Q. Do I need to take medicine for high levels of LDL?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 04, 2016 and last reviewed on: Jan 08, 2020

Hello doctor,

I am 43 years old. I do not smoke or drink, but my food habits are not very good. Recently, I got my blood checked for Apo B/Apo A and the ratio was really bad at 1.6. The triglyceride is around 474 and this rose from 270 around three months back. My HDL is 26, LDL 116 and TC 237. Let me explain that my last 60 days diet which was really high on rice and oil. I also had a lot of cashew nuts in the last 30 days before this checkup. Fasting sugar is 114 and postprandial 170. May I know whether I need to start taking any medication or this can be taken care of by exercise? My last three years blood report has been showing elevated reports of LDL around 180 and my TC has been around 270. I have always maintained my blood glucose level within the normal range, but this time it has overshot (114). My BP has always been bang on 120/80 mmHg. Please advice.



Welcome to icliniq.com.

We are here to help you.

  • You definitely need treatment for high cholesterol along with dietary modifications.
  • You need to be started on a combination of Atorvastatin and Fenofibrate.
  • Start regular exercise and avoid oil, rice and potatoes.
  • For blood sugars, you can wait for some time and try to control it with lifestyle changes only.
  • After one month, you should get a repeat lipid profile as well as a test known as HbA1c (glycated hemoglobin), which will give you an average of three months blood sugar value.

Revert back after the repeat test to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist

Hi doctor,

My HbA1c is 6 as per the last blood test. But, I remember having eaten a lot of sweets in that period and it is only reflective of that. Otherwise it was always hovering around 5.6. Are there any harmful effects of the drugs you have mentioned? Please confirm.



Welcome back to icliniq.com.

  • Every medicine has its side effects, but it is not essential that everyone gets that.
  • We need to compare the harmful effects of the disease versus the drug. In your case, the disease is going to harm you more.
  • Commonly seen side effects of the medicine discussed above are myalgia, myopathy and liver dysfunction.

For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist

Was this answer helpful?


Related Questions:
Please let me know, is there any health issue in my routine health checkup.

Your blood cholesterol is not under control, and increased levels of hsCRP (high-sensitivity C-reactive protein) indicates the risk of heart attack and stroke ...   Read full

What exercises will lead to normal delivery in a person with small cervical length?

.. needs to be checked again at 24 weeks for further advice. In general, twin pregnancy has a tendency for preterm labor. Your focus right now should be on preventing preterm labor rather than normal delivery. For normal delivery to happen, you do no...   Read full

Why was I advised to take Simvastatin?

My HDL is 70, LDL 207, cholesterol 288, AST 35, MPV 45 and monocyte auto 14 ... The reason for Simvastatin is your high LDL cholesterol level (low-density lipoprotein) ...   Read full


This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

7 Days COVID Care
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

Frequently Asked Questions About COVID-19 Vaccines
COVID-19 vaccines can be a real lifesaver. Read this to know the answers to the common questions and doubts on COVID-19 ...  Read more»
Female Sexual Arousal Disorder: Break the Shackles and Seek Help!!
This article throws light on Female Sexual Interest/Arousal Disorder, a common but least discussed sexual health topic a...  Read more»
Covaxin Vs Covishield
The coronavirus vaccines, Covaxin and Covishield, have received a green signal for restricted emergency use in India. In...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.