ADWC
Your ABCDsModule 3 of 4

C is for Cholesterol

2 min read

Cholesterol with diabetes is a different equation than cholesterol without it. Diabetes changes the chemistry — your "bad" cholesterol gets smaller and denser, your "good" cholesterol gets less protective, and your triglycerides tend to climb.

Key idea

For diabetics, LDL (the "bad" cholesterol) should typically be under 100, and under 70 if you have known heart disease.

A lipid panel gives you four numbers. Total cholesterol is the headline. LDL is the one most heart specialists watch — it's the cholesterol that builds up in artery walls. HDL is protective. Triglycerides are the type of fat in your blood, and high numbers often track with insulin resistance.

For people with diabetes, the targets are tighter than for the general population. LDL under 100 is standard, under 70 if you have additional heart risk. HDL should ideally be above 40 for men and above 50 for women. Triglycerides should be under 150.

Statins are the most common medication for high LDL in diabetics, and most major guidelines recommend statins for diabetics over 40 even when LDL looks borderline, because the heart-attack risk is higher.

What this means for you

If your LDL is 110 and your doctor says "it's fine," ask whether that's truly fine for a diabetic specifically. The answer might be "let's recheck in three months" instead of "no action needed."

Reflect (optional)

Have you had a lipid panel in the last year? Do you know what your LDL was?