Cholesterol Congestion

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Cholesterol Congestion"

Transcription

1 Cholesterol Congestion How your blood cholesterol traffic is measured The odds of getting cardiovascular disease are very high; it is the main cause of death in the US and more than one in four Americans dies from this disease according to the CDC. Measurement of your cholesterol levels will provide you and your doctor with the necessary data to assess your risk for cardiovascular disease says Kim Birtcher, Clinical Associate Professor at the Department of Clinical Sciences and Administration, University of Houston. 1 You ve probably heard that there is good and bad cholesterol, and your doctor will usually measure both. However, do we know which type of cholesterol is the best to predict your risk of heart disease? Cholesterol, why it s good and can be bad With the 155 billion dollar fast food industry 2 making Double Quarter Pounders with Cheese available at every street corner (filling you up with 19 grams of saturated fat, almost the maximum amount you are allowed to eat all day), it s no surprise that one in six Americans have high cholesterol. 3 Cholesterol itself is not good or bad. Cholesterol is a useful and even essential substance in our bodies. says Martijn Katan, Professor of Nutrition at VU University, Amsterdam. You need cholesterol to build cell membranes, to make sex hormones and vitamin D, and without it you wouldn t be able to eat fats at all: cholesterol is a part of bile, which helps digest and absorb fats and fat soluble vitamins in the intestine. However, too much of anything is usually a bad thing. From the Framingham Heart Study, a prospective cohort study among 5,209 man and women in Framingham Massachusetts dating back all the way to 1948, we have learned that high cholesterol is one of the factors that increase risk of heart disease. You can best compare the total cholesterol in your bloodstream to traffic on the roads says Martijn Katan, Professor of Nutrition at VU University, Amsterdam. Too much traffic will lead to traffic jams and can cause your arteries to clog up with cholesterol and eventually result in a heart attack. explains Katan. Your total cholesterol is not the only measurement in a typical check up you get at the doctor s office; LDL cholesterol, HDL cholesterol and triglycerides are also measured as part of a lipid panel or lipoprotein profile, which we will explain more about later. There has been some discussion about which of these common measurements is the most accurate tool in telling you how high your risk of heart disease is. We ve taken the time to find out for you what all these cholesterol measurements mean, and how they can help estimate your risk. Before we dive into the numbers, let s go through the different types of cholesterol.

2 Total cholesterol Your total cholesterol assesses all the cholesterol in your blood and is the easiest value to measure. Since cholesterol is a waxy lipid that does not dissolve in blood plasma, it must be packaged and transported in blood within packets of protein and lipid, called lipoproteins says Frank Sacks, Professor of Cardiovascular Disease Prevention, Department of Nutrition at Harvard School of Public Health. You might recognized some of these lipoproteins by the names of High Density Lipoprotein (HDL), Low Density Lipoprotein (LDL) and Very Low Density Lipoproteins (VLDL). Total cholesterol is the sum of all these cholesterol packages. Total cholesterol is measured as the sum of cholesterol carried in HDL, LDL, and VLDL. It s a cheap test, and usually the first thing your doctor looks at. However, it measures both the good and the bad cholesterol, and that s where the confusion starts. The good About 20% 30% of your cholesterol is transported in HDL, one of the protein packages that carries cholesterol through your blood. HDL can best be compare to the traffic police and tow trucks, who make sure that traffic jams are solved, and cars with car trouble are removed says Katan. The more police and tow trucks on the streets, the better the traffic will flow, and the cleaner the streets. That is why we call HDL cholesterol the good cholesterol. The numbers at a glance Total Cholesterol Level Less than 200 mg/dl Category Desirable 200 to 239 mg/dl Borderline high 240 mg/dl and above High blood cholesterol. A person with this level has more than twice the risk of coronary heart disease as someone whose cholesterol is below 200 mg/dl. HDL Cholesterol Level Less than 40 mg/dl (for men) Less than 50 mg/dl (for women) Category Low HDL cholesterol, at risk for heart disease. 6 0 mg/dl and above High HDL cholesterol, protective of heart disease. LDL Cholesterol Level Less than 100 mg/dl Category Optimal 100 to 129 mg/dl Near or above optimal 130 to 159 mg/dl Borderline high 160 to 189 mg/dl High 190 mg/dl and above Very high National Cholesterol Education Program (NCEP) guidelines HDL cholesterol in your blood directly counteracts the harmful effects of LDL cholesterol says Walter Willett, John Fredric Stare Professor at Harvard School of Public Health. Let s see what harm this LDL cholesterol can do.

3 The bad LDL cholesterol makes up 60% 70% of your blood cholesterol. LDLcholesterol can be compared to the cars that are clogging the streets. explains Katan. Too much LDL cholesterol is a large independent risk factor for heart disease. That is because cholesterol in LDL, reflects the cholesterol that is potentially going into the walls of the artery says Sacks. 4 LDL cholesterol is not measured directly. It is calculated from your total cholesterol, HDL cholesterol and triglyceride levels another marker in your blood that is related to heart disease. VLDL is the precursor for LDL, and contains much less cholesterol, about 10% 15% of the total cholesterol, but also contains some triglycerides the form in which fatty acids occur in your food, and these are also a risk factor for heart disease. Cholesterol out of proportion All of these predictors of heart disease contain useful information about your health. However, some other estimates have been developed that combine individual cholesterol levels together, such as the total cholesterol to HDL cholesterol ratio, also called total:hdl cholesterol, the LDL:HDLcholesterol ratio, or non HDL cholesterol. These summarized values combine information contained in more than one cholesterol value. Explains William Castelli, M.D. and researcher of the Framingham Heart Study. From analyses in our study we have found that the ratios are useful expressions for combining cholesterol information and are strong predictors of coronary heart disease. 5 Some evidence exists that these summary estimates of cholesterol predict the risk of heart disease better, than the individual values. The total:hdl cholesterol and LDL:HDL cholesterol ratios for example, are measures for the proportion of bad cholesterol in your blood, in one value. In a study among 3641 men in the Lipid Research Clinics Coronary Primary Prevention Trial the researchers found that changes in total:hdl and LDL:HDL ratios were better predictors of risk for coronary heart disease than changes in LDL cholesterol levels alone 6 Especially for people with high triglycerides, such as type 2 diabetics, the individual lipoproteins may not be such good predictors of heart disease. Because LDL cholesterol is measured indirectly trough triglycerides. High triglyceride levels might obscure your LDL cholesterol measurement. This has been confirmed in a study among 2099 diabetic participants of the Strong Heart Study, where the ratios of total:hdl cholesterol, and LDL:HDL cholesterol had higher accuracy for predicting coronary heart disease than HDL and LDL cholesterol alone says author of this paper Dongsheng Hu, MD, MPH at Washington Hospital Center, Washington, DC. 7 Let s ask the people from the National Cholesterol Education Program, who set the national recommendations for cholesterol testing and management. Their Expert Panel recommends that in persons with high triglycerides ( 200 mg/dl), VLDL cholesterol should be combined with LDL cholesterol, yielding non HDL cholesterol. Non HDL cholesterol is another handy tool to measure the absolute values (compared with the relative values in ratios) of all the bad cholesterol in LDL and VLDL. 8

4 But where to begin with this overload of cholesterol values. Are they any use for you as someone who just wants to know if their healthy? Your personal risk assessment Measuring cholesterol alone does not give you the big picture. Your age, gender, smoking habits, blood pressure and use blood pressure reducing medicine also affect your personal risk. So when doctor tells you that your risk of getting heart disease is 1 in 10, then he is probably using the Framingham Risk Score. This score has been developed from data in the Framingham Heart Study and can calculate how large your risk is to get heart disease in the next 10 years. Your doctor puts these values in a formula to accurately estimate your risk of getting a heart attack or dying from heart disease in the next 10 years. 9 However, when you are 20 years old, your chances of getting a heart attack in the next 10 years are very low. That is why Dr. Michael Pencina from the Framingham Heart Study and his colleagues have estimated a 30 year risk score. This new tool Pencina says, might increase the number of people who adopt a healthy lifestyle. When they hear that their risk is 1 in 8 for the next 30 years, instead of 1 in 50 in the next 10 years, they might take action to improve their health. 10 Since you now know all there is to know about cholesterol values, you might want to know how you can beat the odds of getting heart disease. That s what we ll talk about next. Resolving the cholesterol jam It does not stop with estimating your heart disease risk. If you have high cholesterol levels, then you need effective treatment to reduce these levels. And that s where these absolute values come in handy. Katan and colleagues evaluated the effects of individual fatty acids on measurements such as total:hdl cholesterol and other cholesterol levels. In a meta analysis of 60 controlled trials they found that replacement of carbohydrates with any class of fatty acids decreased triglyceride levels. That is a bad thing. This is one reason why measuring LDL cholesterol by itself will not be sufficient to see if the healthy dietary changes would have an effect. But the total:hdl cholesterol ratio might also not be the ideal measurement since substitution of saturated fat for carbohydrate results in increases in HDL cholesterol, with no net effect on the total:hdlcholesterol ratio explains Katan. These are just some of the reasons, that we should not focus too much on one measurement alone. 11 According to Katan, the evidence for using the total: HDL cholesterol ratio is not complete: The use of total:hdl cholesterol implies that diet induced How do foods affect cholesterol levels? "The cholesterol in your food doesn't directly become cholesterol in your bloodstream. Rather, the fats in your foods stimulate your body to produce cholesterol. Different kinds of fat produce different kinds of cholesterol. says Willett. It s the type of fat, not the total amount of fat, is what's important for having a good balance of the types of cholesterol in the blood. Saturated fats, the type you can find in meats and full fat dairy products increase your LDLcholesterol, so cut back on those. Even worse are trans fats, also called partially hydrogenated fats on the ingredient list. Trans fats raise bad LDL and lower good HDLcholesterol explains Willett. But don t cut out all fats! "When people are told to get all the fat out of their diets and eat carbohydrates instead, they will lower their HDL and raise their triglycerides." Willett says.

5 decreases in HDL cholesterol increase heart disease risk. Such a causal role for diet induced changes in HDL cholesterol has not been proven in controlled clinical trials argues Katan. However, results of prospective observational studies, controlled clinical trials with drugs, mechanistic studies, and genetic experiments of nature all strongly suggest that high concentrations of HDL cholesterol in the circulation help to prevent cardiovascular disease. More studies should be done before we can use any of these combined values by itself. By measuring the effects of foods on cholesterol, we are still not sure whether they increase the risk of heart disease. Katan warns that the favorable effects on the total:hdl cholesterol ratio by coconut fat do not exclude the possibility that coconut fat may promote heart disease through other pathways. So don t fill yourself up with coconut fat just yet. To know for sure, we have to do randomized controlled trials on the effects of foods on heart disease, which are very expensive, and almost impossible to conduct. 11 For epidemiological research on the effects of foods on cholesterol levels in large groups of people, these summary statistics might be very useful, and sometimes even better than the individual measurements. When you go check your cholesterol levels at your doctor s office, however, the American Heart Association recommends using the absolute numbers for the different types of cholesterol. For treatment purposes, it's more important to know absolute numbers for all your cholesterol levels including HDL, LDL and total cholesterol than to know ratios. Says Thomas Behrenbeck, M.D., Ph.D and cardiologist at the Mayo Clinic. This is because HDL cholesterol and LDL cholesterol both affect your heart disease risk, and treatment may be directed at improving both. 12 The bottom line According to the experts from the National Cholesterol Education Program report, all adults aged 20 years or older, should have their cholesterol checked every 5 years. This measurements should include total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. 13 Knowing the absolute values is key: if either one of these values is high (or HDL is too low), your doctor will discuss ways to improve your levels and reduce your risk of heart disease. To lower your cholesterol and beat the odds of heart disease you can: cut back on saturated fat and dietary cholesterol, lose or avoid gaining weight, and exercise. That s nothing new, we suppose. 1. Circulation. 2004; 110: e296 e food quick service restaurants/ html opinion/sacks_07.08/index.php 5. Circulation. 1983;67: J Investig Med Oct;43(5): Ann Epidemiol Feb;12(2): Circulation. 1998;97:

6 10. Circulation.2009; 119: Am J Clin Nutr 2003;77: Your Cholesterol Levels Mean_UCM_305562_Article.jsp 13.

Saturated Fat Hypothesis: Fact or Fiction

Saturated Fat Hypothesis: Fact or Fiction Saturated Fat Hypothesis: Fact or Fiction By Dr. Gerald P. McNeill May 2014 In the 1950 s nutrition scientists proposed that a growing epidemic of heart disease in the USA was related to a high intake

More information

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio is designed for the workplace looking for a single, comprehensive set of tests that establish baseline laboratory values for wellness and disease management programs. The Test Package describes the normal

More information

Blood clot in atheroma. help make vitamin D and hormones, like oestrogen and testosterone, in your body.

Blood clot in atheroma. help make vitamin D and hormones, like oestrogen and testosterone, in your body. CHOLESTEROL This factsheet explains what cholesterol is and why too much cholesterol in your blood is harmful. It also provides information regarding cholesterol testing and tips to help reduce your blood

More information

How to Prevent Heart Disease

How to Prevent Heart Disease How to Prevent Heart Disease Introduction Heart disease is the leading cause of death worldwide. You can reduce your risk of heart disease with healthy habits. This reference summary explains heart disease

More information

Understanding and Managing Your. Triglycerides

Understanding and Managing Your. Triglycerides Understanding and Managing Your Triglycerides What are Triglycerides? There are several types are one of several types of fat in your body, and triglycerides are the most common. Along with LDL ( bad )

More information

Sinclair Community College, Division of Allied Health Technologies

Sinclair Community College, Division of Allied Health Technologies Sinclair Community College, Division of Allied Health Technologies Health Promotion for Community Health Workers Cardiovascular disease, stroke, and cancer Class #5 High Blood Cholesterol (date) Course

More information

Very High Triglycerides

Very High Triglycerides Understanding Very High Triglycerides For more information, visit CardioSmart.org/VHTG Understanding Very High Triglycerides Keeping track of your cholesterol is a very good idea. That s also true for

More information

Nutrition: Knowing Your Total Cholesterol

Nutrition: Knowing Your Total Cholesterol Nutrition: Knowing Your Total Cholesterol A number of factors can increase your risk for coronary heart disease. To make an accurate assessment your doctor will determine your lipid profile, overall health,

More information

YOUR GUIDE TO. Managing and Understanding Your Cholesterol Levels

YOUR GUIDE TO. Managing and Understanding Your Cholesterol Levels YOUR GUIDE TO Managing and Understanding Your Cholesterol Levels Our goal at the Mercy Health Heart Institute is to help you be well. Our experienced team includes cardiologists, cardiovascular surgeons,

More information

HANDBOOKS for HEALTH MANAGING CHOLESTEROL

HANDBOOKS for HEALTH MANAGING CHOLESTEROL HANDBOOKS for HEALTH MANAGING CHOLESTEROL WELCOA s Handbooks for Health target health problems that need the most attention. EDUCATE YOUR EMPLOYEES WELCOA s Handbooks for Health target health problems

More information

CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE

CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE What is Cholesterol? What s wrong with having high cholesterol? Major risk factor for cardiovascular disease Higher the cholesterol higher the

More information

my Complete Cholesterol Profile and Action Plan

my Complete Cholesterol Profile and Action Plan my Complete Cholesterol Profile and Action Plan Your healthcare provider, along with this brochure, can help you better understand your Complete Cholesterol Profile, which may help you improve your cholesterol

More information

Lower LDL Cholesterol

Lower LDL Cholesterol Key #6 Lower LDL Cholesterol Understanding LDL Cholesterol LDL stands for low-density lipoproteins. Lipoproteins are molecules that carry fats around the body. LDL is sometimes referred to as lousy or

More information

Cholesterol - New Guidelines and Treatment Protocols

Cholesterol - New Guidelines and Treatment Protocols Cholesterol - New Guidelines and Treatment Protocols By: James L. Holly, MD The New Year brings new opportunities to improve our health. Many of us receive gifts which we can't use because there's too

More information

Cholesterol for Your Health. Things that you will learn from reading through this packet include:

Cholesterol for Your Health. Things that you will learn from reading through this packet include: Page 1 of 6 PHA-GEN-003-2004 Cholesterol for Your Health Things that you will learn from reading through this packet include: What the fuss about cholesterol and other lipids is all about What the risk

More information

Health Maintenance: Controlling Cholesterol

Health Maintenance: Controlling Cholesterol Sacramento Heart & Vascular Medical Associates February 18, 2012 500 University Ave. Sacramento, CA 95825 Page 1 What is cholesterol? Cholesterol is a fatty substance. It has both good and bad effects

More information

Cardiovascular Disease Risk Factors

Cardiovascular Disease Risk Factors Cardiovascular Disease Risk Factors Risk factors are traits and life-style habits that increase a person's chances of having coronary artery and vascular disease. Some risk factors cannot be changed or

More information

High Blood Cholesterol What you need to know

High Blood Cholesterol What you need to know National Cholesterol Education Program High Blood Cholesterol What you need to know Why Is Cholesterol Important? Your blood cholesterol level has a lot to do with your chances of getting heart disease.

More information

NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. Control Your Cholesterol: Keep Your Heart Healthy

NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE. Control Your Cholesterol: Keep Your Heart Healthy V O L U M E 5, N U M B E R 8 V O L U M E 5, N U M B E R 8 Health Bulletin NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE #42 in a series of Health Bulletins on issues of pressing interest to all

More information

Blood Pressure Weight BMI. Numbers KNOW YOUR LDL/HDL. Triglycerides. holesterol

Blood Pressure Weight BMI. Numbers KNOW YOUR LDL/HDL. Triglycerides. holesterol Blood Pressure Weight BMI Blood Sugar KNOW YOUR holesterol LDLHDL Numbers Triglycerides Your health truly is the most important thing in your life. Knowing your medical history and getting annual checkups

More information

High Cholesterol (Hyperlipidemia)

High Cholesterol (Hyperlipidemia) High Cholesterol (Hyperlipidemia) My cholesterol medication is: The directions are: In recent years, powerful new drugs have been developed to reduce cholesterol in your blood, thereby reducing your risk

More information

CHOLESTEROL 101: WHAT YOU NEED TO KNOW TO KEEP YOUR HEART HEALTHY. By: Camille Quiles, PharmD., RPh.

CHOLESTEROL 101: WHAT YOU NEED TO KNOW TO KEEP YOUR HEART HEALTHY. By: Camille Quiles, PharmD., RPh. CHOLESTEROL 101: WHAT YOU NEED TO KNOW TO KEEP YOUR HEART HEALTHY By: Camille Quiles, PharmD., RPh. WHAT IS CHOLESTEROL? CHOLESTEROL Waxy, fat-like substance found in all cells of the body Your body uses

More information

Diabetes and Heart Disease

Diabetes and Heart Disease Diabetes and Heart Disease BAYER HEALTH FACTS EASY ACCURACY. ANSWERED BY BAYER. American Association of Diabetes Educators DIABETES AND HEART DISEASE Diabetes raises your risk of getting heart disease

More information

YOUR GUIDE TO. Lowering The Risk of Heart Attack and Stroke

YOUR GUIDE TO. Lowering The Risk of Heart Attack and Stroke YOUR GUIDE TO Lowering The Risk of Heart Attack and Stroke The Mercy Health Heart Institute team is focused on helping you keep your heart healthy. As part of this effort, it s important for you to know

More information

Shared Decision Making

Shared Decision Making Deciding what to do about high cholesterol This short decision aid is to help you decide what to do about your high cholesterol. You can use it on your own, or with your doctor, to help you make a decision

More information

2/19/2013. Omega-6, Omega-3 and Omega-9 Fatty Acids: All Good for the Heart?

2/19/2013. Omega-6, Omega-3 and Omega-9 Fatty Acids: All Good for the Heart? Omega-6, Omega-3 and Omega-9 Fatty Acids: All Good for the Heart? Professor of Medicine Sanford School of Medicine University of South Dakota President OmegaQuant, LLC Sioux Falls, SD Senior Research Scientist

More information

HEART HEALTH Tips for Keeping Cholesterol in Check

HEART HEALTH Tips for Keeping Cholesterol in Check HEART HEALTH Tips for Keeping Cholesterol in Check The human heart is amazing. In a day, it beats over 100,000 times & pumps 2,000 gallons of blood throughout the body. Although you cannot control your

More information

Cholesterol made simple!

Cholesterol made simple! Cholesterol made simple! Cholesterol is the biggest risk factor for heart disease and also increases your risk of stroke and circulatory disease - Heart UK The Cholesterol Charity What is Cholesterol and

More information

Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome:

Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome: Metabolic Syndrome By Seth Bilazarian, MD, FACC, FSCAI, RPVI Clinical and Intervential Cardiologist What is the Metabolic Syndrome? The Metabolic Syndrome is a collection of five problems that greatly

More information

Preventing Heart Disease

Preventing Heart Disease Preventing Heart Disease Debra Krummel, PhD, RDN, FAND 3/4/16 1 Risk Factors Modifiable Dyslipidemia High LDL-C Low HDL-C Elevated triglycerides Hypertension Diabetes Obesity Dietary factors Sedentary

More information

High Cholesterol Frequently Asked Questions (FAQ)

High Cholesterol Frequently Asked Questions (FAQ) High Cholesterol Frequently Asked Questions (FAQ) What is Cholesterol? LDL and HDL Cholesterol: What's Bad and What's Good? What Can Cholesterol Do? What is Atherosclerosis? How does atherosclerosis start?

More information

Take control of your health: Improve your cholesterol level

Take control of your health: Improve your cholesterol level Take control of your health: Improve your cholesterol level Health Education and Promotion Program MP-HEP-PPT-700-01-020514-E 2015, MMM Healthcare, LLC - PMC Medicare Choice, LLC Reproduction of this material

More information

Health Passport. Your Journey to Wellness. Health Fair ID#

Health Passport. Your Journey to Wellness. Health Fair ID# Health Passport Your Journey to Wellness Health Fair ID# Body Mass Index What is BMI? Your body mass index, or BMI, shows the amount of fat in your body. BMI is calculated using height, weight, and waist

More information

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Thomas B. Kuhn: University of Alaska, Cereon Biotechnology LLC This document is protected by copyright Dr. Thomas B. Kuhn

More information

I The THREE types of LIPIDS

I The THREE types of LIPIDS LECTURE OUTLINE Chapter 5 The Lipids: Fats, Oils, Phospholipids and Sterols I The THREE types of LIPIDS A. Triglycerides (fats & oils)- the MAJOR type of lipid in food and humans. 1. 2 parts of triglyceridesa)

More information

Lipid & Fat: Overview

Lipid & Fat: Overview Lipid & Fat: Overview What is a lipid? Triglycerides, phospholipids and sterols Triglycerides = Fat Saturated & unsaturated Essential fatty acids ü Omega 3 & Omega 6 Trans fat Why do you need fat? How

More information

Cholesterol and Triglycerides What You Should Know

Cholesterol and Triglycerides What You Should Know Cholesterol and Triglycerides What You Should Know Michael T. McDermott MD Professor of Medicine Endocrinology Practice Director Division of Endocrinology, Metabolism and Diabetes University of Colorado

More information

Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012

Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012 Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012 In 2002, SETMA began a relationship with Joslin Diabetes

More information

Diabetes and Stroke. Understanding the connection between diabetes and the increased risk of stroke

Diabetes and Stroke. Understanding the connection between diabetes and the increased risk of stroke Diabetes and Stroke Understanding the connection between diabetes and the increased risk of stroke Make the Connection Almost 26 million people in the U.S. roughly 8 percent of the population have diabetes.

More information

What You Need to Know about High Blood Cholesterol

What You Need to Know about High Blood Cholesterol What You Need to Know about High Blood Why is high cholesterol bad? is a natural substance found in our diet and made by our liver. It is important for many functions throughout our body. High blood cholesterol

More information

NUTS! The Story of My Life. Prof. Joan Sabaté Department of Nutrition Loma Linda University

NUTS! The Story of My Life. Prof. Joan Sabaté Department of Nutrition Loma Linda University NUTS! The Story of My Life Prof. Joan Sabaté Department of Nutrition Loma Linda University Dr. Joan Sabate Chair, Nutrition, School of Public Health, Loma Linda University CA From Spain, Dr. Sabaté is

More information

Section 1: Section 2: Section 3: Section 4. What s next!?... 9

Section 1: Section 2: Section 3: Section 4. What s next!?... 9 0 Section 1:... 2 Your Introduction to Cholesterol...2 Cholesterol Facts Important to You... 3 Understanding the Terminology... 3 Section 2:... 4 Understanding Your Cholesterol Numbers...4 A lipoprotein

More information

Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high.

Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high. Diseases and Conditions High cholesterol Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high. By Mayo Clinic Staff

More information

Concerned about cholesterol?

Concerned about cholesterol? Concerned about cholesterol? Discover the new foods that are clinically proven to lower cholesterol by up to 15% You re right to be concerned. Cholesterol can cause heart disease. Cholesterol plays a key

More information

Do You Know The Important Risk Factor and Fitness Assessment Numbers? Jonathan N. Mike M.S. and Len Kravitz, Ph.D.

Do You Know The Important Risk Factor and Fitness Assessment Numbers? Jonathan N. Mike M.S. and Len Kravitz, Ph.D. Do You Know The Important Risk Factor and Fitness Assessment Numbers? Jonathan N. Mike M.S. and Len Kravitz, Ph.D. Introduction One of the principal areas of concern for exercise professionals is assessing,

More information

MY TYPE 2 DIABETES NUMBERS

MY TYPE 2 DIABETES NUMBERS BLOOD SUGAR MANAGEMENT GUIDE MY TYPE 2 DIABETES NUMBERS Understanding and Tracking the ABCs of Type 2 Diabetes 1 BLOOD MY TYPE SUGAR 2 DIABETES MANAGEMENT ABC NUMBERS GUIDE When you have type 2 diabetes,

More information

High Cholesterol (Dyslipidemia)

High Cholesterol (Dyslipidemia) High Cholesterol (Dyslipidemia) What is high cholesterol? Cholesterol is a type of fat that is found in every cell in the body. It is used to build healthy cells and some vital hormones. High levels of

More information

Statins, healthy diet and cholesterol. January 2014

Statins, healthy diet and cholesterol. January 2014 Position Statement Statins, healthy diet and cholesterol January 2014 Recent media coverage claiming that high cholesterol does not cause heart disease, and also questioning the benefits of using statins

More information

Protein Intake in Potentially Insulin Resistant Adults: Impact on Glycemic and Lipoprotein Profiles - NPB #01-075

Protein Intake in Potentially Insulin Resistant Adults: Impact on Glycemic and Lipoprotein Profiles - NPB #01-075 Title: Protein Intake in Potentially Insulin Resistant Adults: Impact on Glycemic and Lipoprotein Profiles - NPB #01-075 Investigator: Institution: Gail Gates, PhD, RD/LD Oklahoma State University Date

More information

Know Your Numbers. The Five-Point Plan

Know Your Numbers. The Five-Point Plan The Five-Point Plan Know Your Numbers 2 My husband didn t even know he had diabetes until he had a heart attack. Lupe Ontiveros Actress on Desperate Housewives 13 What does it mean to Know Your Numbers?

More information

Nutrition and Health Info-Sheet F o r H e a l t h P r o f e s s i o n a l s

Nutrition and Health Info-Sheet F o r H e a l t h P r o f e s s i o n a l s Nutrition and Health Info-Sheet F o r H e a l t h P r o f e s s i o n a l s Produced by Erin Digitale, PhD Cristy Hathaway, BS Sheri Zidenberg-Cherr, PhD Karrie Heneman, PhD UC Cooperative Extension Center

More information

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Thomas B. Kuhn: University of Alaska, Cereon Biotechnology LLC This document is protected by copyright Dr. Thomas B. Kuhn

More information

Heart-Healthy Peanuts

Heart-Healthy Peanuts Oil Roasted Salted Peanuts Now Certified by American Heart Association as Heart-Healthy Even Salted Peanuts Can Be Low in Sodium Meeting Criteria for 140 mg of Sodium Per Serving Oil roasted salted peanuts

More information

Blood Cholesterol and Heart Disease What is Cholesterol? LDL "Bad" VS HDL "Good" Cholesterol: What s the Difference?

Blood Cholesterol and Heart Disease What is Cholesterol? LDL Bad VS HDL Good Cholesterol: What s the Difference? www.nutrasal.com Blood Cholesterol and Heart Disease In the United States, heart disease is the number one killer of both men and women. In fact, heart related ailments cause more deaths than do cancer,

More information

Diabetes Passport. Your Journey to Wellness

Diabetes Passport. Your Journey to Wellness Diabetes Passport Your Journey to Wellness This Diabetes Passport will help you track your health in 4 key areas for people living with diabetes: Body Mass Index Blood Sugar (Blood Glucose) Blood Cholesterol

More information

Cholesterol and your health

Cholesterol and your health Cholesterol and your health Understanding cholesterol What is cholesterol? Cholesterol is a waxy, fatlike substance found in the blood and in all the cells of your body. Your body makes all the cholesterol

More information

Pantesin Effective support for heart healthy cholesterol levels*

Pantesin Effective support for heart healthy cholesterol levels* Pantesin Effective support for heart healthy cholesterol levels* { Pantesin Effective support for heart healthy cholesterol levels* Many health-conscious adults keeping a watchful eye on their cholesterol

More information

DIETARY FAT BALANCING NUTRITION WITH FLAVOR AND VERSATILITY

DIETARY FAT BALANCING NUTRITION WITH FLAVOR AND VERSATILITY DIETARY FAT BALANCING NUTRITION WITH FLAVOR AND VERSATILITY Proud to be certified by the American Heart Association s Heart-Check Food Certification Program. Heart-Check Food Certification does not apply

More information

HEMOGLOBIN Hemoglobin measures the protein found in a red blood cell. It contains iron and carries oxygen from lungs to body tissues.

HEMOGLOBIN Hemoglobin measures the protein found in a red blood cell. It contains iron and carries oxygen from lungs to body tissues. WBC 4.00-10.50 WBC measures the total number of white blood cells in a given volume of blood. Since white blood cells kill bacteria, this count is a measure of the body s response to infection. In general,

More information

An Overview and Guide to Healthy Living with Type 2 Diabetes

An Overview and Guide to Healthy Living with Type 2 Diabetes MEETING YOUR GOALS An Overview and Guide to Healthy Living with Type 2 Diabetes MEETING YOUR GOALS This brochure was designed to help you understand the health goals to live a healthy lifestyle with type

More information

You may continue to use your old manuals by writing in the detailed changes below:

You may continue to use your old manuals by writing in the detailed changes below: STANFORD PATIENT EDUCATION RESEARCH CENTER: CHANGES TO THE DSMP LEADER MANUAL (2012 version to the 2015 version) Stanford has corrected the DSMP manuals with the new ADA guidelines. Call- out icons and

More information

This is a podcast from Clinical Chemistry, sponsored by the Department of Laboratory Medicine at Boston Children s Hospital. I am Bob Barrett.

This is a podcast from Clinical Chemistry, sponsored by the Department of Laboratory Medicine at Boston Children s Hospital. I am Bob Barrett. Article: A Varbo, J. Freiberg, and B. Nordestgaard. Cholesterol as Contributors to Cardiovascular Disease and All-Cause Mortality in 90000 Individuals from the General Population. Clin Chem 2015;61:533-543.

More information

Heart disease - risk factors

Heart disease - risk factors Heart disease - risk factors Summary There is no single thing that causes CHD, but there are several risk factors that contribute to it. You can reduce your risk of developing CHD by reducing or removing

More information

An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia

An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia Introduction Executive Summary The International Atherosclerosis Society (IAS) here updates

More information

Vitamins, Supplements and Heart Disease

Vitamins, Supplements and Heart Disease Vitamins, Supplements and Heart Disease Daniel J. O Rourke, MD, MS Chief of Cardiology, WRJ Veterans Affairs Staff Cardiologist, Dartmouth-Hitchcock Medical Center JACC 2005;46:184-221 Scope of Use In

More information

Article. Heart health and cholesterol levels of Canadians, 2007 to 2009. Component of Statistics Canada Catalogue no. 82-625-X Health Fact Sheets

Article. Heart health and cholesterol levels of Canadians, 2007 to 2009. Component of Statistics Canada Catalogue no. 82-625-X Health Fact Sheets Component of Statistics Canada Catalogue no. 82-625-X Health Fact Sheets Article Heart health and cholesterol levels of Canadians, 2007 to 2009 March How to obtain more information For information about

More information

KNOWING WHEN ACTION IS REQUIRED

KNOWING WHEN ACTION IS REQUIRED KNOWING WHEN ACTION IS REQUIRED Common tests done for monitoring lupus. Different ways to interpret results What is the significance of an abnormal result Abnormal does not necessarily mean abnormal for

More information

STRENGTH NUMBERS NATURALLY SLIM PROGRAM PAISBOA

STRENGTH NUMBERS NATURALLY SLIM PROGRAM PAISBOA STRENGTH in NUMBERS NATURALLY SLIM PROGRAM Annually, Business Officers of the 139 independent schools and colleges that comprise the health insurance consortium (PAISIG) meet with their broker, Armstrong,

More information

Beating insulin resistance through lifestyle changes

Beating insulin resistance through lifestyle changes Beating insulin resistance through lifestyle changes This information is relevant to people at risk for type 2 diabetes, those who already have type 2 diabetes, pre- diabetes, polycystic ovary syndrome

More information

Assmann Foundation for Prevention 1

Assmann Foundation for Prevention 1 Clinical guidelines usually recommend that the level of high density lipoprotein cholesterol (HDL-C) should be measured. It is frequently argued that HDL-C levels below 35 mg/dl are causally associated

More information

Trans Free Smart Choices Begin with Palm Oil Kalyana Sundram & Yusof Basiron, MPOC

Trans Free Smart Choices Begin with Palm Oil Kalyana Sundram & Yusof Basiron, MPOC Trans Free Smart Choices Begin with Palm Oil Kalyana Sundram & Yusof Basiron, MPOC A recent report by the USDA ARS (April 29) suggested palm oil is not a healthy stand-in for trans fatty acids. It is unfortunate

More information

Diabetes and Your Kidneys

Diabetes and Your Kidneys American Kidney Fund reaching out giving hope improving lives Diabetes and Your Kidneys reaching out giving hope improving lives Diabetes: The #1 Cause of Kidney Failure Your doctor told you that you have

More information

Margarines and Heart Disease. Do they protect?

Margarines and Heart Disease. Do they protect? Margarines and Heart Disease Do they protect? Heart disease Several studies, including our own link margarine consumption with heart disease. Probably related to trans fatty acids elevate LDL cholesterol

More information

NKF Peers KNOW YOUR NUMBERS (STAGES 1-4 CKD) 855.NKF.PEERS GENERAL INSTRUCTIONS:

NKF Peers KNOW YOUR NUMBERS (STAGES 1-4 CKD) 855.NKF.PEERS GENERAL INSTRUCTIONS: GENERAL INSTRUCTIONS: Ask your healthcare team about your goal for each item. Write it in the Goal column. Record the date(s) you are tested and the results. If your numbers are not on goal, ask your healthcare

More information

The Skinny on Visceral Fat

The Skinny on Visceral Fat The Skinny on Visceral Fat Fat stored deep in the belly is the most harmful kind. Find out how to cut it down to size. People can carry their extra weight in different places on the body: All over On the

More information

Achieve Your Best Health

Achieve Your Best Health Achieve Your Best Health for High Cholesterol BlueChoiceSC.com What is health coaching? Health coaching is a voluntary program for members diagnosed with certain health conditions. We take a personalized

More information

What Are Lipids? Lecture 7: Lipids, Part 1. Fatty Acids. Triglycerides

What Are Lipids? Lecture 7: Lipids, Part 1. Fatty Acids. Triglycerides Lecture 7: Lipids, Part 1 Nutrition 150 Shallin Busch, Ph.D. What Are Lipids? Made up of carbon, oxygen, hydrogen Do not dissolve in water Three types of lipids are found in foods: Triglycerides Phospholipids

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and type 1 diabetes mellitus History: A 15-year-old girl is seen in the endocrinology clinic for a routine follow-up visit for type 1 diabetes. She was diagnosed with diabetes at 12 years

More information

Lipids. Benjamin Caballero, MD, PhD Johns Hopkins University

Lipids. Benjamin Caballero, MD, PhD Johns Hopkins University This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

Pediatric Metabolic Syndrome

Pediatric Metabolic Syndrome University of Michigan Hospitals and Health Centers Pediatric Metabolic Syndrome A growing epidemic Shannon Russell Dietetic Intern June 2012 Overview Causes Risk Factors Signs and Symptoms Identification/Diagnosis

More information

Bureau of Nutritional Sciences, Food Directorate, Health Products and Food Branch 2

Bureau of Nutritional Sciences, Food Directorate, Health Products and Food Branch 2 Summary of Health Canada s Assessment of a Health Claim about the Replacement of Saturated Fat with Mono- and Polyunsaturated Fat and Blood Cholesterol Lowering February 2012 Bureau of Nutritional Sciences,

More information

3.5% 3.0% 3.0% 2.4% Prevalence 2.0% 1.5% 1.0% 0.5% 0.0%

3.5% 3.0% 3.0% 2.4% Prevalence 2.0% 1.5% 1.0% 0.5% 0.0% S What is Heart Failure? 1,2,3 Heart failure, sometimes called congestive heart failure, develops over many years and results when the heart muscle struggles to supply the required oxygen-rich blood to

More information

Professor Tom Sanders

Professor Tom Sanders Nutritional aspects of chocolate confectionery fats Professor Tom Sanders Nutritional Sciences Division King s College London Doctors reject chocolate tax Published: Thursday, 12 March 2009, 10:48AM Doctors

More information

Cardiac Rehabilitation

Cardiac Rehabilitation Cardiac Rehabilitation Introduction Experiencing heart disease should be the beginning of a new, healthier lifestyle. Cardiac rehabilitation helps you in two ways. First, it helps your heart recover through

More information

SCRIPT NUMBER 93 HIGH CHOLESTEROL (ONE SPEAKER)

SCRIPT NUMBER 93 HIGH CHOLESTEROL (ONE SPEAKER) SCRIPT NUMBER 93 HIGH CHOLESTEROL (ONE SPEAKER) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: HIGH CHOLESTEROL PROGRAM NUMBER: 93 SUBJECT: SOURCES, COMPLICATIONS, TREATMENT AND PREVENTION OF HIGH CHOLESTEROL

More information

Freiburg Study. The other 24 subjects had healthy markers closer to what would be considered ideal.

Freiburg Study. The other 24 subjects had healthy markers closer to what would be considered ideal. Freiburg Study The Freiburg Study was conducted with 48 healthy human subjects of various ages. None of the test subjects had been diagnosed with any disease prior to the study. None were taking any type

More information

PISA Style Scientific Literacy Question

PISA Style Scientific Literacy Question PISA Style Scientific Literacy Question Read the text about Statins Statins are drugs which stop the liver producing too much cholesterol. Doctors say that many heart attacks and strokes are prevented

More information

Diabetes and Heart Disease

Diabetes and Heart Disease Diabetes and Heart Disease Diabetes and Heart Disease According to the American Heart Association, diabetes is one of the six major risk factors of cardiovascular disease. Affecting more than 7% of the

More information

Top 5 Cholesterol-Lowering Foods

Top 5 Cholesterol-Lowering Foods Adventist Heritage Center From: Sent: To: Subject: Newstart Lifestyle Program on behalf of Newstart Lifestyle Program Monday, May 11, 2015

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and obesity History: A 13-year-old girl is seen for a routine clinic follow-up visit. She has been previously healthy, but her growth curve shows increasing body mass index (BMI) percentiles

More information

MANAGEMENT OF LIPID DISORDERS: IMPLICATIONS OF THE NEW GUIDELINES

MANAGEMENT OF LIPID DISORDERS: IMPLICATIONS OF THE NEW GUIDELINES MANAGEMENT OF LIPID DISORDERS: IMPLICATIONS OF THE NEW GUIDELINES Robert B. Baron MD MS Professor and Associate Dean UCSF School of Medicine Declaration of full disclosure: No conflict of interest EXPLAINING

More information

Fats, Oils, and Other Lipids

Fats, Oils, and Other Lipids Chapter 5 Fats, Oils, and Other Lipids Slide Show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College 9.30.15 Objectives for Chapter 5 1. Describe the three classifications

More information

METABOLIC SYNDROME. Rebecca Rovay-Hazelton, Licensed Nutritionist

METABOLIC SYNDROME. Rebecca Rovay-Hazelton, Licensed Nutritionist METABOLIC SYNDROME Rebecca Rovay-Hazelton, Licensed Nutritionist Blood Sugar Basics Glucose=a simple sugar used for energy from diet, primarily starches, sugar and carbohydrate Insulin=a hormone made in

More information

Fat myths. Myth: All fats are equal and equally bad for you. Myth: Lowering the amount of fat you eat is what matters the most.

Fat myths. Myth: All fats are equal and equally bad for you. Myth: Lowering the amount of fat you eat is what matters the most. Alexandra Palumbo Fat myths Myth: All fats are equal and equally bad for you. Myth: Lowering the amount of fat you eat is what matters the most. Myth: Fat-free means healthy. Saturated fats Trans-fats

More information

Living with Cholesterol Cholesterol and healthy living

Living with Cholesterol Cholesterol and healthy living Living with Cholesterol heartandstroke.ca Cholesterol and Healthy Living What is cholesterol? The word cholesterol can refer either to the cholesterol found in the body (blood cholesterol) OR the cholesterol

More information

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Thomas B. Kuhn: University of Alaska, Cereon Biotechnology LLC This document is protected by copyright Dr. Thomas B. Kuhn

More information

A CLOSER L OOK AT A JOINT PROJECT BETWEEN T HE A MERICAN H EART A SSOCIATION AND T HE N ATIONAL P HARMACEUTICAL C OUNCIL

A CLOSER L OOK AT A JOINT PROJECT BETWEEN T HE A MERICAN H EART A SSOCIATION AND T HE N ATIONAL P HARMACEUTICAL C OUNCIL A CLOSER L OOK AT Americans pay $53.4 billion each year for medical care of heart disease. An additional $47.4 billion is lost due to premature death and lower productivity. A JOINT PROJECT BETWEEN T HE

More information

Expert Commentary. A response to the recent JAMA meta analysis on omega 3 supplementation and cardiovascular events

Expert Commentary. A response to the recent JAMA meta analysis on omega 3 supplementation and cardiovascular events Expert Commentary A response to the recent JAMA meta analysis on omega 3 supplementation and cardiovascular events Dr. Bruce J. Holub, Ph.D., Professor Emeritus, University of Guelph Expert Commentary:

More information

Food Safety and Standards Authority of India. Proposes. Regulation of Trans Fatty Acids (TFAs) in Partially Hydrogenated Vegetable Oils (PHVOs)

Food Safety and Standards Authority of India. Proposes. Regulation of Trans Fatty Acids (TFAs) in Partially Hydrogenated Vegetable Oils (PHVOs) Food Safety and Standards Authority of India Proposes Regulation of Trans Fatty Acids (TFAs) in Partially Hydrogenated Vegetable Oils (PHVOs) Background 1. Industrially produced trans fats are formed during

More information

New Cholesterol Guidelines: Carte Blanche for Statin Overuse Rita F. Redberg, MD, MSc Professor of Medicine

New Cholesterol Guidelines: Carte Blanche for Statin Overuse Rita F. Redberg, MD, MSc Professor of Medicine New Cholesterol Guidelines: Carte Blanche for Statin Overuse Rita F. Redberg, MD, MSc Professor of Medicine Disclosures & Relevant Relationships I have nothing to disclose No financial conflicts Editor,

More information