All people with high cholesterol should eat a healthy diet and exercise regularly. Many people with high cholesterol should also take a statin. This includes Asian-Americans. Statins are especially important for people who:
- have low density lipoprotein cholesterol (LDL-C) levels of 190 mg/dL or more
- already had a heart attack or stroke
- have diabetes
- are over age 40 with other risks like high blood pressure or smoking
Everyone is different, but statins work well for most people. In studies, statins work differently in Asians compared to whites and other groups. Asian Americans may need to start on a lower dose of statins. Some may need a lower dosage than other groups to reach their cholesterol goals. It isn’t completely clear why. Your doctor can help you make these treatment decisions.