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Cholesterol Counts
Do you have any of the Major risk factors for heart disease of stroke?
- Problem in lipid profile (high cholesterol, low HDL, LDL or TRG)
- high blood pressure (hypertension) is 140/90 or higher (pre-hypertension begins at 120/80).
- diabetes (fasting glucose over 125: Non-fasting 200 or above)
- smoking
- excess weight (overweight is BMI 25-29: obese is BMI 30 or ablve)
- lack of regular exercise
- family history of diabetes
- family history of early heart disease or stroke
Improving your cholesterol to under 200 mg/dl and controlling other risk factors can lower your risk for heart disease and stroke. To lower your blood cholesterol:
- Eat more vegitables, fruits, whole grains and dried beans.
- Eat more foods low in fat; especially limit saturated and "trans" fats. Limit daily fat colories to 30% of total calories. Limit saturated fat grams to 1/3 opf total daily fat grams.
- Eat less than 300 mg. of cholesterol daily (or as your doctor advises).
- Work up to 30-90 minutess if exercise on most days, or as your doctor advises (need not all be odne at once)
- Avoid tobacco products.
| CHOOSE THESE |
INSTEAD OF THESE |
| fish, water-packed tuna, skinless breast of poultry, lean ground turkey (drained), turkey lunch meats, turkey sausage, turkey bacon, low-fat hot dogs (0-1 gram fat each), dried beans, vegetarian “meats”; lean red meats: not over 3 times/week (leanest types are beef round and sirloin, and pork tenderloin) |
fatty red meats, organ meats; regular: bacon, sausage, hot dogs and lunch meats
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| egg whites or egg substitutes (may usually have two to three whole eggs/week, poached or boiled) |
eggs |
| baked, stewed, steamed, microwaved, broiled, or grilled foods; or stir-fried using cooking spray |
fried foods |
| “good” fats: liquid canola, olive, safflower, corn, soybean, sesame, or cottonseed oils |
“bad” fats: coconut or palm kernel oil, animal fats, butterfat, solid fats (hydrogenated, called "trans" fats) |
| fat-free or oil-based gravies or sauces using “good” oils (above) |
regular gravies or sauces |
| salad dressings with “good” oils, whipped salad dressing (fat free, light or regular); mayonnaise (fat free or light) |
salad dressings with cream, sour cream, cheese, bacon, etc.
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| margarines (trans fat free is best): light or fat free tub, fat free squeezable or spray; butter substitutes |
butter, stick margarine, shortening |
| low-fat cheeses (0-3 grams fat/oz.) |
high-fat cheeses |
| fat-free(best) or light sour cream, cream cheese or dips |
regular: sour cream, cream cheese or dips |
| skim (best), 1/2% or 1% milk |
whole or 2% milk |
| ice milk, sherbet, frozen yogurt or sorbet (0-3 grams fat per 1/2 cup) |
regular ice cream |
| fat-free or very low-fat desserts and snacks (0-3 grams fat per serving); may be higher in fat if fats are “good” types |
rich desserts and snacks |
Some of the above foods may be high in sodium. Further information is needed for a low sodium diet.
Understanding Your Lipid Profile
Serum Cholesterol under 200 = desirable 200-239 = borderline high 240 or above = high risk
HDL (“Good Cholesterol”) 60 or above protects your heart less than 40 increases risk
LDL (“Bad Cholesterol”) under 100 is optimal 100-129 is above optimal 130-159 = borderline high 160-189 = high 190 or above = very high
TRG (Triglycerides) under 150 is normal 150-199 = borderline high 200-499 = high 500 or above = very high
If you need additional information call (502) 574-6663
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