ࡱ>   M(   Lfhttp://www.emedicinehealth.com/articles/11095-1.aspfhttp://www.emedicinehealth.com/articles/11095-1.aspfhttp://www.emedicinehealth.com/articles/29085-1.aspfhttp://www.emedicinehealth.com/articles/29085-1.aspfhttp://www.emedicinehealth.com/articles/56768-1.aspfhttp://www.emedicinehealth.com/articles/56768-1.aspfhttp://www.emedicinehealth.com/articles/10907-1.aspfhttp://www.emedicinehealth.com/articles/10907-1.aspfhttp://www.emedicinehealth.com/articles/11029-1.aspfhttp://www.emedicinehealth.com/articles/11029-1.aspfhttp://www.emedicinehealth.com/articles/30271-1.aspfhttp://www.emedicinehealth.com/articles/30271-1.aspv/ 0DArial MT Blacktt( 0"DBook Antiquacktt( 0 DMonotype Sortstt( 00DVerdana Sortstt( 0"@DTimes New Romantt( 0PDArial Blackmantt( 0"`DWingdingskmantt( 0pDPT Bold Headingtt( 0DBodoni MT Blacktt( 0 A . @n?" dd@  @@`` xpx_j  "#&'456Z[\ 0AA@f3@8LM!8ʚ;ʚ;g4CdCd(~, 0pppp@ <4dddd@w 0t( <4BdBd@x 0t`0___PPT10 pp___PPT9| ,@$&@!2@?  %<What is cholesterol? * EA  yCholesterol is a waxy, fatlike substance that is naturally present in cell walls or membranes everywhere in the body. Your body uses cholesterol to produce many hormones, vitamin D, and the bile acids that help to digest fat. If you have too much cholesterol in your bloodstream, the excess may be deposited in the arteries of the heart, which could lead to heart disease. z C GfC GC GC z  What causes high cholesterol? @! EG(C( !  Several drugs and diseases can cause high cholesterol !! however, for many people, a high-fat diet and inherited metabolic factors seem to be the main causes.  AEAE AAAE"AEAEA6E$&    0&6 ,What are the symptoms of high cholesterol? @- *G GC$ -  High cholesterol doesn t have any symptoms. The only way to know if you have high cholesterol is to have it checked, which can be done with a simple blood test, called a fasting lipoprotein profile  $$$$a$$$$$$    1 How often should I have my cholesterol checked? <2 Ef/G A 2  Government and physician-supported guidelines state that healthy adults who are aged 20 years or older should have a fasting lipoprotein profile done once every 5 years.  A$$$M$$$$    How is cholesterol checked? L EG EA  [ You may be asked to fast overnight before the test, hence its name. A fasting lipoprotein profile measures : total cholesterol, LDL ("bad") cholesterol, HDL ("good") cholesterol, and triglycerides in your blood. A cholesterol test can be done without fasting, but then only the levels of total cholesterol and HDL C ("good") can be used. PZ Pn`d` d` d` d`` `Cdfddf$  m  09 Should I only be concerned with my total chol- number? P: E6G EE&*    Just knowing your total cholesterol isn t enough. Cholesterol is made up of 2 different types: HDL C ("good") cholesterol and LDL C ("bad") cholesterol . HDL C is considered good because it helps keep LDL C ("bad") from building up in the walls of your arteries and causing blockage. You also need to know your level of triglycerides because high triglycerides also increase the risk of heart disease, especially in people with diabetes. H4 -   / % _f/O$n  . L What kinds of problems are caused by high cholesterol? RM G(fHG G(C( M High cholesterolcauses atherosclerosis (hardening of the arteries), which can lead to blocked coronary arteries, manifested by chest pain (angina) or a heart attack. Other serious problems, as blocked arteries to the brain, causing threatened stroke (transient ischemic attack) and blocked arteries in the legs, causing pain, limping, and possibly even limb loss, are possible  PWfl 4@T + ?       0C 0 0'$WWhat are the uncontrollable andcontrollable and risk factors for high cholesterol ?! X GCG CG CGG&  -  The risk factors you can t control : your age (for men, 45 years or older; for women, 55 years or older) your family history of early heart disease (for men, father or brother affected before age 55 years; for women, mother or sister affected before age 65 years). The risk factors you can control are lowering high blood cholesterol which is high total cholesterol and high LDL C ("bad"); raising HDL C ("good") cholesterol.  Z% Z Z< Z& Z  Zw ZBB FBF F=BFB@ DF F2BF BBBFB  0 (% : quitting smoking; controlling high blood pressure; controlling diabetes; losing weight if overweight/obese; and keeping physically active. If you have diabetes, your risk of heart disease is high. To reduce your risk, you will need to lower your cholesterol under the supervision of your doctor. x   f L? ; 32What the Numbers Mean 0 G(E  d Cholesterol is measured in milligrams per deciliters (mg/dL) of blood.. Desirable  Less than 200 mg/dL Borderline High Risk  200-239 mg/dL High Risk  240 mg/dL and above I Pi P PIF FBFBFB FB FBFBt:  +  $      43 z Your HDL cholesterol level will fall into 1 of 3 categories: High (Desirable)  60 mg/dL and above Acceptable  40-59 mg/dL Low  40 mg/dL and less Triglycerides A high level of trig- may be a sign of a lipoprotein problem that contributes to heart disease. Your triglyceride level will fall into 1 of 4 categories: Normal  Less than 150 mg/dL Borderline High  150-199 mg/dL High  200-499 mg/dL Very High  500 mg/dL and above BA PZ P P Pv P ?%3 7Z  "              54  LDL cholesterol is considered the  bad cholesterol. Your risk of heart disease goes up if you have a high level of LDL cholesterol in your blood. Your LDL chole- level will fall into 1of 5 categories: Optimal  Less than 100 mg/dL Near Optimal/Above Optimal  100-129mg/dl Borderline High  130-159 mg/dL High  160-189 mg/dL Very High  190 mg/dL and above F Z Z Z ZN3*  F  I         ,What can I do to prevent high cholesterol? 0- +G E - The primary prevention of high cholesterol is to adopt a healthy lifestyle. This lifestyle should include 30-60 minutes a day of exercise on most or all days of the week, a diet low in saturated fat and cholesterol, and not smoking. N _  -   N]+  # BWhen would a doctor prescribe a medication to lower cholesterol? @C @GG$fC$ C _If you have high cholesterol, the main goal of a treatment program is to lower your LDL ("bad") cholesterol level. There are 2 main ways to lower your LDL cholesterol level: 1-lifestyle changes and 2- drug treatment. Lifestyle changes include a low-saturated fat, low-cholesterol diet; exercise; and weight loss if you are overweight. Z_ ZI): |$  j  0$! z If following a healthy diet, exercising, and losing weight don t lower your risk for heart disease, then your doctor might prescribe a medication to help lower your cholesterol Even if your doctor does prescribe a medication you must still follow your healthy diet, be more physically active, stop cigarette smoking if you smoke, and control your other risk factors : (e.g., high blood pressure, diabetes) for heart disease. <Z Z ZE ZeLF%_        N5 * Thank You Best Regard's Iz ClinicB+  00 0&!   Pj!  0` i`` `(I{߶` ggg>?" dd@,?" 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