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Suggest Treatment For High Cholesterol In A Diabetic Patient

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Posted on Fri, 26 Jun 2015
Question: Hi, I am XXXXXXX from XXXXXXX XXXXXXX My Father's blood report shows cholesterol level 248, I know it is above limit.
What treatment should I choose now ? In addition to this, My father is also psoriasis and diabetic patient. last month sugar level was 312 after breakfast. I have no idea how to process further. I know there is absolute treatment available for psoriasis,but still any usefull info ?
doctor
Answered by Dr. Anantharamakrishnan (2 hours later)
Brief Answer:
Drugs & life style changes needed

Detailed Answer:
Hi friend
Welcome to Health Care Magic

All these could be managed well – though, nothing is curable
He should be seen by different specialists
- Dermatologist for his psoriasis
Diabetologist (Or Endocrinologist or Physician) for sugar and cholesterol
He needs both drugs and life style changes

There are subdivisions of cholesterol – LDL, HDL and so on. HDL is good cholesterol – higher, the better. / LDL is bad cholesterol – lower, the better. In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of other diseases (especially Diabetes and/or established heart disease), 70 should be the aim.
     Keep weight to normal / even a little less
     Quit smoking, if he is a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week.      Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
Repeat the test in 2 to 3 months.
     Cholesterol can still be high, in spite of diet and exercise – you need drugs; because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis)

CONSULT / FOLLOWUP with a physician for diabetes and cholesterol management while you initiate the life style changes.

Psoriasis should be evaluated by a dermatologist. Treatment can be started after dermatologist evaluation.

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Treatment For High Cholesterol In A Diabetic Patient

Brief Answer: Drugs & life style changes needed Detailed Answer: Hi friend Welcome to Health Care Magic All these could be managed well – though, nothing is curable He should be seen by different specialists - Dermatologist for his psoriasis – Diabetologist (Or Endocrinologist or Physician) for sugar and cholesterol He needs both drugs and life style changes There are subdivisions of cholesterol – LDL, HDL and so on. HDL is good cholesterol – higher, the better. / LDL is bad cholesterol – lower, the better. In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of other diseases (especially Diabetes and/or established heart disease), 70 should be the aim. Keep weight to normal / even a little less Quit smoking, if he is a smoker Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. Repeat the test in 2 to 3 months. Cholesterol can still be high, in spite of diet and exercise – you need drugs; because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis) CONSULT / FOLLOWUP with a physician for diabetes and cholesterol management while you initiate the life style changes. Psoriasis should be evaluated by a dermatologist. Treatment can be started after dermatologist evaluation. Good luck God bless you