My HDL has always been low, in mid to upper 30s. was 25 last week, so a big percentage drop from 35. TC was 125, and LDL at 65, consistent with prior tests. Triglycerides popped up from 110 to 150.
I had stents put into my RCA 6 months ago so I am taking care to keep lipids low by eating almost 100% plant base diet. My concern is that HDL is so low and the risk ratios of TC/HDL and especially TG/HDL has jumped significantly even with LDL low.
Are these risk ratios as important when the LDL is low? Any advice?
For patients with coronary artery disease or a coronary artery disease risk equivalent (i.e. diabetes, peripheral arterial disease, etc), the goal LDL should be < 100 (ideally 65, triglycerides < 150 and cholesterol 65 is counted more as a "negative risk factor"). Keeping a healthy diet and being on a statin is the appropriate management for you at this time. I would also ensure you are incorporating a healthy cardiovascular exercise regimen as well.
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