Type 2 Cholesterol

[Peadair O Brionn]

Hi
How do you calculate your total cholesterol level using Hdl ldl and triglycerides . Just got my readings and I’ve a feeling I’m gonna have the statins argument again

 

[KennyA]

Hi
How do you calculate your total cholesterol level using Hdl ldl and triglycerides . Just got my readings and I’ve a feeling I’m gonna have the statins argument again

I understand they add together the HDL, LDL, and 20% (?) of the triglycerides. I think the LDL is estimated, rather than measured, and I don't know how that estimate is done.

I still have a very short statin discussion twice a year.

 

[catinahat]

Hi
How do you calculate your total cholesterol level using Hdl ldl and triglycerides . Just got my readings and I’ve a feeling I’m gonna have the statins argument again

https://www.hughcalc.org/chol-si.php

Enter any three of the numbers and the calculator will find the fourth missing value, and then it will tell you the ratios and how good they are.

 

[Outlier]

I still have a very short statin discussion twice a year.

Me too!

 

[Deleted member 475901]

I've managed to avoid it after the first you're a T2 now so you need statins talk. Mostly because, since covid hit, I never see a GP or a trained diabetic nurse I suspect.

 

[AndBreathe]

My old GP understood my arguments against statins, and would comment positively on my lipids. She moved away. Gutted.

The new guy monologues to his agenda, not mine. Neeldess to say I was unimpressed by his assertion that he took statins, so that should be good enough for me. I was particularly unimpressed by him telling me they don't really know how statins work, but they're marvelous.

I'm still not taking statins.

 

[Deleted member 567885]

I've been called in for a cho of 8.4 (HDL and trig ratio is good) and am anticipating a discussion about statins.
So am going prepared with a meta analysis of the benefits (or lack therein of statin therapy).
At the end of the day the patients' values should count for something and monologuing does nothing to make a patient trust a GP they do not have an established relationship with!

 

[AndBreathe]

I've been called in for a cho of 8.4 (HDL and trig ratio is good) and am anticipating a discussion about statins.
So am going prepared with a meta analysis of the benefits (or lack therein of statin therapy).
At the end of the day the patients' values should count for something and monologuing does nothing to make a patient trust a GP they do not have an established relationship with!

I’d have left off everything after GP in your last sentence.

Frankly, I check my records after any exchange with the surgery and check any advice, prescribing that happens. How do those less able cope? (Rhetorical)

GPs are not the Demi-gods some would like to they are.

 

[Lupf]

I understand they add together the HDL, LDL, and 20% (?) of the triglycerides. I think the LDL is estimated, rather than measured, and I don't know how that estimate is done.

I still have a very short statin discussion twice a year.

I had a look at this and at the calculator at https://www.hughcalc.org/chol-si.php
The relation
Total Cholesterol = HDL + LDL + 20% of Triglyclerides
is valid when using units mg/dl as in the US.
When using mmol/l as in the UK, the conversion factor is different for triglycerides
and the relation changes to
Total Cholesterol = HDL + LDL + 45.8% of Triglyclerides

For completeness for converting total cholesterol, HDL and LDL in mg/dl to mmol/l you need to divide by 38.67
and for triglycerides you need to divide by 88.57, see https://www.omnicalculator.com/health/cholesterol-units.