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Cholesterol test results

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Hello. I have 2 questions:
My total cholestrol is 243, HDL is 86.17, LDL Direct is 117, Trig is 93.2, & my cholestrol/HDL 2.8 and my fasting glucose is 82.5. I am SERIOUSLY CONFUSED. One doctor said I needed to lower my LDL to below 100, but otherwise I am fine, no meds needed. Another doctor said I need to be on meds.

Please explain why I got two different answers for the same test results?

Both agreed that my total cholestrol needs to be below 200. Is it possible to lower my triglycerides and LDL without lowering my HDL?


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replied March 24th, 2010
Cholesterol Answer A10892
Hi,
Welcome to the ehealthforum and I am really glad to help you out. I can understand the cause of concern and the confusion you are going through.

Firstly, your HDL (good) cholesterol levels are very good. This shows that you are regularly exercising for exercise makes the HDL cholesterol levels go up.

As per the guidelines, the LDL cholesterol should be less than 100 mg/dl in the presence of diabetes or the past history of coronary artery disease or at least 2 risk factors out of the following: chronic smoker, family history of Coronary artery disease, abdominal obesity.

If you don’t have 2 risk factors out of the above, then you don’t need to take the medication. Moreover, the total cholesterol: HDL ratio is < 3 which is a very good sign.

Moreover, the LDL: HDL ratio is less than 1.5. Hence, in view of these, you don’t need to take any medication. Your blood sugar is also absolutely fine. Just follow the healthy lifestyle.

Avoid sugary foods, oily stuff, increase the green salads, briskly walk at least 45 min daily. I sincerely hope this information helps. Take care.



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