My cholesterol is 172, HDL is 45, triglycerides 45, LDL is119. The general physician is suggesting statins. Is it necessary or not? (diabetes and RA, BP 105/65, weight 145).
Yes. Patients with diabetes are considered to be high risk for a heart attack. If you were my patient (or my relative), i would ask you start a low dose of a safe and cheap statin, such as pravastatin. Pravastatin 20 mg is generic and only rarely has side effects. The benefit would be lower your cholesterol, which may reduce your risk of a heart attack. An ldl-c of 100 is a reasonable goal of treatment.
Not necessary. Agree goal is <100 but should probably look at your average LDL over a few samples. Go to framingham risk calcluator on-line and play with your numbers to see what benefit you can expect from lowering LDL with statin. It is not impressive. Diet / exercise and wt loss may help a small bit.