Personal Cholesterol Management Tracking Chart

Monitor Your Progress Towards Better Heart Health

Cardiology

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Last updated: Mar 24, 2025

Patient Information

Name: _________________ Date Started: //___

Target Goals

  • Total Cholesterol: < 200 mg/dL
  • LDL ("Bad") Cholesterol: < 100 mg/dL
  • HDL ("Good") Cholesterol: > 40 mg/dL (men), > 50 mg/dL (women)
  • Triglycerides: < 150 mg/dL

Progress Tracking

Test Results

Date Total LDL HDL Triglycerides Notes

Lifestyle Changes

Exercise Log

  • Type of Activity: ________________
  • Minutes per Day: ________________
  • Days per Week: ________________

Dietary Changes

  • Reduced saturated fats: □ Yes □ No
  • Increased fiber intake: □ Yes □ No
  • Limited processed foods: □ Yes □ No

Medication Record

Medication Name: ________________ Dosage: ________________ Frequency: ________________

Next Appointment

Date: //___ Time: : AM/PM

Keep this chart updated and bring it to all your medical appointments.

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