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Interpreting your cholesterol readings

The cholesterol readings from your blood test usually contain information about total cholesterol, good cholesterol (HDL), bad cholesterol (LDL) and triglycerides.

Sometimes the test result will also reveal


The following cholesterol charts are adapted from The National Cholesterol Education Program (NCEP) guidelines, which are endorsed by the American Heart Association. These guidelines are for the general population only. People who have a higher risk for heart disease have stricter guidelines.

Total cholesterol

This cholesterol reading is a measure of LDL (bad) cholesterol + HDL (good cholesterol) + other blood fats. There is a definite link between elevated total cholesterol levels and heart disease. Check your results against this table.

mg/dL mmol/L Interpretation
Below 200 Below 5.18 Desirable
200 - 239 5.18 – 6.19 Borderline high
240 and over 6.19 and over High


LDL cholesterol

LDL stands for low density lipoprotein, and is known as the bad cholesterol, as it carries cholesterol from the liver to the rest of the body.

Our bodies do actually require LDL to provide cholesterol to all of our cells. The problem is, if there is too much LDL cholesterol, it will be 'dumped' onto the artery walls, restricting blood flow and contributing to atherosclerosis.

This type of cholesterol increases your risk of heart disease. Check if you are at a higher risk of heart disease, because if you are then your optimal LDL levels will be different from the ones listed below.

Click here for more detailed information on LDL cholesterol.

mg/dL mmol/L Interpretation
Below 100 Below 2.59 Optimal
100 – 129 2.59 – 3.34 Near or above optimal
130 - 159 3.35 – 4.12 Borderline high
160 – 189 4.13 – 4.90 High
190 and over 4.90 and over Very high


HDL cholesterol

HDL stands for high density lipoprotein, also known as good cholesterol. Why? because it helps remove or "mop up" bad cholesterol from the blood, and transports it back to the liver.

HDL cholesterol helps protect you against heart disease, and for this reason it is the only cholesterol reading that people try to increase.

mg/dL mmol/L Interpretation
Below 40 Below 1.04 Low
40-59 1.04-1.53 Moderate
60 and over 1.53 and over High


Triglycerides

Triglycerides are a type of fat. Most fat in the body and food is present in the form of triglycerides.

The presence of high triglycerides is also known as hypertriglyceridemia, and is an independent risk factor for heart disease.

mg/dL mmol/L Interpretation
Below 150 Below 1.7 Normal
150 – 199 1.7 – 2.2 Borderline high
200 - 499 2.3 – 5.64 High
500 and over 5.64 and over Very high


Click here to learn about a diet to lower triglycerides.


A final word

Looking at LDL or HDL cholesterol levels on their own isn't terribly mopinformative. The balance of good and bad cholesterol is of great importance in considering your risk of heart disease.

I like to think of bad cholesterol as "mess makers", and good cholesterol as "cleaners" - with their mops! The higher the HDL (cleaners) and the lower the LDL (mess makers), the "tidier" the blood vessels, and the lower the risk of heart disease.

Conversely, if LDL levels are high and HDL levels are low, you have more mess-makers playing havoc with your arteries, and not enough cleaners to tidy the mess, which means a higher risk of heart disease.

Learn more about cholesterol ratios here.

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