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Type 2 diabetes, HDL cholesterol and kidney disease

The American Diabetes Association or ADA recommends that each year people with type 2 diabetes have a lipid profile measured on an annual basis. Why? Because these results have a direct relationship with the heart and vascular complications such as hardening of the arteries. Although cholesterol has received much media attention in recent years, cholesterol is not the only indicator of cardiovascular health. The balance between “good” cholesterol and “bad” is more important.

High density lipoprotein (HDL) is the type “good” cholesterol, which helps maintain the low density lipoprotein, or LDL, to cause kidney damage. LDL can stick to the arteries, causing unhealthy plaque or deposits to form, blocking blood flow or cause bleeding.

HDL seems to work to clear LDL cholesterol from arteries. As a result of arterial injury is damage to the kidneys and the arteries that pass through the kidney to be relieved of excess water, salt, potassium and other molecules. In type 2 diabetes, total cholesterol is often high and the ratio of HDL to LDL may be low.

Workers in the Department of Biomedical and Surgical Sciences, University of Verona in Italy has investigated the effects of HDL and chronic kidney disease in people with type 2 diabetes. The results were published last year in the Journal of Nutrition, Metabolism and Cardiovascular Disease. More than 1,900 with type 2 diabetes from normal renal function were followed for 5 years. Volunteers with the highest HDL levels had only 76 percent of the risk of chronic kidney disease as volunteers with lower levels of HDL.

The National Kidney Foundation suggests a target level of 40 mg / dl or HDL cholesterol and a target value of less than 100 mg / dl LDL cholesterol … Although recent studies suggest that people with heart or vascular disease should reduce their LDL levels below 70. Total cholesterol should be less than 200 mg / dl.

Aerobic activity is a good way to increase HDL cholesterol. Workers in Tokyo established 35 studies on exercise and cholesterol, and it is estimated that, on average, when patients exercised for 40 minutes, 3-4 times per week after 2-7 months of the increased rate of HDL 2.5 mg / dl. For aerobic exercise is supposed to work that increases your pulse and breathing … walking, cycling and swimming are examples of aerobic exercise. If it sounds too lacking in joie de vivre, dance and toward a romantic partner can also be aerobic. HDL can also be increased by taking niacin and lowering triglycerides.

Obesity is a cause of low HDL, so a way to help lower cholesterol HDL is to normalize your weight. Cranberry juice may help reduce HDL cholesterol. Cut trans fats is helpful as well. Read food labels and avoid those that list “partially hydrogenated”. Healthful oils are olive oil and peanut oil. If you eat peanut butter, look for the type that lists the ingredients as peanuts pure, partially hydrogenated oils. Foods rich in fiber may also help increase HDL cholesterol levels, so the emphasis on fruits, vegetables and whole grains in your diet.

When viewed from a diet and exercise program, consult your dietitian for advice on what and how much is right for you to eat, and verify that the increased activity is safe for you.

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