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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are My Cholesterol Levels A Cause For Concern?

I have cholesterin 241, HDL-C 56.0, LDL-C 153.0. Glukose 114. Is this dangerous?? Many thanks

My age is 56years, weight 74, height 160 cm. I did 3 operations since 2000. 2 operations large disc herniation, one of them doctors put many screws in the spinal column, and the 3rd one is removal of the uterus.

Wed, 5 Aug 2015
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Dietitian & Nutritionist 's  Response
Good morning!
If you handed me those labs in my clinic, yes, I would be concerned. According to the current guidelines out, yes, your doctor would probably want you on a low-dose statin with a diet appropriate for all needs. For example, your cholesterol needs to be below 200, optimally I like to see 180 and you see this target in many studies. Your LDL at 153 should be under 100, but with your elevated glucose I think I would shoot for 70 mg/dl. Your fasting glucose is 114 placing you in a "pre-diabetic" category which is now treated more aggressively than in years prior.

You asked if your labs were "dangerous". Let me say that from what I see I would say you are at high risk for heart disease either already existing or in the near future complicated by a diabetic process. A patient with this profile would do best to get an exercise plan together - I know, you are in pain - but it will help in the long run. A tape such as "Sit Fit" might help you. Swimming is good.

Your nutritional plan should follow a heart healthy menu with modifications for a "diabetic" even though you are not diabetic yet. Did I answer your concerns? Thank you for visiting me at HCM. Kathryn Shattler, MS,RDN
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Are My Cholesterol Levels A Cause For Concern?

Good morning! If you handed me those labs in my clinic, yes, I would be concerned. According to the current guidelines out, yes, your doctor would probably want you on a low-dose statin with a diet appropriate for all needs. For example, your cholesterol needs to be below 200, optimally I like to see 180 and you see this target in many studies. Your LDL at 153 should be under 100, but with your elevated glucose I think I would shoot for 70 mg/dl. Your fasting glucose is 114 placing you in a pre-diabetic category which is now treated more aggressively than in years prior. You asked if your labs were dangerous . Let me say that from what I see I would say you are at high risk for heart disease either already existing or in the near future complicated by a diabetic process. A patient with this profile would do best to get an exercise plan together - I know, you are in pain - but it will help in the long run. A tape such as Sit Fit might help you. Swimming is good. Your nutritional plan should follow a heart healthy menu with modifications for a diabetic even though you are not diabetic yet. Did I answer your concerns? Thank you for visiting me at HCM. Kathryn Shattler, MS,RDN