Does The Blood Report Indicate Any Abnormality?

Posted on Thu, 10 Oct 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 10 Oct 2013 Answered on

Wed, 30 Oct 2013 Last reviewed on

Question : Please refer to my blood report and guide accordingly. Also I have a regular blood pressure of 140/110 and pulse rate of 77.
DIABETES/CARDIAC RISK PROFILE,
SERUM/PLASMA :-
FASTING BLOOD GLUCOSE, PLASMA 100 mg/dL
METHOD : SPECTROPHOTOMETRIC, JAFFE'S KINETICS
CHOLESTEROL 282 mg/dL
METHOD : SPECTROPHOTOMETRIC, JAFFE'S KINETICS
TRIGLYCERIDES 170 mg/dL
CHOLESTEROL HDL 61 mg/dL
METHOD : SPECTROPHOTOMETRIC, JAFFE'S KINETICS
DIRECT LDL CHOLESTEROL 169 mg/dL
CHOL/HDL RATIO 4.6
METHOD : SPECTROPHOTOMETRIC, JAFFE'S KINETICS
LDL/HDL RATIO 2.8
VERY LOW DENSITY LIPOPROTEIN 34.0 mg/dL

Answered by Dr. Anantharamakrishnan (1 hour later)

Brief Answer:
Life style changes / BP treatment / Repeat Lab

Detailed Answer:
Hi friend,
Welcome to Health Care Magic

Triglyceride – Normal is less than 150 / Borderline-high is 150 to 199.

There are subdivisions of cholesterol – LDL, HDL and so on.
LDL ( non-HDL) is bad cholesterol – lower, the better.
HDL is good cholesterol – higher, the better.
In the absence of any other risk factor, LDL level of 100 is ideal. [130 was allowed before.] In the presence of ischemia, 70 should be the aim.

     Keep your weight to normal / even a little less
     Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week.      Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
     Repeat the test in 6 to 8 weeks.
     Cholesterol can still be high, in spite of diet and exercise – you need drugs; Because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis)
_________________________________________________________
You need treatment for the Blood pressure.
ACEI or ARB is usually the first choice ___________________________________________________________
Also go for GTT and HbA1C afterwards – when you repeat the Lipid profile
___________________________________________________________
Discuss / Follow up with your doctor

Take care
Wishing all well
God bless
Good luck

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

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