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Know your numbers part 2: cholesterol

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January 13, 2011

Today in Know Your Numbers, we tackle cholesterol! Every five years it's a good idea to get a fasting lipoprotein profile blood test which gives you the results for total cholesterol, HDL, LDL, and triglycerides.

  • Total cholesterol measures the total amount of LDL, HDL, and other lipid (fat) components in your blood (serum). A high total cholesterol may put you at twice as much risk of coronary heart disease than a level under 200 mg/dL.
    • Less than 200 mg/dL -- desireable
    • 200 - 239 mg/dL -- borderline high
    • 240 mg/dL and above -- high
  • HDL "Good" cholesterol protects against heart disease by removing "bad" cholesterol from your blood and preventing it from building up in your arteries. This number can be confusing because a higher number is better.
    • 60 mg/dL -- desireable
    • 40 mg/dl or lower (for men) -- risk factor for heart disease
    • 50 mg/dL or lower (for women) -- risk factor for heart disease
  • LDL "Bad" cholesterol can build up in your arteries and can be a major factor in heart disease. The lower your LDL number, the better.
    • 100 mg/dL or less -- optimal
    • 100 - 129 mg/dL -- near or above optimal
    • 130 - 159 mg/dL -- borderline high
    • 160 - 189 mg/dL -- high
    • 190 mg/dL -- very high
  • Triglycerides are the most common type of fat in the body and in food. A high triglyceride level can lead to coronary artery disease and is one of the risk factors for metabolic syndrome. Again, the lower the number the better.
    • 150 mg/dL or less -- normal
    • 150 - 199 mg/dL -- borderline high
    • 200 - 499 mg/dL -- high
    • 500 mg/dL -- very high

To get tested, ask your doctor for a fasting total lipoprotein profile. You will need to fast (that is, not eat or drink anything but water for 9 - 12 hours) and then get your blood drawn from your arm. Pease consult with your doctor when interpreting the test results and developing a treatment and prevention plan.

In the next Know Your Numbers: glucose and Vitamin D.

See also: Know Your Numbers: BMI, waist circumference, blood pressure

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