What is the goal LDL for a diabetic?
What is the goal LDL for a diabetic?
The American Diabetes Association (ADA) standards of care for diabetes state that statin therapy should be initiated in individuals with diabetes and other cardiovascular risk factors with a target LDL cholesterol of <100 mg/dl.
Does diabetes affect HDL levels?
The American Heart Association (AHA) states that diabetes often lowers HDL (good) cholesterol levels and raises triglycerides and LDL (bad) cholesterol levels. Both of these increase the risk for heart disease and stroke.
Do Diabetics have high HDL?
Diabetes is associated with quantitative changes in the amount of circulating lipids – notably an increase in triglycerides, elevated LDL and a reduction in HDL. Like other lipoproteins, HDL also undergoes significant qualitative changes in diabetes, in both structure and function.
What is the goal level for HDL?
HDL cholesterol levels HDL under 40 is considered poor and a risk factor for heart disease in men and women. HDL goal for men is 40 or higher and reaching this is considered to be good. HDL goal for women is 50 or higher and reaching this is considered to be good.
What is a good LDL and HDL level mg dl LDL HDL?
Men age 20 or older:
Type of Cholesterol | Healthy Level |
---|---|
Total Cholesterol | 125 to 200mg/dL |
Non-HDL | Less than 130mg/dL |
LDL | Less than 100mg/dL |
HDL | 40mg/dL or higher |
What is the optimal goal for LDL cholesterol?
The optimal guideline level of LDL cholesterol is less than 100 mg/dl. Research from the Cleveland Clinic (REVERSAL study) compared two cholesterol lowering drugs (pravastatin and atorvastatin) and found that lower levels of LDL, as low as 60 mg/dl had better outcomes.
Does low HDL mean diabetes?
Low high-density lipoprotein cholesterol (HDL-C) is one of the hallmarks of diabetic dyslipidemia and is also regarded as a risk factor for developing diabetes (1).
What causes low HDL in diabetics?
The precise cause of the low HDL-C in type 2 diabetes is not known but may be the consequence of insulin resistance, augmented very low density lipoprotein production and increased activities of cholesteryl ester transfer protein (CETP) and endothelial lipase.
What is considered optimal levels for LDL and HDL?
What is the goal LDL C and non HDL for this patient?
The treatment goal for non-HDL-C is 30 mg/dL above the LDL-C treatment target. For example, if the LDL-C treatment goal is <70 mg/dL, the non-HDL-C treatment target would be <100 mg/dL in a patient who has acute coronary syndrome (ACS) and a concomitant triglyceride level >200 mg/dL.
What are the LDL cholesterol goal values for patients with diabetes?
Low density lipoprotein (LDL cholesterol) goal values: Less than 70 mg/dL for those with heart or blood vessel disease and for other patients at very high risk of heart disease (those with metabolic syndrome) Less than 100 mg/dL for high risk patients (for example: some patients who have diabetes or multiple heart disease risk factors)
What is the ADA guideline for LDL cholesterol?
Guideline 2.a – ADA: Patients with diabetes and no cardiovascular disease LDL Cholesterol Level to initiate therapeutic Lifestyle changes: Greater than 100 mg/dL LDL Cholesterol Level to initiate Pharmacologic therapy: Greater than 100 mg/dL (If lifestyle modification is inadequate)
What is the recommended range for non-HDL cholesterol?
‡— Current guidelines suggest that in patients with triglyceride levels of at least 200 mg per dL (2.26 mmol per L), the non-HDL cholesterol level be used (total cholesterol level minus HDL cholesterol level). The goal is 130 mg per dL (3.35 mmol per L) or less.
What is the ldldl level for pharmacologic therapy?
LDL Cholesterol Level to initiate Pharmacologic therapy: Greater than 100 mg/dL (Initiated simultaneously with lifestyle intervention in patients with diabetes and clinical cardiovascular disease) Excess fat is stored as adipose tissue and contributes to obesity. Excess fat (i.e. obesity) is a risk factor for type-2-diabetes.