If you have high cholesterol it is likely that it is in your family medical history. Before an assessment, if possible, take time to contact primary relatives and ask them about their blood pressure, blood sugar and cholesterol. Determine if they had risk factors such as a large waist measure, were stressed, were inactive, were smokers or other lifestyle issues such as excessive alcohol consumption. LDL-cholesterol levels are directly linked to the development of atherosclerosis and its reduction is directly linked to
the reduction in cardiovascular disease events. Health behaviour modification remains a cornerstone of risk reduction*.
You can ask your MD to check your cholesterol and they will order a lipid profile for you through a lab. The Heart and Stroke Foundation has worked with medical teams to set the maximum cholesterol ranges for health in the table below. Your physician or nurse practitioner will help you determine your risk for cardiovascular disease with your family medical history, blood levels of cholesterol, your history of diabetes if any, blood pressure, body weight and lifestyle factors. The dietitians at nutritionassessment.com can help with the lifestyle factors that will help lower your cholesterol and blood pressure.
Your physician or Nurse will calculate risk (unless statin-indicated condition) using the Framingham Risk Score (FRS)✝ or Cardiovasular Life Expectancy Model (CLEM)✝ Repeat screening every 5 years for FRS <5% or every year for FRS ≥5%
Diet and exercise will be suggested first and medications may be used with the following. If the FRS is 10-19% risk and LDL-C ≥3.5 mmol/L or Non-HDL-C ≥4.3 mmol/L or Apo B ≥1.2 g/L or Men ≥50 and women ≥60 with one additional risk factor: low HDL-C, impaired fasting glucose, high waist circumference, smoker, hypertension*.
*Canadian Cardiovascular Society Guidelines, Anderson, Todd J. et al. 2016 CCS Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in the Adult. Can J Cardiol , 2016;32;11:1263 – 1282