Blood lipid numbers in themselves don't really tell the whole picture
Also, the way they are interpreted changes...
If they want a full battery to understand someone's risk, they need to take into account
HDL LDL Triglycerides LP(a) hsCRP (high sensitivity C-reactive protein) - This shows your inflammation LP-PLA2 APOB/APOA ratio Homosysteine oxLDL (Oxidized LDL) BMI A1C Fasting Insulin
The inflammation is where it's all at
The hs-CRP, if below 1, means your cardiovascular risk is very low, even with high LDL High HDL is also beneficial, to a point
High Triglycerides are just all around bad
High LP(A) with high inflammation is bad
This is a complex matrix, as you can see, that goes well beyond a standard Lipid panel
High BMI means you release more inflammation (Interluekin 7) which causes inflammation
High A1C also means you are dealing with insulin resistance, which means you have more insulin needed to process the sugar - That means higher inflammation and hence higher chance of cardiovascular
So, the Canadian thing is not quite as straight forward as it appears |