Hello Les
Sounds like a sensible suggestion regarding restriction/control of carbohydrate loading prior to fasting.....not sure about the Monday morning lipids though !
Peter
> -----Original Message-----
> From: Les Culank [SMTP:[log in to unmask]]
> Sent: 28 October 2003 17:54
> To: PETER HOWELL; [log in to unmask]
> Subject: Re: Fasting
>
> With the sort of social life our patients get around the Cambridge Colleges,
> or the Newmarket Stables, we sometimes advise 48 hours' abstention from
> EtOH, as well as a 12 hour fast before lipids. Presumably you can manage it
> by bleeding your Welsh patients for fasting lipids on a Monday?
>
> With fasting glucose, particularly as an increasingly sensitive threshold
> test to "diagnose" DM, do you think one ought to advise on carbohydrates in
> the diet prior to the fast?
>
> Best wishes,
> Les
>
>
>
> > From: PETER HOWELL <[log in to unmask]>
> > Reply-To: PETER HOWELL <[log in to unmask]>
> > Date: Tue, 28 Oct 2003 15:44:54 -0000
> > To: [log in to unmask]
> > Subject: Fasting
> >
> > Does anyone on the list know of any 'gold' standard recommendations for
> > adequate intervals of patient fasting for blood glucose and/or lipids ?
> > A local GP is getting conflicting advice from the 2 local hospital
> > laboratories he uses, and to confuse matters further has also had a request
> > from a Private Insurance Company for a fasting blood glucose on a patient of
> > his, telling him that the patient is required to fast for only 6 hours.
> > Can anyone help ?
> >
> > Thanks
> >
> >
> > Peter Howell
> > Wrexham Maelor Hospital
> >
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