The main goal of cholesterol-lowering treatment is to lower your LDL level enough to reduce your risk of developing heart disease or having a heart attack. The higher your risk, the lower your LDL goal will be. The following of Adult Treatment Panel (ATP) III; there are two main ways to lower your cholesterol:
- Therapeutic Lifestyle Changes (TLC)–includes a cholesterol-lowering diet (called the TLC diet), physical activity, and weight management. TLC is for anyone whose LDL is above goal.
- Drug Treatment–if cholesterol-lowering drugs are needed, they are used together with TLC treatment to help lower your LDL.
To find your LDL goal (the following of ATP III guidelines); the main parts of your risk category below.
Category I, Highest Risk, your LDL goal is less than 100 mg/dL. If your LDL is 100 or above, you will need to begin the TLC diet. If your LDL is 130 or higher, you will need to start drug treatment at the same time as the TLC diet. If your LDL is 100 to 129, you may also need to start drug treatment together with the TLC diet. Even if your LDL is below 100, you should follow the TLC diet on your own to keep your LDL as low as possible.
Category II, Next Highest Risk, your LDL goal is less than 130 mg/dL. If your LDL is 130 mg/dL or above, you will need to begin treatment with the TLC diet. If your LDL is 130 mg/dL or more after 3 months on the TLC diet, you may need drug treatment along with the TLC diet. If your LDL is less than 130 mg/dL, you will need to follow the heart-healthy diet for all Americans, which allows a little more saturated fat and cholesterol than the TLC diet.
Category III, Moderate Risk, your LDL goal is less than 130 mg/dL. If your LDL is 130 mg/dL or above, you will need to begin the TLC diet. If your LDL is 160 mg/dL or more after you have tried the TLC diet for 3 months, you may need drug treatment along with the TLC diet. If your LDL is less than 130 mg/dL, you will need to follow the heart-healthy diet for all Americans.
Category IV, Low-to-Moderate Risk, your LDL goal is less than 160 mg/dL. If your LDL is 160 mg/dL or above, you will need to begin the TLC diet. If your LDL is still 160 mg/dL or more after 3 months on the TLC diet, you may need drug treatment along with the TLC diet to lower your LDL, especially if your LDL is 190 mg/dL or more. If your LDL is less than 160 mg/dL, you will need to follow the heart-healthy diet for all Americans. To reduce your risk for heart disease or keep it low, it is very important to control any other risk factors you may have such as high blood pressure and smoking.
Writer’s note; you must consult to your doctor for drug treatment. Self medication may be can cause new problem include side effect and drugs interaction if you are to take other drugs. Your doctor can help decide which type of drug is best for you. But, Therapeutic Lifestyle Changes (TLC) is a set of things you can do to help lower your LDL cholesterol. The main parts of TLC are: The TLC Diet, Weight Management and Physical Activity.
Because you already have heart disease or are at high risk for developing it, you should start on the TLC Diet right away. The TLC Diet is a low saturated fat, low cholesterol diet that will help to reduce your blood cholesterol level to decrease your chance of developing heart disease, future heart attacks, and other heart disease complications. Just enough calories to achieve or maintain a healthy weight and reduce your blood cholesterol level. (Ask your doctor or registered dietitian what is a reasonable calorie level for you.)[see also in nhlbi.nih]
The information shown in Table 1-2 may be helpful for the physician both for dietary and lifestyle assessment and for guidance of the patient adopting TLC recommendations. The table is compiled from current ATP III dietary recommendations, Dietary Guidelines for Americans (2000), Obesity Education Initiative (OEI) guidelines for weight reduction, and the Surgeon General’s Report on Physical Activity. See in tables below.
Weight reduction of even a few pounds will reduce LDL levels regardless of the nutrient composition of the weight loss diet, but weight reduction achieved through a calorie-controlled diet low in saturated fatty acids and cholesterol will enhance and sustain LDL cholesterol lowering.
Weight loss through reduced caloric intake and increased levels of physical activity should be encouraged in all overweight persons. Prevention of weight gain also should be emphasized for all person.
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