I would say at minimum, you are pre-diabetic. Ask your doctor to get an A1C test.
I don't have a doctor. And even if I did, I'm not interested in getting five tests so I can throw out the high and the low and average the rest. Although if I like the first test's results I would obviously just rely on that.
Just got the results of my yearly-physical blood tests, accompanied by a brief note from the doctor: "Total cholesterol elevated above 200 at 223 and LDL cholesterol elevated above 100 at 133. Recommend eating a healthy low-fat low LDL cholesterol diet and exercising regularly as tolerated to help with these. ..."
As others have noted, this looks like generic advice, and like you wondered, why are YOU being given this advice? You already do that!
Or, well, I think you do that. What exactly is a "low-fat low LDL cholesterol diet"? Is that really what the report said? It makes no sense.
Not only does it not make sense, even if it actually meant "healthy diet," you're already doing that. And exercising. So this "advice" has nothing to offer to you. It's probably CYA for the doctor, but at the expense of being irrelevant and worse, confusing, to the more important person in this scenario--you
If the medical establishment stopped treating us like idiots and just explained what they knew and/or believed to be true at the moment we would all be better off. And we would have more trust in what the 'experts' say.
The problem is that a lot of us
are idiots, and only moreso when it comes to complex things like health, with all its moving parts PLUS genetics thrown in just to make everything more opaque.
This makes it really hard to come up with blanket, hard-and-fast rules, but people don't deal well with nuance, and they're by and large not all that smart AND they're not really interested in their health. So it's blanket rules that really aren't that good or nothing at all.
And if someone is pretty smart and is motivated to look into it on their own, it's a hellscape of different opinions and advice that like so much other advice doesn't take individuals into account even though every body is unique.
Here's an easy example. I recently got my teeth cleaned for the first time in 12 years. I waited that long because my history tells me I can, and sure enough, the hygienist said my teeth were in great shape and didn't need much cleaning at all. I assume it has to do with genetics, because I don't take superlative care of my teeth--just brush twice a day with a regular toothbrush and floss every once in a while.
I've concluded that this is just how my teeth roll, and think that applies to many aspects of our health. Or certainly my health, anyway.