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Pre diabetes and high cholesterol
High cholesterol levels
Previous test done in June 2025 and present test in nov 2025
Prediabetic range - 6 in HbA1C
June and nov results
Total cholesterol - 265,247,
HDL direct - 43, 39,
LDL direct -191,164,
Triglycerides - 238,196,
Non HDL - 222.2, 208.2,
VLDL- 47.5, 39.1,
TC/HDL ratio - 6.2, 6.3,
LDL/HDL ratio - 4.5, 4.2,
HDL/LDL ratio - 0.22, 0.24,
Trig/HDL ratio - 5.57, 5.02
Just used fenugreek soaked seeds and brisk walking for 20 mins
Is there any need to use tablets and can we manage it by lifestyle modifications? if yes, what all can be followed?
Usage of medication has any side effects in long run?
How to know whether is it genetical?
Cardiac markers test results :(test was done in June 2025)
Apolipoprotein A1 - 123,
Apolipoprotein B - 141,
Apo B/Apo A1 ratio - 1.1,
Lipoprotein A - 23.92,
HS- c reactive protein - 3.9
Answers (6)
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Your cholesterol has slightly improved from June to November, but LDL, triglycerides, and total cholesterol are still high, and HbA1c 6% shows prediabetes.
For now, if you have no heart disease, you can try strict lifestyle changes for 3 months before starting tablets.
Recommended: 45–60 mins walking daily, reduce sugar/rice/maida/fried foods, increase fibre, omega-3 foods, and aim for weight loss. Fenugreek and regular exercise help but are not enough alone.
Medicines (statins) are generally safe long-term, with only mild, manageable side effects in some people.
Your Apo-B, ApoB/A1 ratio and Lipoprotein(a) suggest a genetic tendency, but not severe.
Recheck the lipid profile and HbA1c after 3 months of lifestyle changes, and start medication if LDL stays above 130.
Next Steps
Lifestyle measures that work:
1. 45–60 mins brisk walking daily
2. Strict reduction of sugar, rice, maida, fried foods
3. Increase fibre: vegetables, salads, whole grains
4. Add omega-3 foods (flaxseed, walnuts, fish)
5. Fenugreek, green tea, and weight reduction of 5–7%
6. Avoid alcohol and late-night eating
Health Tips
Repeat lipid profile, HbA1c, and liver tests in 3 months after strict lifestyle changes. If LDL remains above 130, medication is recommended.
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Hi.
Your total cholesterol is high, and bad cholesterol is more, good cholesterol (HDL) has further decreased from previous report.
Taking into consideration all your reports,
You have
Prediabetes
Dyslipidemia
Borderline high hsCRP
.
All these are independent risk factors for heart issues in future.
Next Steps
Life style modification and Dietary changes are necessary.
15 to 20 mins walk after each meal.
No oily spicy food, avoid pickles, packaged foods, canned foods, bakery products.
Health Tips
Repeat HbA1C and Fasting Lipid Profile after 3 months.
Consult online because to start medication some background history is also required.
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You need to cut on fats and starch in diet and exercise to burn calories. Do it for 3 months if not improved then go for medication
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Weight management and continue what you are doing
Also some food changes accordingly
That will help
Repeat tests in 6 months
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl do diet control , exercise, life style modification. Pl consult.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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