Cholesterol Guidelines

    Guidelines for Cholesterol Testing and Treatment

    The United States sponsored National Cholesterol Education Program (NCEP)
    first  issued updated guidelines in 2001 for detection, evaluation, and treatment
    of high blood cholesterol levels. In 2005, an expert panel issued revised
    guidelines – based on evidence from several new clinical trials – that call
    for even more aggressive lipid lowering therapy for people at high risk of
    a heart attack.

    The Key Recommendations Were As Follows:

    *Everyone age 20 or older should obtain a lipid profile (sometimes called a lipoprotein profile) after a
    12 hour fast. This test measures total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides.

    *If you are healthy, your results are all in the desirable range (total cholesterol of 200 mg/dl; LDL
    cholesterol 100 -129 mg/dl; HDL cholesterol of 60 mg/dl; triglycerides 150 mg/dl), and you have
    no other risk factors for coronary artery disease – which includes older age, smoking, hypertension,
    diabetes, HDL cholesterol below 40 mg/dl, and/or a history of premature CHD in a first degree relative
    (parent, sibling, or child) – then you should be retested in five years.

    *The target for people with one coronary artery disease risk factor is an LDL level of less than
    160 mg/dl. In most individuals who do not have diabetes or know vascular disease, but have
    two or more risk factors, LDL levels should be kept below 130 mg/dl.

    *In patients with any form of know cardiovascular disease (who are at high risk of heart attack),
    the NCEP guidelines recommend that LDL cholesterol be lowered to less than 100 mg/dl.
    This target also applies to individuals with diabetes, which is now designated as a “Coronary Artery
    Disease equivalent” rather than simply another risk factor for CHD. The newest guidelines suggest
    an LDL target level of less than 70 mg/dl for these high risk individuals – and recommend that
    patients consider drug therapy even if LDL cholesterol levels are below 100 mg/dl.

    *A high level of HDL cholesterol (60 mg/dl or high) is considered protective against coronary
    artery disease. A high HDL level cancels out the effects of one other CHD risk factor when
    determining the total number of risk factors.

    *The NCEP guidelines emphasize the dangers of metabolic syndrome, which is largely related
    to obesity and inactivity. High blood pressure, low HDL cholesterol, high triglycerides, high blood
    sugar, and abdominal obesity are among the diagnostic features.

    *Based on your test results and an assessment of your risk factors, your doctor will decide on
    treatment, usually beginning with lifestyle changes. When lifestyle modification fails to lower
    LDL levels adequately, your doctor may suggest a cholesterol lowering medication or
    alternative natural remedies depending on his/her field of expertise.


    Herbal and Homeopathic Remedies for Cholesterol Management
Information on this site is provided for informational purposes only. It is not meant to substitute for medical advice provided by your physician or
other medical professional. You should not use the information contained herein for diagnosing or treating a health problem or disease, or
prescribing any medication.  You should read carefully all product packaging and labels. If you have or suspect that you have a medical
problem, promptly contact your physician or health care provider. Information and statements regarding dietary supplements have not been
evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.
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Cholesterol Testing Guidelines
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