How to prevent high cholestrol? Do I have high cholestrol?

What is cholesterol? 

  • A waxy, fat-like substance in the blood
  • Made by the liver and comes from the food we eat 
  • 3 types: HDL (‘good’ cholesterol), LDL (‘bad’ cholesterol) and triglycerides (fat in the blood)

What causes high cholesterol? 

  • High cholesterol levels are caused by a combination of factors including, hereditary (genetics), diet (rich in saturated fat, trans fat), overweight, physical inactivity.

Why does high cholesterol matter? 

  • Cholesterol can build up in our blood vessels and narrow them, which increases the risk of heart attack or stroke

How do I check my cholesterol

  • Cholesterol levels can be checked through a simple blood test.
  • This does NOT require fasting. 
  • If you are a Singapore/PR – checking for cholesterol can be free or highly subsided under the SFL (Screen for life) scheme. 

I have been diagnosed with high cholesterol! How do I lower cholesterol through lifestyle measures?

  • Lose weight if you are overweight
    • Aim for a BMI between 18.5 to 23
    • Lead an active lifestyle 
  • Change in diet
    • Reduce saturated fat: butter, lard, fat/skin on meat, full cream dairy products, palm oil, non-dairy cream, coconut oil/milk
    • Reduce trans fat: Fried food, baked goods, partially hydrogenated vegetable oil 
    • Reduce food high in cholesterol: organ meat, egg yolk, animal fat, squid, prawn, crab
    • Increase fiber in food
    • Limit alcohol 

Medications for High Cholesterol

  • If indicated, our doctor will advise you to start on a medication to control your cholesterol level. The most common one is called a statin
  • This will need to be taken daily, and repeat blood tests will be needed after a period of time to determine the effects of the medication on your cholesterol levels. 
  • This medication is usually quite well tolerated, however, side effects are more common in the elderly, and include muscle cramps, weakness or even liver dysfunction.
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