Fasting Blood Cholesterol

The lipid blood profile which has to be taken in the fasting state comprises the following:

  • Total cholesterol
  • HDL cholesterol (“Good” Cholesterol)
  • LDL cholesterol (“Bad” Cholesterol)
  • Total Cholesterol/HDL ratio
  • Triglyceride
Total Cholesterol Mmol/L Mg/dL
Desirable Below 5.2 Below  200
Borderline High Between 5.2 to 6.1 Between 200 to 239
High 6.2 & Above 240 & Above
HDL Mmol/L Mg/dL
Low Below 1.0 Below 40
Desirable Between 1.0 to 1.5 Between 40 to 59
High 1.6 & above 60 & above
LDL Mmol/L Mg/dL
Optimal Below 2.6 Below 100
Desirable Between 2.6 to 3.3 Between 100 to 129
Borderline High Between 3.4 to 4.0 Between 130 to 129
High Between 4.1 to 4.8 Between 160 to 129
Very High 4.9 & above 190 & above
Total/ HDL Ratio Mmol/L
Normal High
Below 4.5 4.5 and above
Triglycerides Mmol/L Mg/dL
Optimal Below 1.7 Below 150
Desirable Between 1.7 to 2.2 Between 150 to 199
Borderline High Between 2.3 to 4.4 Between 200 to 399
High 4.5 & above 400 & above

HDL is the good cholesterol in our body and is increased through exercise. High level of HDL reduces arthrosclerosis and the risk of heart attack.

LDL cholesterol is closely associated with increased risk of heart attack and stroke. Your doctor will assess your risk factors (diabetes, smoking, hypertension, family history) and prescribe medication for control if LDL levels are high. LDL cholesterol is reduced through dietary discretion (intake of low cholesterol food), exercise and cessation of smoking.

Triglyceride is a form of fat often associated with elevated LDL and total cholesterol levels and uncontrolled diabetes. An elevation in triglyceride levels increases one’s risk of heart disease. Fasting lipid blood profile is recommended annually for individuals above 40 years of age.