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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Extremely Elevated LDL And Low HDL, Taking Costco Salmon Oil, Borderline Low Iron, Sugar In Urine. Any Advice ?

My niece 18 years old who lives in Vancouver British Columbia Canada.. Has extremely elevated LDL & low HDL... Apparently been taking Costco Salmon Oil?.. Also Has borderline low Iron..& has had sugar in urine.... she Has been taking Yaz BCP & now on Linessa -21... Could you plese advise.( she is a dancer Not overweight gets plenty of exercise & no Hx of Diabetes or elevated cholesterol In family... Blood pressure WNL..??? thanks AAAA
Wed, 14 Aug 2013
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Pathologist and Microbiologist 's  Response
Hello,

Type II diabetes is caused due to lifestyle changes, obesity and stress.
But type I diabetes is an autoimmune disease that can affect children and young adults.
LADA(late onset autoimmune diabetes in adult) is another condition which your relative may be having.
Consult her doctor. He may advise her for tests like 1. GAD antibodies and 2. Serum insulin levels which is diagnostic of Type I diabetes.
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello,
Presence of sugar in urine gives a strong suspicion of diabetes and should be properly investigated for diabetes by getting blood sugar fasting and PP done.
If diabetes is absent,then the reason for her extremely high LDL and low HDL seems to be genetic in nature.
In any case high LDL levels are a risk factor in itself but if accompanied by low HDL,the risk becomes multifold and so she should be put on STATINS.
She should also be treated for low iron levels.
Thanks
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Extremely Elevated LDL And Low HDL, Taking Costco Salmon Oil, Borderline Low Iron, Sugar In Urine. Any Advice ?

Hello, Type II diabetes is caused due to lifestyle changes, obesity and stress. But type I diabetes is an autoimmune disease that can affect children and young adults. LADA(late onset autoimmune diabetes in adult) is another condition which your relative may be having. Consult her doctor. He may advise her for tests like 1. GAD antibodies and 2. Serum insulin levels which is diagnostic of Type I diabetes.