Doctor insights on:
Are Fingerstick Cholesterol Tests Accurate
Random test (5 hours after eating), blood glucose: 77, cholesterol: 155. 2 weeks later Fasting test results: BG:106 cholesterol:199. Accuracy issue?
Methods: Was either of the tests done in a CLIA accredited laboratory? It so, you can rely on that. If one of the tests was done on a Point of Care instrument and the other on a regular analyzer, the latter is more reliable. It is better to have your doctor order the tests and send the samples to a reputable lab. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more
Fasting lipids: You should fast for at least 8 hours and then have blood drawn for total cholesterol, triglycerides, HDL (good) cholesterol, and LDL (bad) cholesterol. The results need to be interpreted by a physician who also knows your detailed medical background in terms of whether you have hypertension, diabetes, heart/kidney disease, obesity, as well as smoking and family history. ...Read more
Then what?: Cholesterol testing has been standardized internationally to ensure accurate results. It is not just cholesterol that needs to be tested, generally is better to fast for at least 9 hours and be tested for total cholesterol, HDL, triglycerides and calculated LDL. The results need to be interpreted in the clinical context and it would be better to see a doctor and get tested at an accredited lab. ...Read more
Limited: Not sure what you mean by "vertical", but if you mean the extended lipid profiles with particle size and density, i would say practical use is limited. In my research work, extensive lipid profiles important, but clinically, very limited data suggesting that knowledge of the extra data actually changes treatment and outcomes. Question usually is to whether to add niacin; other ways to decide. ...Read moreSee 1 more doctor answer
Cholesterol: Levels are dynamic by avoiding food for at least 12h it has been felt an equilibrium level is demonstrated. Some recent evidence suggests the fast may not be needed. Most labs still use the fast. ...Read more
Don't do it!!!: You need reliable measurements of: Total cholesterol HDL cholesterol (good0 LDL cholesterol (Bad) and Triglycerides. They are useless when frequently measured. If you are taking medications or doing exercise and weight loss, the usual time to see if the intervention is working is not sooner than 4-6 months! Doing it more frequently will only generate anxiety and will not serve useful purpose ...Read more
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