Maintaining healthy cholesterol profiles -
Triglyceride levels are divided as follows:. Triglycerides should be measured after fasting for at least nine hours. Some people with increased triglyceride levels may need treatment with medication. WHEN SHOULD I START LIPID SCREENING?
Many expert groups have guidelines for lipid screening, which typically involves a "lipid profile" that includes blood tests to measure cholesterol and triglyceride levels. The guidelines differ in their recommendations about when to start screening, how frequently you should be screened, and when to stop.
Your health care provider can talk with you about your situation and whether and when you should be screened. An initial screening profile is often measured by the pediatrician during childhood, and should be measured again at age 18 years.
Below are some commonly used guidelines. See 'Other risk factors for cardiovascular disease' above. The optimal time interval between screenings is uncertain. A reasonable approach is to repeat the lipid profile every five years for people who are unlikely to be candidates for treatment based on past results, and more frequently eg, every three years for people who are near or above the threshold for treatment.
There is no specific recommendation to stop screening at a particular age. However, once a person has had a lipid profile with normal results, it is probably of less value to continue screening beyond the age of 65, as lipid levels are less likely to increase after this point.
Information about how to decide on treatment for hyperlipidemia, and the available treatment options, is available separately. Your health care practitioner is the best source of information for questions and concerns related to your medical problem.
This article will be updated as needed on our web site www. Related topics for patients, as well as selected articles written for health care professionals, are also available. Some of the most relevant are listed below. Patient level information — UpToDate offers two types of patient education materials.
The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition.
These articles are best for patients who want a general overview and who prefer short, easy-to-read materials. Patient education: High cholesterol The Basics Patient education: Atherosclerosis The Basics Patient education: Coronary artery disease The Basics Patient education: Diabetes and diet The Basics Patient education: Nonalcoholic fatty liver disease The Basics Patient education: The ABCs of diabetes The Basics Patient education: Medicines after an ischemic stroke The Basics Patient education: Heart attack recovery The Basics Patient education: Medicines after a heart attack The Basics Patient education: Recovery after coronary artery bypass graft surgery The Basics Patient education: Lowering the risk of having a stroke The Basics Patient education: Coronary artery disease in women The Basics Patient education: Can foods or supplements lower cholesterol?
The Basics. Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. These articles are best for patients who want in-depth information and are comfortable with some medical jargon. Patient education: High cholesterol and lipid treatment options Beyond the Basics Patient education: Type 1 diabetes: Overview Beyond the Basics Patient education: Type 2 diabetes: Overview Beyond the Basics Patient education: Transient ischemic attack Beyond the Basics Patient education: Stroke symptoms and diagnosis Beyond the Basics Patient education: Peripheral artery disease and claudication Beyond the Basics Patient education: Abdominal aortic aneurysm Beyond the Basics Patient education: High blood pressure in adults Beyond the Basics.
Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based.
Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading. Hypertriglyceridemia in adults: Management HDL cholesterol: Clinical aspects of abnormal values Lipid management with diet or dietary supplements Low-density lipoprotein cholesterol lowering with drugs other than statins and PCSK9 inhibitors Lipoprotein a Inherited disorders of LDL-cholesterol metabolism other than familial hypercholesterolemia Screening for lipid disorders in adults Secondary causes of dyslipidemia Statins: Actions, side effects, and administration Treatment of drug-resistant hypercholesterolemia Low-density lipoprotein cholesterol-lowering therapy in the primary prevention of cardiovascular disease Management of low density lipoprotein cholesterol LDL-C in the secondary prevention of cardiovascular disease.
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View Topic Loading Font Size Small Normal Large. Patient education: High cholesterol and lipids Beyond the Basics. Formulary drug information for this topic. No drug references linked in this topic. Find in topic Formulary Print Share. Official reprint from UpToDate ® www. com © UpToDate, Inc.
All Rights Reserved. Author: Robert S Rosenson, MD Section Editor: Mason W Freeman, MD Deputy Editor: Sara Swenson, MD.
All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Jan This topic last updated: Jul 12, TYPES OF LIPIDS The term "lipids" includes cholesterol and triglycerides, although there are other types of lipids, too.
The Basics Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. Patient education: High cholesterol and lipid treatment options Beyond the Basics Patient education: Type 1 diabetes: Overview Beyond the Basics Patient education: Type 2 diabetes: Overview Beyond the Basics Patient education: Transient ischemic attack Beyond the Basics Patient education: Stroke symptoms and diagnosis Beyond the Basics Patient education: Peripheral artery disease and claudication Beyond the Basics Patient education: Abdominal aortic aneurysm Beyond the Basics Patient education: High blood pressure in adults Beyond the Basics Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings.
Hypertriglyceridemia in adults: Management HDL cholesterol: Clinical aspects of abnormal values Lipid management with diet or dietary supplements Low-density lipoprotein cholesterol lowering with drugs other than statins and PCSK9 inhibitors Lipoprotein a Inherited disorders of LDL-cholesterol metabolism other than familial hypercholesterolemia Screening for lipid disorders in adults Secondary causes of dyslipidemia Statins: Actions, side effects, and administration Treatment of drug-resistant hypercholesterolemia Low-density lipoprotein cholesterol-lowering therapy in the primary prevention of cardiovascular disease Management of low density lipoprotein cholesterol LDL-C in the secondary prevention of cardiovascular disease The following organizations also provide reliable health information.
It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
Managing Your Cholesterol offers up-to-date information to help you or a loved one keep cholesterol in check. The report spells out what are healthy and unhealthy cholesterol levels, and offers specific ways to keep cholesterol in line. It covers cholesterol tests and the genetics of cholesterol.
The report also focuses on treatments based on the latest scientific evidence, including the pros and cons of statins and other medications, and provides the lowdown on other substances advertised to lower cholesterol.
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High healthg Maintaining healthy cholesterol profiles is one of the major cholesteroo risk DASH diet plan for coronary heart diseaseheart attack and hdalthy. As your blood Chokesterol rises, so does your risk of coronary heart disease. Cholesterol is a fat found in the blood. There are two main types of blood cholesterol: high density or HDL cholesterol and low density or LDL cholesterol. Dietary cholesterol — found in meat, poultry, eggs and regular dairy products — have less impact on blood cholesterol than foods with saturated and trans fat. A lipid panel Chokesterol a blood test Maintaining healthy cholesterol profiles measures the levels of fats in your blood ehalthy triglycerides and cholesterol. Generally, a lipid panel heealthy. High triglycerides, high LDL cholesterol, and pprofiles HDL cholesterol Diabetic nephropathy treatment options associated with a higher risk of cardiovascular disease. Measuring levels of these molecules can help a doctor predict your future risk of cardiovascular disease, monitor how well your current treatment is working, or screen you for diseases that can affect your liver. The optimal values in a lipid panel depend on your age and gender. Keep reading to learn more about the optimal range and what might influence your results.
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