Hi XXXXXXX
Thank you for the query.
I just wanted to know if you are a known case of diabetes or this test is done as a routine? Are you overweight? Do you have family history of diabetes, high blood pressure and heart disease?
Do you smoke? Do you drink alcohol? If yes, is it in excess?
The fasting sugar is perfectly fine. But the cholesterol is not slightly but well out of the range and high.
Please make sure you take care of your diet and do regular physical exercise. Repeat the cholesterol profile (total cholesterol, HDL, LDL, Triglycerides) after 3 months. If there is fall in values then you can continue with lifestyle measures like diet and exercise only. But if no much difference is seen and if you have other risk factors of heart disease like known case of diabetes, high BP, family history and smoking etc then you will need to start medications for the cholesterol right away.
In your diet, please stop high fat items like fried snacks, heavy gravies, vegetables and dals cooked in excess oils, red meat, egg yellow, milk cream, ghee, butter, sweets and bakery items.
Reduce all types of sweets for the high triglycerides. Do not consume fruit juices. Eating fresh fruits is advised. Eat lots of salads made out of fresh vegetables. Eat whole grain chapati, rice, cereals. Do not use items made of Maida and white rice as they also tend to increase triglycerides. Alcohol has to be reduced to once a week rountinely. Smoking has to be stopped if any and if necessary take professional help for that.
Walk everyday for 40 to 45 minutes. The days you cannot exercise, jog inside the house for 25 to 30 minutes. You must sweat and have doubled heart rate by any exercise you do. This will burn calories and in turn distribute the cholesterol in good directions reducing your cardiovascular risks.
I hope you got to know about what precautions to be taken. Take care.

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XXXXXXX

The high cholesterol even in thousands will not make you feel symptomatic. But it starts laying layers inside our blood vessels making them stiff and narrowing their lumens. In turn, following acute stress or physical exercise which you are not accustomed to, the arteries will not be able to supply required amount of blood to the heart and that is how people get angina (heart pain) or directly heart attack.
That is the risk of having high cholesterol.
The short term risk is nothing but the long term risk is heart disease, stroke, blocking of arteries supplying your legs and sometimes gall stones and liver disease happen out of high choelsterol.
When you say your father got heart disease at his age of 65 +, do you know when did he start having the problem of blood vessels supplying the heart? It starts as early as 20 years prior to the actual event. These days a lots of studies are coming up showing the origin of heart disease, paralysis etc during childhood or young adulthood itself and this is true when you have it in your family.
So in short, please take care of these risk factors.

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Try lifestyle measures for next three months. Check the Lipid profile after that. And as I have mentioned, if LDL levels would still be beyond 130 and triglycerides would be more than 200 then you will need medications.
Please change the lifestyle step by step and figure out yourself practical ways to be consistent with the changes for long run. Eventhough some times you happen to go off the track due to some functions, family responsibilities, travel etc, come back quickly to the healthy patterns to avoid acute surges in cholesterol levels.
I hope this helps. Let me know the lipid levels done 3 months following proper lifestyle changes. All the best.

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