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Healthy Cholesterol Levels, Total, LDL/HDL

Healthy Cholesterol Levels

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Healthy Cholesterol Levels

General guidelines for assessing cholesterol levels, issued by the American Heart Association (the leading US heart organization), recommend the following healthy parameters.

Table 1. Total Cholesterol

Cholesterol Level Health Category
Less than 200 mg/dL Desirable
200-239 mg/dL Borderline high
240 mg/dL High

Borderline High Cholesterol Level Without Additional Risk Factors

If your total cholesterol level is between 200-239 md/dl, you have "borderline-high" blood cholesterol, with an increased risk for heart disease compared to people with lower levels. If so, and if you have no other risk factors (eg. family history of coronary heart disease before the age of 55, elevated blood pressure, tobacco smoking, diabetes, vascular disease, obesity, male gender), you should not require specific medical attention. However, you should follow a cholesterol-lowering diet to normalize your level and thereby reduce your risk of atherosclerosis.

High Cholesterol Level or Borderline High With Additional Risk Factors

If you have high total cholesterol or borderline-high with two other risk factors for coronary heart disease, you need special medical attention. To begin with, your doctor will measure your low density lipoprotein (LDL) cholesterol level - as LDL levels more accurately reflects your risk for coronary heart disease than total cholesterol level alone. LDL levels of 130 mg/dl or greater increase your risk for developing coronary heart disease. After evaluating your LDL level and assessing your other risk factors, your doctor will determine an appropriate treatment program to reduce both your total and LDL cholesterol level.

Table 2. LDL Cholesterol

LDL Cholesterol Level Health Category
Less than 100 mg/dL Optimal
100-129 mg/dL Near optimal
130-159 mg/dL Borderline high
160-189 mg/dL High
190 mg/dL Very high

HDL Cholesterol Levels

If the level of HDL cholesterol (the good guy) falls to 40 mg/dL or below, this is considered low and may increase the risk of heart disease.

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