Dear Bill,
I do not know what a VAP test is. Can you provide additional details.
As far as your cholesterol profile, i would consider an agent to lower triglycerides ( below 200) as well as raise HDL ( to above 45). You may consider Niacin preparations or a resin. I would recommend you discuss actual medications with your physician.
Please have a hemoglobin a1c checked to determin how "well"