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High Cholesterol Message Board


High Cholesterol Board Index


I finally received my LipoProfile results and really am not sure I understand except that I am at a significant risk for Cardiovascular issues. Can anyone interpret?


LDL and HDL Particles

HDL-P (Total) 39.4
Small LDL-P 1068
LDL Size 20.1

Lipoprotein Markers Asocitated with Insulin Resistance and Diabetes Risk

Large VLDL-P 3.9
Small LDL-P 1068
Large HDL-P 6.1
VLDL Size 47.6
LDL Size 20.1
HDL Size 8.4

Insulin Resistance Score
LP-IR Score 55


LDL-P (Particle Number) 1460
LDL-C (Calculated) 127
HDL-C 40
Triglycerides 180
Total Cholesterol 186

Any help would be appreciated!
Generally, small dense LDL is considered more dangerous than large buoyant LDL. You will have to check the reference ranges on the report to see what they consider "small" (in terms of LDL particle size) and "numerous" (in terms of the number of small LDL particles). Your doctor should be able to expand more on the subject, since presumably she recommended the test.

Large HDL particle have also been found to be more protective than small HDL particles in some studies.

Among the more usual numbers, your triglycerides are high (risky), your HDL is borderline, and your LDL may be considered risky depending on your other risks.

You may want to try cutting back on sugars and fast digesting carbohydrates and alcohol to try to get the triglycerides down, and increase exercise to try to raise the HDL. Avoid trans-fats from hydrogenated oils to lower LDL. If your body fat is high, lose some of it to improve all blood lipid components (and that can also help if you are worried about blood pressure, metabolic syndrome, or diabetes).
tjlhb,

My doctor does say I have Metobolic Syndrome-I have HBP, borderline glucose readings and he said because I have small LDL, low HDL etc., I am at risk (my mother just got out of the hospital yesterday with 3 blocked arteries).

What I don't understand is that I am not overweight, walk 3-4 miles 5 times a week and try to watch what I eat, so other than heredity, why do I have these issues. Because I am on other medicines that are hard on the liver, he said I will have to wait to begin medication for this.

What are fast digesting carbihydrates?
[QUOTE=coping1;4173466]What I don't understand is that I am not overweight, walk 3-4 miles 5 times a week and try to watch what I eat, so other than heredity, why do I have these issues. Because I am on other medicines that are hard on the liver, he said I will have to wait to begin medication for this.

What are fast digesting carbihydrates?[/QUOTE]

Note that even if you are within the "normal weight range", you could have high body fat, a situation sometimes called "normal weight obesity" by scientists and "skinny fat" by fitness people (there have been some recent studies on how that increases risk of diabetes, high blood pressure, bad cholesterol, heart disease, etc. that are usually associated with obesity; a few days ago, the [i]Wall Street Journal[/i] had a big article on the subject, which may increase general awareness). Some studies suggest that as many as half of the "normal weight" people in the US are "normal weight obese" (using 20% body fat for men and 30% body fat for women as the threshold).

If that is the case with you, you may have to increase your exercise amount and intensity, and include muscle building exercises (mainly bodyweight and weight exercises like pushups, pullups, dips, squats, etc.; note that gaining [i]muscle[/i] weight is generally healthy). However, if your genetics are extremely unfavorable, even athlete levels of exercise and low body fat may not be sufficient to bring your blood sugar and blood cholesterol completely out of the higher risk zones (though it should help, and if you need medication, it may let you use less medication than otherwise).

Fast digesting carbohydrates are those which have a high glycemic index. You may also see a concept called the glycemic load, which takes into account both the glycemic index and amount of carbohydrates (e.g. carrots have a high glycemic index, but you need to eat a huge amount of carrots to get a high glycemic load since they do not have much carbohydrate; some kinds of pasta have a low glycemic index, but it is easy to get a high glycemic load from pasta since it has a lot of carbohydrates).

Generally, high glycemic index carbohydrates are sugary things and refined carbohydrates, while low glycemic index carbohydrates are less refined higher fiber carbohydrates. However, there are plenty of exceptions (e.g. carrots and pasta). In general, it is more healthy for most people most of the time to choose lower glycemic slower digesting carbohydrates, which give a smaller blood sugar surge after eating them.
Wow, thank you so much for the info!

I really don't think that body fat/weight is the issue; I only weigh 109 lbs. and do weight train twice a week on top of my walking. I do, however, eat quite a bit of pasta, although not a lot of sugar. I guess my best bet would be to get more informed about high glycemic index carbohydrates, etc. and work on that area. My glucose level was 100, which I think puts me right on the borderline range, so I will start there.

Thanks again!!
You may want to check your waistline at navel level; it should be less than half your height and (for a woman) less than 0.8 of your hip.

Even if body fat is not too high, increased exercise intensity (e.g. walking faster and/or running, lifting heavier weights and/or training more muscle groups) could still help with raising HDL, lowering blood pressure, and improving blood sugar control.

Fasting blood glucose of 100 mg/dl is just nudging into the pre-diabetic range (100 to 125 mg/dl; 126 mg/dl or higher is considered diabetic). This can be especially worrisome if the trend over time has been upward (check your past fasting blood glucose test records).
Okay, you have me digging for my tape measurer :) My waist is just 2 inches under half my height and right at .8 of my hips, so maybe that is an area I need to work on!

My doctor is really concerned about the whole cholesteral, HBP, glucose issue but I feel frustrated (and so does he) because he cannot start me on any meds at this point. I donot know my past fasting glucose levels-I just switched to this doc and I will need to look through my records to see what I can find.

I am also frustrated because when I looked at my past cholesteral levels, they were just what they are now, but my previous doctor just kept saying it was fine because my total cholesteral was below 200.

Oh well, I can't change the past, just have to go forward!

Thanks!!





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