What is the ideal range for LDL cholesterol?
The ideal range depends on individual risk factors. Generally, a level of LDL less than 130 mg is preferred in normal healthy individuals. For people with a high risk of heart disease, a level below 70 mg is recommended. These include individuals with Diabetes, Hypertension, previous angina, heart attacks, angioplasty or bypass surgery, and stroke. The near-optimal level is 100 to 139 mg. Borderline high is 130 to 159, high LDL levels are 160 to 189 mg, and very high are above 190 mg.
Do patients with Diabetes require cholesterol-lowering treatment?
People with Diabetes have a very high risk of cardiovascular disease. A moderate or high-intensity statin is recommended in most adults with diabetes, regardless of their baseline LDL levels.
What are the health benefits of specific LDL reductions?
A reduction of 10 to 20 mg reduces cardiovascular risk by 10 to 20%. This can be achieved by lifestyle changes alone. Dietary changes and regular physical activity are most helpful. A 30 to 50 mg reduction in LDL levels leads to a 30 to 40% decrease in the incidence of heart attack, stroke and other cardiovascular events. This requires lifestyle changes like diet, exercise, and statins or PCSK9 inhibitors for those with higher LDL levels. 70 mg or greater reduction is ideal for those with a history of heart attack, or stroke. LDL values below 70 mg are ideal for those with previous coronary artery disease. This can prevent the recurrence of heart attacks by 50%.
Can lowering LDL cholesterol increase your life span?
Lowering LDL CHOLESTEROL reduces inflammatory markers like highly sensitive CRP, reduces blood clot related complications and increases longevity and reduces dementia risk. High LDL levels are associated with greater and rapid thickening of arteries supplying our vital organs. Lipid profile studies at as early as 20 years of age is recommended. Lower levels increase longevity and prevent dementia.
Which is a good edible oil for reducing LDL cholesterol?
Those with high mono saturated and polyunsaturated fats are preferred. Olive oil, Canola oil, Avocado oil, sunflower oil, flaxseed oil, and walnut oil are generally preferred. It is advisable to avoid or limit those high in saturated fats like coconut oil, palm oil, and butter as they can raise cholesterol.
Should older adults be treated with high LDL cholesterol levels?
Treating individuals above 75 years depends on their age in years as well as their physiological age. This takes into account their health and fitness levels. A healthy older adult should not be denied drug therapy simply on the basis of age alone.
What should be the diet?
A diet high in soluble fiber binds to cholesterol in the digestive tract and removes it from the body. Foods to include are oats, beans, lentils, apples, pears, carrots and whole grains. Olive oil, almonds and walnuts fatty fish high in omega-3 fatty acids are important. Avoid saturated fats found in red meat, butter, full-fat dairy, and trans fats in processed foods. Incorporating more fruits and vegetables. Use colorful vegetables as far as possible. Avoid sweet beverages, white bread, pastries, and sweets. Drink green tea as it contains antioxidants called catechins, that help reduce cholesterol.
