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Quest to offer cholesterol testing without fasting requirement

(Reuters) - Quest Diagnostics Inc said on Thursday it will begin using a more precise method of calculating levels of “bad” LDL cholesterol that no longer requires fasting prior to blood draw, a development likely to delight patients who previously had to refrain from eating for up to 12 hours before testing.

High LDL levels are a key marker of heart disease, with the testing used to determine whether patients should be taking statins, such as Lipitor, or other cholesterol-lowering medications to help prevent heart attacks and strokes. With the current formula for calculating LDL in use since 1972, failure to fast can lead to inaccurate results.

Cholesterol testing is also used to determine if heart patients are achieving LDL target levels, such as under 70 for those deemed at high-risk or under 100 for those at more moderate risk.

In a recent study published in the Journal of Clinical Lipidology, researches said the current calculation method “may lead to the misclassification of high-risk individuals and subsequent under-utilization of lipid-lowering therapies.”

What is the difference between cholesterol and total cholesterol values?

Is there a cholesterol value independent of total cholesterol? If so, is it used as part of the formula for total cholesterol. And how do HDL and LDL fit into the measurement of cholesterol vs total cholesterol. Any references would be appreciated. Thank


Total cholesterol = LDL + HDL + (1/5 triglycerides)

For example, if one has HDL of 40, LDL of 100 and triglycerides of 100, then the total cholesterol = 100 + 40 + (1/5 of 100=20) = 160.

The LDL/HDL ratio is as important


Most labs measure total cholesterol & HDL cholesterol and use mathmatic formular to calculate LDL cholesterol. This works unless the triglycerides are high


Total cholesterol = LDL + HDL + (1/5 triglycerides)

For example, if one has HDL of 40, LDL of 100 and triglycerides of 100, then the total cholesterol = 100 + 40 + (1/5 of 100=20) = 160.

The LDL/HDL ratio is as important

Why is HDL added to total cholesterol?

The formula for total cholesterol -- as in the test result you get and what people tend to speak about -- is LDL plus HDL plus one fifth of the triglycerides. Problem is, HDL is good cholesterol -- you want it to be high -- and the other two are bad.


yup your right!
lots of people have misinterpreted the result of "cholesterol" or maybe some doctors doesn't know how to interpret them. HDL is good if its high which is equal to Total cholesterol being high also si good in the sense


yup your right!
lots of people have misinterpreted the result of "cholesterol" or maybe some doctors doesn't know how to interpret them. HDL is good if its high which is equal to Total cholesterol being high also si good in the sense


You are sure right. I always subtract it and them ask the Dr.
if it is good or bad, to make sure.======