LDL = TC - HDL - (TG/5)

TG<400

Total Cholesterol

• Good
• Bad

• 200
• 240

LDL Cholesterol

• Good
• Bad
  

• 100
• 160
  

HDL

• Good
• Bad

• 60
• 40

TG

• Good
• Bad
  

• 150
• 200
  

1. Weist circumference: Men 40, Women: 35
2. TG: >150 or meds
3. HDL: Men 40, Women 50 or meds
4. BP 130/85 or meds
5. Fasting Glucose: 100 or meds

• HPS
• ASCOT-LLA
• Prove-IT
• TNT

(HALL PIT)

TLC

Diet

• Saturated fat <7%
• Cholesterol <200mg
• Fiber

TLC

Exercise

• Start slow
• 30 minutes most days
• aerobic

HMG cOA Inhibitor

• Adverse effects

• Myalgia
• LFT↑

HMG cOA Inhibitor

(Monitor)

• LFT Q3M
• CK >10 X UNL

Bile Acid Sequestrants

(Adverse Effects)

• Bloating
• Constipation
• N/V

Bile Acid Sequestrants

(Monitoring)

Freebe

(not systemic)

Nicotinic Acid

(Adverse effects)

• Flushing
• Hyperglycemia
• Hyperuricemia
• Hepatotoxic
• + statin = rhabdo

Nicotinic Acid

(Monitoring)

• LFT Q3M >3x UNL
• Glucose Q2M
• Uric Acid Q2M

Fibrates

(Adverse effects)

• Gallstones
• Myalgia
• ↑ LFT

Fibrates

(Contraindication)

• Liver disease
• Kidney disease
• Gallbladder problems

Nicotinic Acid

(Contraindications)

• Liver disease
• Gout
• Diabetes

Fibrates

(Monitor)

• LFT

1. TG <500
2. LDL < target
3. Non HDL < target
4. HDL