35-year-old female attending for an Everywoman basic. History of PCOS, no symptoms of note. Client’s father died of a heart attack aged 55.
Very high total and LDL cholesterol, high small LDL and high lipoprotein (a). HbA1c in the pre-diabetic category.
Very young for such high cholesterol. Client’s father died of a heart attack before 60 years. Likely familial hypercholesterolaemia- referral made to a cardiologist and statin therapy likely required. Advice given around reversing pre-diabetes and repeat testing recommended. Strong link between PCOS and Type 2 Diabetes due to increase in insulin resistance.
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