High cholesterol (hypercholesterolemia) can be inherited, but it's often the result of unhealthy lifestyle choices, and thus preventable and treatable. A healthy diet, regular exercise and sometimes medication can go a long way toward reducing high cholesterol.
High cholesterol typically doesn't cause any symptoms. In the vast majority of cases, the only true symptoms it may cause are emergency events. For instance, a heart attack or stroke can result from the damage caused by high cholesterol over time. These events typically don’t occur until high cholesterol leads to the formation of plaque in your arteries.
Clinicians should remain aware of the increased prevalence of metabolic syndrome and glucose intolerance in South Asians, and should screen subjects accordingly. Screening methods should include measurement of waist circumference and, ideally, waist-hip ratio, rather than BMI. Assessment of fasting glucose and a complete lipid profile are essential. In subjects with features of metabolic syndrome, a strong family history of diabetes, or impaired fasting glucose, an oral glucose tolerance test should be considered.