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What Does My Lipid Profile Suggest?

Posted on Fri, 21 Nov 2014

Question: i am 30 year old male my Lipid profile result shows
cholesterol as 139 mg/dl;
Triglycerides as -193 mg/dl ;
Cholesterol HDL as 34 mg/dl;
Direct LDL Cholesterol as 91 mg/dl;
Chol/hdl ratio as 4.1
LDL/HDL ratio as 2.7
Very low density lipoprotein as 38.6 mg/dl
& glucose, fasting, Plasma/urine as 131 mg/dl

Please suggest what is my heart condition & what more precautions i must take..

Answered by Dr. Rakesh Madhyastha (9 minutes later)

Brief Answer:
High triglycerides and Low HDL

Detailed Answer:
Hello

Thanks for the query

You have attached the lipid profile report and I have come to the conclusion that it requires further lowering of triglycerides and also HDL should be above 40. Here is how you should go about it

1. The most important thing in controlling lipid profile is diet and exercise. I request you to walk atleast 30 min a day. Avoid fat products like cheese, fried food, fast food, butter, oil, etc as much as possible.
2. You are on maximum dose of anti lipids for statins ( Tab Rosuvas), if I were to be your doctor I would add fenofibrate along with it. It comes as Rosuvas F
3. Avoid excessive salt in your diet
4. Continue taking Omega 3 fatty acids, it will help improve your HDL.
5. Avoid smoking
6. Have a regular sleep pattern, sleep for atleast 6- 8 hours a day. Reduced sleep is known to cause increased triglycerdies.

If you could attach ECHO report then I could tell you if you are on the right medications for it

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (13 minutes later)

Thank you sir for your advice, on 10th this month i will be going to do for a follow up with my Cardiologist along with my Lipipd Profile report, do you suggest any more questions i must ask my doctor, i guess i will do an ECHO on the day of my check up. Yes sir i am lacking in excersice, as i am having a 14hrs duty (8hrs duty & 4hrs to & fro travell ) daily, i have joined a gym but i am not a regular, as i am a foodie, i somtimes have fast food, but maximum times i am on a strict healthy diet, i dont smoke from past one year..sir i am little afraid now coz of my reports.. now also some time if i walk fast i get tired, or i get a heavy breathing..
is every thing alright?? please help me sir & please guide me...& also suggest what more should i ask my doctor when ill visit him on 10th this month...
thank you for your guidance..
XXXX
XXXXXX

Answered by Dr. Rakesh Madhyastha (2 minutes later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thanks for getting back

Here are the questions you should pose to your doctor

1. What is my exercise tolerance?
2. What is my ideal body weight?
3. Is gymming and cycling ok for my hear condition?
4. Am I allowed to travel?
5. Can I meet a dietitian for a diet chart?
6. What are the danger signs?

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar