Journal
Writing on preventive health in Sri Lanka.
Physician-authored notes on cardiovascular risk, metabolic health and what biomarkers actually mean — written for Sri Lanka, where the thresholds that matter are not always the ones printed on the report.
Know your numbers: which routine checks guidelines suggest for you
Two minutes and no email. See which blood pressure, cholesterol and blood sugar checks guidelines suggest for adults like you, and where your BMI and waist sit against South Asian limits. Reading resultsHow to read a lipid profile report, line by line
What each line means, why LDL comes first, why the printed reference range is not your goal, and how to convert between mmol/L and mg/dL. Metabolic healthA healthy waist size for a South Asian body
The International Diabetes Federation sets South Asian waist limits at 90 cm for men and 80 cm for women. Half your height is the simpler rule, and how to measure it. Metabolic healthAn HbA1c of 5.7 to 6.4: what pre-diabetes means
The top of the pre-diabetes range carries roughly double the risk of the bottom, lifestyle change has trial evidence behind it, and anaemia can make the number read wrong. Metabolic healthWhat fasting insulin and HOMA-IR show years before glucose does
Fasting glucose is the last number to move. In one cohort it stayed normal for a decade before diagnosis, while insulin sensitivity was already falling. Cardiovascular healthWhat ApoB measures, and why it is missing from most reports
Two identical LDL results can carry very different risk. ApoB counts the particles that build plaque; LDL only weighs what they are carrying. Cardiovascular healthCholesterol testing in Sri Lanka: half of adults have never had one
What a lipid profile actually measures, why a “normal” result may not mean optimal for a South Asian body, and why total cholesterol is the least useful number on the page.What the journal covers
Cardiovascular risk
Cholesterol, ApoB, inflammation, and what the numbers predict over a decade.
Metabolic health
Insulin resistance, HbA1c and pre-diabetes — usually silent, usually early.
Reading results
Why a “normal” report and an optimal one are not the same document.
Articles here are general information, not individual medical advice. They do not replace assessment by your treating physician.