LDL/HDL Ratio Calculator
Work out your LDL to HDL cholesterol ratio, a focused marker of heart risk.
What is the LDL/HDL ratio?
The LDL/HDL ratio is your LDL ("bad") cholesterol divided by your HDL ("good") cholesterol. LDL carries cholesterol into artery walls, while HDL helps carry it away, so dividing one by the other gives a focused snapshot of how the two are balanced. A lower ratio is better.
How it differs from the cholesterol ratio
Both are useful, and both say lower is better:
- The cholesterol ratio divides total cholesterol by HDL.
- The LDL/HDL ratio divides LDL specifically by HDL.
Because these are ratios, the units cancel out, so the result reads the same whether your report uses mg/dL or mmol/L. Everything is calculated in your browser and nothing is stored.
What your result means
| Ratio | Interpretation |
|---|---|
| Below 2.0 | Optimal |
| 2.0 to 3.5 | Moderate |
| Above 3.5 | High |
These bands are a general guide. They are not a substitute for the LDL target your doctor sets based on your overall cardiovascular risk - someone who has had a heart attack, for example, is given a much lower LDL goal than someone at low risk.
A note on what guidelines target
Current cholesterol guidelines increasingly focus on lowering LDL itself (and related markers such as non-HDL cholesterol or ApoB) rather than ratios. The LDL/HDL ratio is a handy way to summarise your lipid balance, but use it as a prompt to discuss your specific LDL goal and treatment with your doctor.
Frequently asked questions
What is the LDL/HDL ratio?
It is your LDL ("bad") cholesterol divided by your HDL ("good") cholesterol. It focuses on the two lipoproteins that most directly drive and protect against artery disease.
How is it different from the cholesterol ratio?
The cholesterol ratio uses total cholesterol divided by HDL. The LDL/HDL ratio uses LDL specifically. Both follow the same rule: lower is better.
What is a good LDL/HDL ratio?
Broadly, below 2 is optimal, 2 to 3.5 is moderate, and above 3.5 is high. It is one summary number among several risk markers.
Which number should I focus on?
Modern guidelines increasingly target LDL (and non-HDL cholesterol or ApoB) directly. Ratios are a helpful summary, not a replacement for those targets.
How do I lower it?
Lowering LDL (soluble fibre, less saturated fat, statins when prescribed) and raising HDL (regular exercise) both move the ratio down.
Formula source: Millan J et al. Lipoprotein ratios: physiological significance and clinical usefulness. Vasc Health Risk Manag 2009;5:757-765.
Related reading
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