How much am I at risk for heart diseease if my HDL is 78 and my total cholesterol is 268? I have normal triglyceride levels, normal blood pressure, normal liver, normal kidney, normal thyroid, not anemic, and not diabetic. I walk a lot and I exercise about twice a week (not including walking).
Sir your total cholesterol is on the higher side, which you should try bringing to less than 100, and the LDL cholesterol less than 130. Low HDL cholesterol is the good cholesterol, it being more than 40 in a male and 50 in female is good to have, so 78 is excellent, and it is due to healthy lifestyle you described.  Now to bring your total to normal I would just suggest you to Cut on fats, less red meat, egg while, cut on oils and pure carbs.  Rest continue with exercise.  So your heart risk with the value of cholesterol you describe is minimal.  Do repeat the test after 6 months to see the change.  Regards Chat Doctor. 