Making simple changes in your lifestyle is often enough to bring borderline cholesterol levels down to the normal range. Some people may also need to take medicine for it. And keep in mind that other things, like diabetes, high blood pressure, and smoking, also affect your heart health; it's not just about cholesterol.
A high cholesterol level can increase your risk of having a heart attack or stroke. You have an even higher risk if you also have other risk factors, such as: Age over 45 for men and over 55 for women. Smoking.
Your health care team may prescribe medicine if: You have already had a heart attack or stroke or have peripheral arterial disease. Your LDL cholesterol level is 190 mg/dL or higher. You are 40–75 years old and have diabetes and an LDL cholesterol level of 70 mg/dL or higher.
Many different factors can contribute to high blood cholesterol, including lifestyle factors like smoking, an unhealthy diet and lack of exercise, as well as having an underlying condition, such as high blood pressure or diabetes.
Not everyone with elevated cholesterol levels needs medications. Doctors may start treatment by suggesting lifestyle changes, which can include changes to diet, exercise and activity levels, weight, and smoking cessation. If these changes are enough to lower levels, a person likely will not need medication.
Low-density lipoprotein (LDL) cholesterol.
If your risk is very low, you probably won't need a statin, unless your LDL is above 190 mg/dL (4.92 mmol/L). If your risk is very high — for example, you've had a heart attack in the past — a statin may be helpful even if you don't have high cholesterol.
It is possible for lifestyle changes to change cholesterol levels within weeks. However, it may take longer, usually about 3 months — sometimes more. Some doctors recommend adding a cholesterol-lowering drug if a person has not lowered their LDL cholesterol after about 12 weeks of lifestyle changes.
It may take between 3-6 months to reduce your cholesterol levels from borderline to optimal.
Total cholesterol levels should be lower than 5.5 mmol/L, if you have no other risk factors. If you have cardiovascular risk factors such as high blood pressure, pre-existing cardiovascular (heart) disease or diabetes, or you smoke, the aim for LDL cholesterol levels would be less than 2 mmol/L.
Blood cholesterol is measured in units called millimoles per litre of blood, or mmol/L. As a rough guide, the total levels should be: 5 mmol/L or less for healthy adults. 4 mmol/L or less for those at high risk.
After having their cholesterol tested, seniors should be given a number between 190 and 260. Healthy seniors should keep their total cholesterol below 200 and their LDL cholesterol around 100. If your elderly loved one's LDL cholesterol level is above 160, he or she must start making sweeping lifestyle changes.
Total cholesterol of 5.8mmols/l is higher than recommended, but could be reduced with simple diet and lifestyle changes rather than medical treatment. Medical treatment would only be appropriate if the level was much higher.
Your doctor may recommend taking statins if either: you've been diagnosed with a form of CVD. your personal and family medical history suggests you're likely to develop CVD at some point over the next 10 years and lifestyle measures (see below) haven't reduced this risk.
If you've made lifestyle changes through diet and exercise that have lowered your cholesterol levels, you may not need to continue taking a statin. These changes can help reduce your risk of heart attack, stroke, or blocked arteries while allowing you to take one less medication.
Can you be healthy with high cholesterol? Having high overall cholesterol does not mean a person is unhealthy. However, high low-density lipoprotein (LDL) or 'bad' cholesterol levels carry an increased risk of heart disease and stroke. The body requires a certain amount of cholesterol to function properly.
Untreated or undertreated high cholesterol is associated with a lower life span due to the risk of heart attack and stroke, but it's still possible to live a long life with high cholesterol, provided you follow a heart-healthy lifestyle and take medication if needed.
While coffee does not contain cholesterol, it can affect cholesterol levels. The diterpenes in coffee suppress the body's production of substances involved in cholesterol breakdown, causing cholesterol to increase. Specifically, coffee diterpenes may cause an increase in total cholesterol and LDL levels.
One large egg has about 186 mg of cholesterol — all of which is found in the yolk. If your diet contains little other cholesterol, according to some studies, eating up to an egg a day might be an OK choice. If you like eggs but don't want the cholesterol, use only the egg whites.
1) Red Meat
Beef, lamb, and pork – these are high in saturated fats and contain more cholesterol. Swap these out for healthy proteins like beans, chicken, and fish.
LDL -cholesterol levels greater than 3.5 mmol/L are considered elevated for some people at low cardiovascular risk and most individuals at intermediate risk and may need behavior modifications and/or pharmacological treatment Note 5 (see About cholesterol).