Written by Dr Rajesh Kesari MD
Controlling lipids (lipids are fats travelling in the blood stream in various forms) is just as important as controlling blood glucose levels.Some major complications of Diabetes- the Cardiovascular complications like heart attack, angina and stroke happen due to high levels of lipids in the blood, even with normal blood glucose levels. Many studies have shown that lowering lipids adequately prevent or delay impending Heart complications. Fats form a complex with proteins to travel in blood, as 95% of blood is water and we all know very well that oil and water do not mix. HDL or high density lipoproteins give protection against the formation of atherosclerotic plaques which are the root cause of blockages in arteries supplying blood to heart muscles. LDL & VLD are low density and Very low density lipoproteins respectively, these are also called the harmful cholesterols as they cause the formation plaques in the coronary arteries and other important blood vessels.Type of Lipids Desirable levels Total Cholesterol less than 200 HDLmore than 45 LDLless than 70 Non HDL Cholless than 130 Triglyceridesless than 150 Triglycerides are complexes of fat and glucose formed by liver when fatty food is absorbed from intestines. Typically, in uncontrolled diabetese levels of triglycerides are raised, they also contribute to atherosclerosis. High levels of triglycerides may cause other problems like pancreatitis as well. Some fats have protective effects on the blood vessels and decrease the formation of plaques and blockages in blood vessels these foods also increase HDL Cholesterol. They should be consumed liberally by diabetics, these include Olive oil, fish and fish oil, nuts, green leafy vegetables, legumes fruits.