In our daily clinical work, we often come across the question, "Doctor, what should I do if my triglycerides are elevated?". I'm not sure what to do about it, but I'd like to say this. In fact, in the face of this problem I have to say: different patients triglyceride elevation degree is not the same, give the treatment measures are not the same. Today I will give you a closer look at the mystery.

The appropriate level of triglycerides should be <1.7 mmol/L (150 mg/dL). When 1.7 mmol/L (150 mg/dL) < 5.6 mmol/L (500 mg/dL), non-pharmacological interventions are the first priority, including therapeutic diets, weight loss, reduction of alcohol consumption, and abstinence from hard alcohol.

In patients with severe hypertriglyceridemia, major triglyceride-lowering drugs (e.g., fibrates, high-concentration fish oil preparations, or niacin) should be considered first if fasting triglycerides are ≥5.6 mmol/L (500 mg/dL).

However, this is not the case for patients with cardiovascular disease, which has a stricter set of treatments and rules:

In patients with or at high risk for cardiovascular disease, if triglyceride levels are only mildly or moderately elevated [(2.26 to 5.65) mmol/L (200 to 500 mg/dL)], to prevent and control the risk of further development of cardiovascular disease, although lowering the level of low-density lipoproteins (LDLs) is still the main goal, special emphasis should be placed on non-HDLs. (The so-called non-HDL is a general term for those lipoproteins other than total cholesterol lipoproteins minus HDL.) Basic target values need to be achieved. If non-HDL does not reach the target after statin therapy, a statin may be supplemented with a fibrate or a highly concentrated fish oil preparation.

In short, it's important to tailor the treatment to your own individual situation, not one size fits all. If you have problems with triglycerides it is better to visit a medical professional to make a professional diagnosis and treatment.

How to lower triglycerides, I'll summarize it in a catchphrase for you, better remembered

First of all, a couple of generalizations, which are important to today's topic

I. Are triglycerides lipids?

Many people know that HDL is the "good" cholesterol and LDL is the "bad" cholesterol. And triglycerides? Some people even refer to them simply as "triglycerides", and even more so as blood lipids.

In fact, triglycerides are just one of the major components of blood lipids. Triglycerides not only have a close correlation with the occurrence and development of coronary heart disease, but also have an important value in the risk assessment of cardiovascular disease.

Second, how much triglyceride is normal?

Normal triglyceride reference value: 0.45 to 1.69 mmol/L. With a 12-hour fast (after a light diet), triglycerides below 1.70 mmol/L are appropriate levels. For people with elevated triglycerides, improvements need to be made accordingly to the elevated level:

1. When triglyceride level is 1.7mmol/L to 2.3mmol/L, it is mildly elevated and it is recommended to actively improve the lifestyle mainly.

2. When the triglyceride level is 2.3-5.6 mmol/L, which is moderately elevated, it is recommended that while actively improving lifestyle, the condition should be evaluated, and the use of lipid-lowering drugs should be initiated for those with high risk factors for cardiovascular and cerebrovascular diseases.

3, and for triglycerides more than 5.6mmol / L, for severe elevation, at this time very easy to occur pancreatitis, should start using lipid-lowering drugs in time.

How to lower triglycerides, I'll summarize it in a catchphrase for you, better remembered

Fatty meat, fried shortbread, animal offal, don't open your mouth.

White flour, white bun, rice, fries and a drink don't hurt.

Fruit and Vegetable Whole Grain Meals, Triglycerides "Sucked Dry"

Eat meat with some deep-sea fish, and don't stop with the nuts and milk.

No matter how many dinners you have, you won't drink at all, just one sip will do you good.

Stick to exercise to be aerobic and don't rob for half an hour

Weight control is the most important thing, and taking medication is not a joke.

A final reminder: stick to unsaturated fatty acids

There is a class of fatty acids, called essential fatty acids, refers to the human life activities essential, but the body can not synthesize their own, must be supplied by the food polyunsaturated fatty acids. Long-term intake of saturated fatty acids is higher than unsaturated fatty acids, which is one of the culprits of hypertension, hyperlipidemia and hardening of blood vessels. As mentioned above, unsaturated fatty acids are found in deep-sea fish, nuts and other foods, which are very helpful to blood vessels.

And celery seed contains unsaturated fatty acids, as well as flavonoids, butyl phthalide substances are very rich, contains antihypertensive, lipid-lowering components is 50 times the celery. Celery seed classification is more, among which the quality of Shennan Mountain celery seed is more outstanding, containing unsaturated fatty acids, flavonoids, butyl phthalide substances is 12.6 times the ordinary celery seed.

Take its seed powder, daily punch or porridge to eat, daily punch, porridge, pasta added to reduce blood lipids, promote blood circulation, stabilize blood pressure, blood sugar control, prevention of hypertension, atherosclerosis, heart attack, cerebral infarction and other morbidities.

Regular use to play a role in lowering blood pressure, lowering blood lipids, and without any toxic side effects (low blood pressure, diarrhea is prohibited)

Over the past 30 years, lipid levels in the Chinese population have gradually increased, and the prevalence of dyslipidemia has increased significantly. The increase in serum cholesterol levels in the population will lead to an increase in cardiovascular events of approximately 9.2 million during the 2010-2030 period in China.

Here some people will certainly ask cholesterol elevation can cause cardiovascular disease, so what about triglycerides?

Mild to moderate elevations in triglycerides often reflect an increase in very low-density lipoproteins (VLDL) and their remnants (smaller VLDL), which may be directly atherogenic because of their smaller size. However, most studies suggest that elevated TG is likely atherogenic by affecting the structure of low-density lipoproteins (LDL) or high-density lipoproteins (HDL). Atherosclerosis is a major cause of coronary heart disease, cerebral infarction, and peripheral vascular disease. Research data show that the risk of coronary heart disease increases in people with mildly to moderately elevated serum TG levels. When TG is severely elevated, it can often be accompanied by acute pancreatitis, and it is said that the pain of acute pancreatitis is comparable to giving birth to a child.

High triglycerides are a manifestation of dyslipidemia, which is classified as hyperlipidemia in the disease category. General triglyceride <1.7mmol/L said normal; between 1.7-2.3mmol/L said in the edge of the elevated, can be preceded by diet and exercise to be adjusted; ≥ 2.3mmol / L said that triglyceride high in diet and exercise based on the cause of the disease should be clear is the diet, disease, or family heredity, and then to be the symptomatic treatment, but all the changes are not different, when you can not control triglyceride in the normal range, we must resort to medication. When triglycerides can not be controlled in the normal range, we must resort to drugs.

What are the medications that lower triglycerides?

There are 3 main types of triglyceride-lowering drugs: fibrates, niacin, and high-purity fish oil preparations.

1. Bettes

Commonly used fibrates include fenofibrate tablets, gemfibrozil, and benzofibrate. Common adverse effects are similar to those of statins, including liver, muscle and nephrotoxicity, etc. Lipids and transaminases and creatine kinase should be rechecked within 6 weeks of administration for the first time, and may be rechecked 6-12 months thereafter.

2、Nicotinic acid

Niacin, also known as vitamin B3, is an essential vitamin. In high doses, it has been shown to lower triglycerides, low-density lipoprotein cholesterol (LDL-C) and cholesterol, and raise high-density lipoprotein cholesterol (HDL-C). The most common adverse reaction is flushing of the face, others are liver damage, hyperuricemia, hyperglycemia, acanthosis and gastrointestinal discomfort, and it is contraindicated in chronic active liver disease, active peptic ulcer and severe gout. Due to the combination of niacin on the basis of statin clinical research suggests no cardiovascular protective effect compared with statin alone, Europe and the United States, a number of countries have faded niacin drugs out of the lipid-regulating drugs market, the domestic application is also less, but the author believes that for patients with greater economic pressure, under the premise of being able to control the disease, niacin is not a good drug.

3. High purity fish oil preparations

Fish oil is mainly composed of n-3 fatty acids, i.e., omega-3 fatty acids, and is mainly used in the treatment of hypertriglyceridemia. Adverse reactions are rare, with an incidence of about 2%~3%, including gastrointestinal symptoms, mild elevation of aminotransferase or creatine kinase in a few cases, and occasional bleeding tendency. Here to emphasize, fish oil and cod liver oil is not the same concept, fish oil mainly contains vitamin A and vitamin D, the majority of patients and friends must not be confused yo!

In addition statins can also be used to lower high triglycerides, but not as the first-line drugs to lower high triglycerides. At present, there are lovastatin, simvastatin, pravastatin, fluvastatin, atorvastatin, resuvastatin and pitavastatin in domestic clinic. Statins can reduce TG levels by 7% ~30%, and common side effects are liver, kidney, and muscle toxicity, etc. The frequency of review is the same as that of Beta drugs.

[1] Zhu Junren, Gao Runlin, Zhao Huanhe, et al. Guidelines for the prevention and treatment of dyslipidemia in Chinese adults (2016 revised edition)[J]. Chinese Journal of Circulation, 2016, 31(10):7-28.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

In the outpatient clinic always encountered patients with elevated triglycerides, Dr. Wang does not prescribe them medication, some people will thank Dr. Wang because they feel bad about taking medication, this doctor is good; some people will ask for a refund because they say Dr. Wang did not prescribe them medication, to put off the registration fee.

Really crying and laughing, in fact, this registration fee itself will not give Dr. Wang, just this kind of people are too hurtful ......

Why does Dr. Wang not prescribe medication for someone with elevated triglycerides? Let's first recognize triglycerides, triglycerides is a blood lipid one, the current normal reference value of triglycerides: 0.45 ~ 1.69mmol / L.

Fasting triglycerides below 1.70 mmol/L are considered appropriate levels;

1.70-2.25 mmol/L is borderline elevated;

≥2.26 mmol/L is elevated.

Dangers of Elevated Triglycerides.

Elevated triglycerides are themselves a form of hyperlipidemia, and elevated triglycerides are also a risk factor for cardiovascular disease. Elevated triglycerides can be seen in hypothyroidism, nephrotic syndrome and pancreatitis, atherosclerosis, and glycogen storage disease. In addition to these conditions that can lead to elevated triglycerides, the most significant cause of elevated triglycerides is diet! Generally triglycerides originate from two sources, exogenous and endogenous.

1, exogenous: fat ingested from food in the intestinal tract, in the role of bile acids, lipase is absorbed by the intestinal mucosa, in the intestinal mucosal epithelial cells to synthesize triglycerides. That is, it mainly comes from food.

2, endogenous: the body's own synthesis of triglycerides mainly in the liver, followed by adipose tissue. That is, self-synthesis.

With the change of our lifestyle, most of all with the change of our diet structure, we triglyceride elevated more and more people, young people may not be able to understand, forty or fifty years of age and above, surely can clearly remember, we used to eat what we ate, what we eat now. In the past is basically not enough to eat, do manual labor, year-round food is not not a meal of meat, a year to eat the oil are not as much as a week now, a meal of white mask than before a year to eat more. At that time to miscellaneous grain-based, now to fine grain-based, but also with a variety of meat, high oil, high salt and high sugar diet. This series of dietary changes, resulting in the body of the blood to change significantly, the brunt of triglyceride elevation, followed by cardiovascular disease may be.

What about elevated triglycerides?

No matter how much triglyceride elevation, the first point must do a healthy diet, the above has been said very clear, is to eat too much oil, eat too much, move too little caused by triglyceride elevation. The high oil and salt high sugar food, the fine grain food, the pork, beef and mutton and fat meat offal and other food are all reduced. The vegetables and fruits, fish and meat, grains and so on to increase the amount. At the same time more exercise, quit drinking, so as to lay the foundation for triglyceride back to normal.

Most people with mildly elevated triglycerides, such as those below 5.65, can basically return to normal with a healthy diet and don't need to take medication, which is why Dr. Wang doesn't recommend medication for some people.

Of course for elevated triglycerides that are higher than 5.65, or that cannot be controlled by diet, a little bit of a lipid-lowering medication must be added, such as a lipid-lowering medication such as a fibrate. But elevated triglycerides are not like cholesterol because most elevated triglycerides do not require lifelong medication.

Elevated triglycerides are caused by the lack of lifestyle changes that we humans make. Elevated triglycerides caused by our modern life can only be prevented by changing these unhealthy lives to treat elevated triglycerides.

[Dr. Cardiovascular Wang formally authorized original protection, such as theft must be held legally responsible.]

[If you have any cardiovascular, hypertension or hyperlipidemia problems, you can write to me privately and I will get back to you as soon as possible].

The results of the 2002 survey on the nutritional and health status of the Chinese population showed that the prevalence of high TGemia among people ≥18 years of age in China

at 11.9%. Many people often stumble upon their elevated triglycerides during physical exams, is this a big problem?

What are triglycerides?

Triglyceride (abbreviated TG) is one of the blood lipids that is highly related to daily eating habits. Most tissues can utilize the breakdown products of triglycerides to supply energy, while tissues such as the liver and adipose tissue can also synthesize triglycerides and store them in adipose tissue. Triglycerides have played an important role in the evolution of mankind in adapting to the harsh nature in order to survive. However, in today's rich material life, too high triglycerides may damage our body.

Elevated TG was found to be likely to contribute to atherosclerotic effects and was also independently associated with the risk of microalbuminuria and macroalbuminuria in patients with type 2 diabetes mellitus, and excessive TG could also induce pancreatitis.

What to do when you find out you have high triglycerides

The management of patients with hyper-TGemia depends mainly on the degree of TG elevation and the overall cardiovascular risk level.When TG is mildly to moderately elevated (2.26 ~5.64 mmol/L), treatment at this time is still based on controlling LDL-C to reach the standard, while when TG is severely elevated (≥5.65 mmol/L) TG-lowering medication should be applied immediately in order to prevent acute pancreatitis.

Lifestyle improvement is the basis for the treatment of hypertriglyceridemia as long as triglycerides are elevated, with or without the application of lipid-lowering drugs.

1. Improvement of lifestyle

1), weight control. Patients who are overweight or obese can have their TG reduced by about 20% if their body weight is reduced by 5% to 10%. They should strive to normalize their BMI or reduce their body weight by at least 10% within 1 year;

2), reasonable diet. Controlling total dietary calories, limiting carbohydrate and fat intake, and increasing vegetable and high-quality protein intake can reduce TG by 20% to 50%;

3) Quit smoking and limit alcohol. Alcoholism is a common cause of elevated TG, and those with severely elevated TG should stop drinking immediately. Alcohol consumption is not recommended for those who do not have a drinking habit, and those who do have a drinking habit should limit their daily alcohol intake to less than 30 g (men) and 20 g (women). Smoking cessation significantly reduces the overall risk of cardiovascular disease in patients;

4) Moderate exercise. Regular physical exercise helps to reduce body weight and also directly reduces TG. It is recommended to perform moderate-intensity aerobic exercise for at least 30 minutes a day, at least 5 times a week, including brisk walking, cycling, stair climbing and other forms of exercise. Those who are overweight/obese should further increase the amount of exercise.

2. Drug treatment

Pharmacologic therapy should be considered for those whose TG is not satisfactorily controlled after lifestyle intervention. For patients with cardiovascular disease and their high-risk groups, if TG ≥ 2.26 mmol/L after 2-3 months of therapeutic lifestyle improvement, drug therapy should be initiated. The choice of lipid-modifying drug is based on whether the patient's LDL-C is standardized or not: statin therapy is preferred for those who do not have standardized LDL-C, and for those who do have standardized LDL-C. Non-HDL-C becomes a secondary target of therapy, and treatment with fibrates, niacin, or omega-3 fatty acids is preferred.

(Image source: Chinese expert consensus on prevention and treatment of dyslipidemia with elevated triglycerides)

For those who asked this question, it is likely that the elevated triglycerides are not too much, so it is recommended to first actively improve lifestyle, review in 2-3 months, and see a cardiologist to evaluate cardiovascular risk factors to decide whether to use medication.

Triglycerides are a key item in lipid screening. Although triglycerides are an important source of energy for the body, they can also cause atherosclerosis and increase the risk of cardiovascular events. Therefore, adults should regularly review triglycerides, and when found elevated, a reasonable lipid-lowering program should be developed to keep them within the target range and reduce the incidence of cardiovascular events. Then, how to treat hypertriglyceridemia? Next, Medical Senlution will analyze it for you.

Although elevated triglycerides can later lead to the development of atherosclerosis, not all patients with hypertriglyceridemia need medication. Before explaining the lipid-lowering treatment, let's have a brief understanding of triglycerides (TG). Under normal circumstances, triglycerides should be lower than 1.7mmol/L. When triglycerides are higher than 1.7mmol/L, they are divided into three intervals, and triglycerides in different intervals have different effects on the body, and are also an important basis for the development of treatment programs.

• When 1.7 mmol/L ≤ TG < 2.3 mmol, it is borderline elevated, at this time, it has little effect on the body, and triglycerides within this range usually do not require pharmacological intervention. The main sources of triglycerides are food, peripheral adipose tissue, and heavy alcohol consumption, etc. Patients with borderline elevation can have their triglycerides restored to the normal range after a few months of non-pharmacological measures such as low-fat and low-cholesterol diet, increased exercise, weight loss, and cessation of smoking and alcohol restriction.

• When 2.3mmol/L≤TG＜5.6mmol, it is mild-moderate elevation, at this time, the impact on the body is mainly manifested as chronic damage, that is, it leads to the occurrence of atherosclerosis, at this time, it should be based on the level of LDL to choose drugs, if the LDL is significantly elevated, it should be given to statin treatment, statin in the lowering of LDL at the same time, it can also be a mild lowering of triglycerides, if necessary, it can add If necessary, triglyceride-lowering drugs can be added, such as beta-lipid-lowering drugs and high-purity marine fish oil; meanwhile, attention should be paid to change the lifestyle.
  
• When TG ≥ 5.6 mmol, it is a severe elevation, at this time, the chronic damage of triglyceride to the body still exists, but at this time, the main harm for the acute complications-acute pancreatitis, therefore, the treatment should be given to lipid-lowering drugs, as soon as possible to reduce triglyceride to a safe range, the commonly used drugs are Betel-lipid-lowering drugs, high-purity marine fish oil, etc., and regular rechecking of triglyceride.

In summary, when 1.7mmol/L≤TG＜2.3mmol, it is borderline elevated, and the lipid-lowering measures are mainly non-drug treatments; when 2.3mmol/L≤TG＜5.6mmol, it is mildly-moderately elevated, and at this time, the drugs should be selected according to the level of low-density lipoproteins; when TG≥5.6mmol, it is severely elevated, and at this time, it focuses on the prevention of acute pancreatitis, and the drugs can be Choose Beta lipid-lowering drugs, high-purity marine fish oil and so on.

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High triglycerides can lead to atherosclerosis, which increases the risk of stroke and heart disease, and very high triglycerides can also lead to acute pancreatitis.

Triglyceride levels

regular value：<150mg/dL(1.7mmol/L)；

threshold value：150-190mg/dL(1.8-2.2mmol/L)；

overvaluation:: 200-499 mg/dL (2.3-5.6 mmol/L);

maxima and minima: ≥500 mg/dL (5.7 mmol/L).

A change in lifestyle

The first response to high triglycerides is to change lifestyle habits.

One of the lifestyle changes is how to eat。

The root cause of high triglycerides is taking in more calories than you burn, so eating less and losing weight is most effective in lowering triglycerides, and losing 5-10% of your body weight can reduce triglyceride levels by 20%.

In addition to eating less, you have to eat right, by eating less fat and more fruits and vegetables. When it comes to fat, eat white meat like fish and chicken and less red meat like pork and beef and lamb.

Carbohydrates should be eaten sparingly, avoid high-sugar foods, and abstain from alcohol.

The second change in lifestyle habits is exerciseExercise can lead to lower triglycerides in the blood, which is no less effective in lowering triglyceride levels than eating less. Aim to exercise for at least 30 minutes a day.

antihyperlipidemic drug

The second response to high triglycerides is medication.

If diet and exercise do not keep triglycerides at normal levels, medication is needed. There are several medications to lower triglycerides:

• Statins: Statins work best if you also have high cholesterol, or if you have clogged arteries or diabetes;

• Beta drugs: work well for very high triglycerides;

• Niacin: Used by those with very high triglycerides;

• Fish oil: High doses of fish oil have the potential to lower triglycerides as a means of preservation for those with very high triglycerides.

Triglycerides are an important indicator in lipid screening, they are the primary products of lipid metabolism in the human body, the main components of chymosin and LDL cholesterol, after 12 hours of fasting, chymosin has basically been converted, so if you make sure that you are fasting for the lipid screening, then the triglyceride level on the report card represents the body's VLDL cholesterol and its residue levels. The level.

Very low-density lipoprotein (LDL) cholesterol is synthesized by the liver and is a prerequisite for the formation of LDL cholesterol, which is hydrolyzed by esterases and converted to LDL cholesterol, which, if chronically high, is the greatest risk factor for the formation of atherosclerosis and plaque.

Elevated triglycerides are an indicator of elevated levels of very low-density lipoprotein (LDL) cholesterol and its remnants in the body, the finer remnants that are a direct contributor to atherosclerosis. And it has also been shown that elevated triglycerides affect the normal structure of LDL cholesterol and HDL cholesterol, which also has a role in causing atherosclerosis. Therefore, elevated triglycerides are also an important risk factor for cardiovascular aspects. In addition, for those who have severe elevated triglycerides (more than three times the normal value)present situation, excessive triglycerides can lead to blockage of the microvessels of the pancreas, which can lead to the problem of acute pancreatitis and also deserve attention.

Therefore, we should also pay attention to the problem of elevated triglycerides. As triglycerides are the primary products of lipid metabolism, they are greatly influenced by external environmental factors. For patients with mild to moderate high triglyceride levels that do not exceed 5.8, triglyceride levels will generally improve if they are able to carry out effective life control.

It's important to do the following to control triglycerides in your life -

1. Light diet, if the original like to eat greasy, fish and meat eat too much, may try to eat lighter, eat more fresh fruits and vegetables; if the original like to eat sweets, excessive sugar intake is also an important aspect of the rise of triglycerides, but also to try to eat less, with fruits instead of desserts is a very good way; daily cholesterol intake should be controlled, try not to exceed 300mg; Stir frying oil should also be controlled, not more than 30g, try to use vegetable oil, less animal fats.

2. Smoking cessation and alcohol restriction, lipid metabolism is abnormal, triglyceride elevation, such as smoking and drinking bad habits are closely related, it is recommended that friends with triglyceride high problem, quit smoking, but also to quit drinking strong alcohol, timely drinking other alcohol should be in moderation, excessive drinking is an important factor leading to triglyceride elevation.

3. Control of obesity, especially for friends with centripetal obesity (i.e., abdominal obesity) problems, control and management of weight, all aspects of health are very important, and very often, the weight down, the stomach down, the original high triglycerides naturally follow the normal.

4. Strengthening exercise, exercise is another good way to reduce triglycerides, by adhering to exercise, step by step, maintain a certain intensity of aerobic exercise, long-term persistence, exercise time of no less than five days a week, each time no less than 30 minutes, long-term persistence, triglyceride levels of the lowering effect is often very significant.

Adhere to the several aspects of life conditioning, 3 months or so to review triglycerides, usually will have a better improvement. But for the triglyceride heavy high friends, in addition to adhere to the above aspects of life conditioning, generally recommended to immediately start drug therapy, statin drugs on LDL cholesterol lowering effect is significant, at the same time, some high-intensity statin, but also have a certain effect of lowering triglycerides, the most direct triglyceride lowering drugs recommended beta drugs, such as Gemfibrezil, fenofibrate, etc.; the literature shows that Niacin drugs (high concentration of vitamin B3) also have some triglyceride-lowering effect, but due to its high concentration of application of side effects, and the study found that there is no cardiovascular protective effect, is now less application.

The main components of blood lipids are cholesterol, triglycerides, phospholipids and free fatty acids. There are many factors that lead to increased blood lipids, which are generally believed to be related to over-nutrition, reduced exercise, overweight, mental stress, and heredity.

The diagnostic criteria for hyperlipidemia are: cholesterol over 5.2-5.7 mmol/l and triglycerides over 1.5-1.7 mmol/l. Clinically, hyperlipidemia is further categorized into the following three types:

Hypercholesterolemia, in which cholesterol is elevated and triglycerides are normal; hyperlipoproteinemia, in which triglycerides are elevated and cholesterol is normal; and hypertriglyceridemia: in which triglycerides are elevated along with cholesterol.

Many people who see an index on the blood lipid laboratory test sheet that exceeds the normal value arbitrarily judge themselves to be suffering from hyperlipidemia. In fact, the diagnosis of hyperlipidemia is not based on one or two data on the laboratory test sheet alone, but requires the doctor's comprehensive assessment. The laboratory test is only a reference for the doctor to make a diagnosis, and the doctor should also take into account the risk factors such as smoking, high blood pressure, high blood sugar, etc. before making a diagnosis.

And with hyperlipidemia, the first thing you need to do is to regulate your diet and lifestyle. Irrational diet is a very important factor leading to hyperlipidemia, in order to control blood lipids, meals should be eaten first staple food, so as to improve protein absorption, limit the intake of excessive calories. The specific order of meals is, first eat a little carbohydrate-containing staple foods, such as rice, millet porridge, corn nests, buckwheat noodles, oat noodles, etc., and then light vegetables, fill the stomach most of the way, and finally eat fish and meat dishes. This will ensure that enough dietary fiber, control the intake of animal foods such as meat, slow down the digestion of staple foods and fat, thus avoiding irrational eating habits to high blood fat to provide an opportunity to take advantage of.

If triglyceride levels cannot be controlled by diet, lipid-lowering drugs should be used. Commonly used are statins, niacin, beta, the specific choice needs to be based on the patient's own situation, it is recommended to use drugs under the guidance of a doctor.

[Professional doctor to help you answer]
Before we talk about this problem, let's look at this example. Kitchen sink often have to wash dishes, all kinds of grease on it will be discharged into the sewer, a long time on the sewer pipe will be covered with grease, there is always the possibility of clogging, how to do it? Clogging should be unclogged, and the key is to reduce the discharge of grease and dirt, and regularly clean the underwater pipe to prevent clogging.

In fact, this can be compared to the downpipe is a blood vessel, and blood lipids in the blood is like "oil", too much oil is easy to adhere to the blood vessel wall, in the long run will not only block the blood vessel, but also cause damage to the blood vessel, resulting in more serious consequences. Triglycerides are one of the lipids.

Triglycerides are a type of fat that is closely related to lifestyle, especially diet and exercise, and its elevation is mainly due to poor diet and lack of exercise. But it is not only caused by eating too much oil or meat, it is also closely related to excessive consumption of sugary foods.

This is because triglycerides are a type of fat synthesized by the body, mainly from fatty acids ingested from food and glycerol, a product of the breakdown of glucose, so they are mainly the result of an irrational diet of eating too much. In addition, triglycerides as a kind of energy material, lack of exercise consumption of less, will be in excess and lead to its level rise. Over time, this will lead to dysfunction in the synthesis and consumption of triglycerides in the body, causing dysfunction in lipid metabolism.

With this knowledge, it is known that when triglycerides are elevated, the first thing to do is to control the diet to reduce the source of synthetic raw materials, and the second thing to do is to do more exercise to increase the going of triglycerides, which is known as lifestyle intervention therapy, and it is also the most basic and effective treatment. If it remains high after 1-3 months, then it indicates that something is wrong with the metabolic function, and then it is necessary to have the help of lipid-lowering drugs.

Specifically, elevated triglycerides are categorized into several levels. At very high levels, they are often due to metabolic abnormalities and need to be treated with lipid-lowering medications on the basis of lifestyle interventions, mainly a light diet, limited staple foods, and exercise for at least 30 minutes a day, while at other levels, they are mainly treated with lifestyle interventions first.

• Suitable level: less than 1.70 mmol/l
• Critical range: 1.7-2.25 mmol/L
• Elevated: 2.26-5.63 mmol/l
• Very high: greater than or equal to 5.64 mmol/L

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