Target cholesterol level and type 2 diabetes
Having type 2 diabetes puts you at greater-than-average risk for developing heart problems associated with high cholesterol. People with diabetes are 2 to 4 times more likely than people who don't have diabetes to die from heart and blood vessel diseases.1
Many experts recommend an LDL (low-density lipoprotein, or "bad" cholesterol) level of 2.0 mmol/L or less. This very low cholesterol target typically can only be achieved by taking lipid-lowering medicines.
Those doctors who advocate LDL levels less than 2.0 mmol/L believe that the risk of death from heart disease is sufficient to recommend that all people with diabetes take lipid-lowering medicines. But some experts believe that if healthy eating habits and exercise are enough to lower a person's LDL to 3.3 mmol/L, then additional medicines and their possible side effects may not be worth the benefits. Also, if you are younger than 35, the long-term effects of taking these medicines for more than 10 years have not been extensively studied. Because your risk of developing CAD at a young age is statistically low, the risk reduction you may receive from lipid-lowering medicines may not justify the risk of side effects.
| Author: | Alison Allen Caroline Rea, RN, BS, MS | Last Updated: November 14, 2007 |
| Medical Review: | Anne C. Poinier, MD - Internal Medicine Caroline S. Rhoads, MD - Internal Medicine Matthew I. Kim, MD - Endocrinology & Metabolism David C.W. Lau, MD, PhD, FRCPC - Endocrinology & Metabolism | |
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