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Test Done For Glucose, Cholesterol, Triglycerides And Ldl Level. Suggest Diet And Treatment

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Posted on Wed, 2 Jan 2013
Question: My Glucose (F)- 104.44 Glucose (PP)-106.80 Total Cholestrol-263.06 HDL-41.92 Triglycerides-224.06 and LDL-176.33
Kindly suggest me the right treatment and diet for lowering the cholestrol and Trigy.
Thanks.
doctor
Answered by Dr. Mayank Bhargava (1 hour later)
Hi XXXXXXX
Welcome to Healthcaremaguc forum.
Treatment of Dyslipidemia (deranged lipid profile) is decided by presence / absence of risk factors.
Let me know the associated diseases along with deranged lipid profile.
What is your present age & blood pressure?
Are you a smoker?
Do you have positive family history of early heart disease? (Early heart disease is considered in female <65 years and in male <55 years).
Are you an obese or have a normal physique?
Are you an active or sedentary life?

Smoking, age > 45 years, sedentary life, first degree relative with positive early heart disease 140/90 mm Hg, Diabetes are considered as risk factors.

Your blood sugar both fasting and postprandial are within normal limits.
Fasting Blood sugar > 110 mg% and postprandial blood sugar > 200 mg% are considered as diabetes mellitus.

You have one risk factor (age >45 years in male).
Treatment of Dyslipidemia is decided by LDL level and should read ATP III guidelines.
If < 2 risk factors are present then LDL should be < 160 mg%.
If > 2 risk factors with 10 year risk of developing heart disease is <20% then LDL should be <130 mg%.
If > 2 risk factors with 10 year risk of developing heart disease is >20%, diabetes then LDL should be <100 mg%.
You can download calculator from following site: WWW.WWWW.WW For very high risk patients, LDL should be < 70 mg%.

For raised triglycerides and LDL, you should take statins along with fenofibrates on written prescription from a local doctor.
You should consult with XXXXXXX medicine specialist/ cardiologist and should get proper treatment.
Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mayank Bhargava (2 hours later)
Dear Dr.
Giving the details as you asked-
My age -57 years
Blood pressure-110\70
Height -168 cm.
Weight -74.5 kg.
No positive family history of early heart disease.
Active life-doing walk and yoga.
Non-smoker
doctor
Answered by Dr. Mayank Bhargava (20 minutes later)
Hi XXXXXXX
So you have only one risk factor (age> 45 years).
Your LDL should remain below 160 mg%.
You should consult with XXXXXXX medicine specialist/ cardiologist and should get above prescribed treatment.
Take care,
Dr. Mayank Bhargava
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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Test Done For Glucose, Cholesterol, Triglycerides And Ldl Level. Suggest Diet And Treatment

Hi XXXXXXX
Welcome to Healthcaremaguc forum.
Treatment of Dyslipidemia (deranged lipid profile) is decided by presence / absence of risk factors.
Let me know the associated diseases along with deranged lipid profile.
What is your present age & blood pressure?
Are you a smoker?
Do you have positive family history of early heart disease? (Early heart disease is considered in female <65 years and in male <55 years).
Are you an obese or have a normal physique?
Are you an active or sedentary life?

Smoking, age > 45 years, sedentary life, first degree relative with positive early heart disease 140/90 mm Hg, Diabetes are considered as risk factors.

Your blood sugar both fasting and postprandial are within normal limits.
Fasting Blood sugar > 110 mg% and postprandial blood sugar > 200 mg% are considered as diabetes mellitus.

You have one risk factor (age >45 years in male).
Treatment of Dyslipidemia is decided by LDL level and should read ATP III guidelines.
If < 2 risk factors are present then LDL should be < 160 mg%.
If > 2 risk factors with 10 year risk of developing heart disease is <20% then LDL should be <130 mg%.
If > 2 risk factors with 10 year risk of developing heart disease is >20%, diabetes then LDL should be <100 mg%.
You can download calculator from following site: WWW.WWWW.WW For very high risk patients, LDL should be < 70 mg%.

For raised triglycerides and LDL, you should take statins along with fenofibrates on written prescription from a local doctor.
You should consult with XXXXXXX medicine specialist/ cardiologist and should get proper treatment.
Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava