While we obsess extensively with bg's and A1C's here, in real life (for both T1 and T2 diabeteics) cardio health is another ballgame that must be played because no matter how good our bg control, we are still at very increased risks for heart problems. It's not unrelated to the bg ballgame because we know that good bg control is better for the heart than bad bg control. But still it's a game we have to play.
For a nondiabetic, a number like 198 or 186 for total cholesterol is in fact a pretty good number. But generally docs try to (with good reason) to keep us diabetics to more strict standards. Me, my doc is trying to get my total number under 140 and I try to comply with all his suggestions, but still it's a struggle.
I kinda know how you feel... it feels like they are moving the goalposts or lowering the limbo bar to hold us diabetics to higher standards than the general population. But I think there are good reasons to. It just is hard sometimes especially when there's a goal I don't meet all the time.