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Winter - Augusta Health

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On the level<br />

What your cholesterol levels mean—and how to control them<br />

like high blood pressure, unheAlthy levels of<br />

cholesterol hAve A WAy of doing their dAmAge Without<br />

Any WArning signs thAt something’s Amiss. So unless<br />

you’ve been tested to find out your<br />

levels, you may not even know your<br />

cardiovascular system is at risk for<br />

narrowed arteries, heart attacks or<br />

other ailments.<br />

Experts recommend adults get<br />

a simple blood test called a lipid<br />

panel—which measures your total<br />

RODNEy GRABER, MD<br />

cholesterol, good HDL cholesterol,<br />

bad LDL cholesterol and triglycerides—beginning at age 20<br />

and repeating about every five years (or more frequently if<br />

your numbers are off).<br />

But what numbers are you aiming for?<br />

the numbers game<br />

“ideally, you want your total cholesterol levels to be less than<br />

200 mg/dL,” says <strong>Augusta</strong> <strong>Health</strong> cardiologist Rodney Graber,<br />

MD. But total cholesterol only offers one part of the picture:<br />

your HDL cholesterol, which removes excess cholesterol<br />

from the bloodstream and keeps it from accumulating on<br />

blood vessel walls, should be at least 50 to 60 mg/dL.<br />

your LDL cholesterol should be less than 100 mg/dL, or<br />

less than 70 mg/dL if you have heart disease or are at risk<br />

for it.<br />

triglycerides—another type of blood fat—should measure<br />

below 150 mg/dL.<br />

20 <strong>Health</strong>Matters Fall 2012<br />

taking charge<br />

Cholesterol control typically starts with lifestyle measures,<br />

such as quitting smoking, losing excess pounds, cutting back<br />

on bad fats, concentrating on good fats (monounsaturated<br />

and polyunsaturated) and incorporating more whole grains<br />

into your diet, in addition to more frequent exercise. “Then i<br />

bring them back in after three months and see how they’re<br />

doing,” Dr. Graber says.<br />

if improvements aren’t seen or aren’t significant,<br />

medications such as statins are usually the next step. These<br />

drugs not only lower cholesterol to healthier levels but also<br />

stabilize existing cholesterol buildup (or plaque) and keep it<br />

from rupturing, Dr. Graber says.<br />

cholesterol type ideal levels<br />

Total cholesterol Less than 200 mg/dL<br />

HDL (good) cholesterol 50-60 mg/dL or higher<br />

LDL (bad) cholesterol Less than 100 mg/dL<br />

Triglycerides Less than 150 mg/dL<br />

get healthY!<br />

dr. graber’s practice, <strong>Augusta</strong> health cardiology,<br />

is located at 70 medical center drive, suite 107 in<br />

fishersville, on the <strong>Augusta</strong> health campus. for<br />

more information or to schedule an appointment,<br />

call (540) 332-4278.

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