>> > > >

>> > > > Muscle enzyme studies are again elevated with the level of

>> 466,

>> > normal

>> >

>> > > is

>> > > > typically less than 232. Your previous study performed on May

>> who

>> > had

>> > > > returned to normal. Please contact my office and schedule

>> repeat

>> > > > evaluation within one week, So we can also do additional

>> testing

>> > > regarding

>> > > > the muscle enzyme elevation. We will need reperform the same

>> study

>> > as

>> > > > well as checking a sedimentation rate to check on inflammation

>> > > potentially

>> > > > occurring within the muscle itself. I'm not aware of any of

>> your

>> > > current

>> > > > medications that would be contributing to this present

>> condition.

>> > > >

>> > > > Please watch your cholesterol diet closely. I would love to

>> start

>> > you

>> >

>> > > on

>> > > > a cholesterol-lowering medication, but with your muscle enzyme

>> > studies

>> > > > elevated. We certainly would not want to do this.

>> > > >

>> > > > Please otherwise continue all of your other same medication.

>> If

>> you

>> >

>> > > have

>> > > > further questions, difficulties, or problems, please contact

>> me.

>> > > >

>> > > > I apologize that this is a duplicate letter I had to make one

>> > > typographic

>> > > > correction.

>> > > >

>> > > > Sincerely,

>> > > >

>> > > > Mark Wellington D.O.

>> > > >

>> > >

>> > > >

>> >

>>

>

----------------------------------------------------------------------------

>> > ----

>> > > > This e-mail may contain identifiable health information that

>> is

>> > > subject

>> > > > to protection under state and federal law. This information is

>> > intended

>> >

>> > > to

>> > > > be for the use of the individual named above. If you are not

>> the

>> > > intended

>> > > > recipient, be aware that any disclosure, copying, distribution

>> or

>> use

>> >

>> > > of

>> > > > the contents of this information is prohibited and may be

>> punishable

>> > by

>> > > > law. If you have received this electronic transmission in

>> error,

>> > please

>> > > > notify us immediately by electronic mail (reply).

>> > > >

August 10, 2005

Vicky,

Are you taking medication or are on insulin? Holidays just mean an increase

in protein and veggies for me and the carbs that I allow myself, I cover

with insulin. But, like , I usually limt the amount. I eat about

half a acup of mashed potatoes because I love dressing-so I have half a cup

of dressing. I actually have a recipe for cranberry sauce made with

Splenda, which I could send you. It has some calories as cranberries have

some carbs (but not much), but they are limited carbs if you make the sauce

yourself with the Splenda. Just let me know. Xmas is the hardest as

everyone wants to give your candy and cookies. If you eat them eat just

one and don't't eat other carbs. , don't you have a great recipe for

mashed cauliflower? Vicky might benefit from that.

Re: Fw: lab

Hi all, this is interesting. Well as I am only about two weeks into this

thing I'm afraid of eating anything lest it send me to my death. I feel

like I'm not bad at all but I know I wouldn't be here if I weren't bad

enough. I am eating as perfect a diet as I know so far but at times wonder

what kind of life is this? I have always eaten pizza and junk food, and all

of that. It's kind of hard to adjust to this meager meal stuff, but I

really am doing well, I think. What do you guys do for thanksgiving and

birthdays and stuff? Do you just ignore the holidays and not have hardly

anything? I know it is far off but I need to know this now.

Vicki Breffe

" For if we believe that Jesus died and rose again, even so God will bring

with Him those who have fallen asleep in Jesus. Then we who are alive and

remain

will be caught up together with them in the clouds to meet the Lord in the

air, and so we shall always be with the Lord. " (1 Thessalonians 4:14 & 17)

lab

> > > >

> > > > Dear Mr. Ruth,

> > > >

> > > > I have recently received the result of your laboratory

testing.

> > > >

> > > > Complete blood count currently reveals normal findings.

There

> is

> no

> > > > indication of anemia.

> > > >

> > > > Chemistry shows a glucose of 127, which is stable.Kidney

> > studies as > well > > as liver function studies appear to be

> > stable. Sodium, potassium, > > chloride, and calcium levels are

> > normal. > >

> > > > Total cholesterol level is 257, triglyceride level 243, LDL

> > > cholesterol

> > > > 168, HDL cholesterol 40.Total normal cholesterol is typically

> > > considered

> > > > less than 180, with LDL less than 130. For a diabetic or

> cardiac

> > > patient

> > > > we desired to have the LDL less than 100. We desire these

ideal

> > numbers

> >

> > > to

> > > > help reduce the risk of heart attack and/or stroke. LDL is

> > typically > > considered the " bad cholesterol " . We typically

desire

>

> > the triglyceride > > level to be less than 180. HDL cholesterol

is

> > considered the " good > > cholesterol " , and we prefer to have this

> > number elevated above 30,

> if

> > > > possible. Exercise tends to improve the HDL cholesterol.

Your

> > numbers > > are somewhat elevated.

> > > >

> > > > Hemoglobin A1C (average sugar) (good control < 6.5 for a

> diabetic)

> > was

> > > > 6.5. This is excellent!

> > > >

> > > > Urinalysis appears to be entirely normal.

> > > >

> > > > Muscle enzyme studies are again elevated with the level of

466,

> > normal

> >

> > > is

> > > > typically less than 232. Your previous study performed on May

> > who had > > returned to normal. Please contact my office and

> > schedule repeat > > evaluation within one week, So we can also do

> > additional testing > regarding

> > > > the muscle enzyme elevation. We will need reperform the same

> study

> > as

> > > > well as checking a sedimentation rate to check on inflammation

> > > potentially

> > > > occurring within the muscle itself. I'm not aware of any of

> your

> > > current

> > > > medications that would be contributing to this present

> condition.

> > > >

> > > > Please watch your cholesterol diet closely. I would love to

> start

> > you

> >

> > > on

> > > > a cholesterol-lowering medication, but with your muscle enzyme

> > studies > > elevated. We certainly would not want to do this.

> > > >

> > > > Please otherwise continue all of your other same medication.

> If

> you

> >

> > > have

> > > > further questions, difficulties, or problems, please contact

me.

>

> > > > > > I apologize that this is a duplicate letter I had to

make

> > one > typographic

> > > > correction.

> > > >

> > > > Sincerely,

> > > >

> > > > Mark Wellington D.O.

> > > >

> > >

> > > >

> >

>

------------------------------------------------------------------------

> ----

> > ----

> > > > This e-mail may contain identifiable health information that

is

>

> > > subject > > to protection under state and federal law. This

> > information is intended

> >

> > > to

> > > > be for the use of the individual named above. If you are not

the

>

> > > intended > > recipient, be aware that any disclosure, copying,

> > distribution or

> use

> >

> > > of

> > > > the contents of this information is prohibited and may be

> > punishable by > > law. If you have received this electronic

> > transmission in error, please

> > > > notify us immediately by electronic mail (reply).

> > > >

August 10, 2005