Before answering this question, let's review an idiomatic story we learned as children:

Once upon a time, a man had a pen of sheep. One morning he was getting ready to go out to graze the sheep when he realized that one was missing. It turned out that there was a hole in the sheep pen. At night the wolf came in through the hole and took the sheep. The neighbors advised him, 'Hurry up and fix the sheep pen and plug the hole!' . He said, 'What's the point of repairing the sheep pen when the sheep have already been lost?' The neighbor's advice was not accepted. The next morning, he was ready to go out to graze the sheep when he realized that another sheep was missing. It turned out that the wolf had come in through the hole again and had taken the sheep. He regretted very much that he should not accept his neighbor's advice, so he quickly plugged the hole and repaired the sheep pen. From then on, his sheep were never taken away by the wolf again.

The idiom is to mend a sheep, now look again at what to do if you find high triglycerides on a physical exam.

Triglyceride is one of the most likely indicators of abnormalities in lipid screening because it is closely related to details of daily diet and exercise. For the level of triglyceride, the Chinese Guidelines for the Prevention and Control of Dyslipidemia in Adults and in clinical work are graded:

• 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

For those who are at the right level, it is like a sheepfold that is so solid that the wolf has no chance to drill in and eat the sheep; and when it is in the critical range, it is equivalent to a sheepfold that has been loosened in some places but is not yet broken; and when it is at the elevated level, it shows that the sheepfold has already had a hole, only that it is not big enough for the wolf to drill into it; but if it is at the very high level, the sheepfold has too big a hole, and at any time there may be a child The wolf may get in and take away the sheep at any time.

Undoubtedly, when the triglyceride is at a very high level, just like a sheep pen with a big hole must be repaired immediately, should take lipid-lowering drugs as soon as possible to lower the triglyceride, to avoid atherosclerosis, pancreatitis and other serious consequences of the occurrence of the; and in the critical range or elevated level, just like the sheep pen in time to carry out overhauling and reinforcing the same, through changing dietary habits and strengthening the exercise to intervene in the treatment to prevent the triglyceride continue to rise. To prevent triglycerides from continuing to rise.

In fact, this is also determined by the mechanism of triglyceride metabolism in the body. Triglyceride is a kind of fat synthesized by the liver, the synthetic raw material is fatty acid in food, and glycerol, the product of metabolism of blood glucose, when the triglyceride is at a very high level, it shows that it is not only a simple synthesis of raw materials caused by too much, but also due to the abnormal function of hepatic synthesis, it is difficult to reduce triglyceride in this state just relying on the control of diet and reducing the synthesis of raw materials, it is necessary to adjust the synthesizing function of the liver with lipid-lowering drugs. Lipid-lowering drugs are needed to adjust the liver's synthetic function.

By the same token, when triglycerides are in the critical range or elevated, you can first try to reduce triglycerides by reducing the synthetic raw materials, i.e., reasonable control of diet and more exercise. If, after 1-3 months of attempts, they still can't be lowered, suggesting that there is also an abnormality of the hepatic synthetic function, you will need to take lipid-lowering drugs for treatment.

It should be reminded that the dietary control of triglycerides is not just to eat less greasy and less meat, but also to limit the amount of staple foods such as rice and noodles, and to focus on dietary diversity, so that the nutritional balance is not excessive; at the same time, we should also adhere to the daily 30-45 minutes of sweaty exercise, and pay attention to work and rest on time and do not stay up all night. It is important to realize that lifestyle intervention is multifaceted and every detail of life needs to be changed.

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Dyslipidemia is a manifestation of impaired lipid metabolism and is a direct risk factor for coronary heart disease and other atherosclerotic diseases. Dyslipidemia with triglyceride TG level rise ischemic cardiovascular disease risk increased, often easy to induce coronary heart disease. Physical examination of triglycerides 3.5 mmol / L is already dyslipidemia, for mild triglyceride TG elevation is already hypertriglyceridemia, the need for therapeutic lifestyle changes (TLC).

First of all, Chinese Guidelines for Prevention and Control of Dyslipidemia in Adults: Triglycerides below 1.70mmol/L is considered appropriate range, above 1.70 to 2.25mmol/L is considered borderline elevated, and ≥2.26mmol/L is considered elevated. Mild and moderate triglyceride elevation TG 2.26 to 5.63 mmog/L, severe hypertriglyceridemia TG ≥ 5.65 mmol/L. Ideal level of control requires serum triglyceride TG < 1.70 mmol/L, HDL-C ≥ l.04 mmol/L. Physical examination of triglyceride 3.5 mmol/L is pure hypertrigly triglyceridemia, only mild to If triglyceride is 3.5 mmol/L, it is simple hypertriglyceridemia, only mild to moderate elevation of triglyceride, plasma triglyceride can be reduced to the normal level by dietary treatment, and drug treatment is not necessary, only when the elevation is more than moderate, then drug intervention is necessary, and the use of fish oil preparations and beta-lipid regulating drugs are used.

Can be through active lifestyle intervention, diet should avoid high saturated fat and high cholesterol diet, more unsaturated fatty acid foods, trans fatty acids can make LDL-C rise reduce intake; balanced diet, but also eat more fiber-rich vegetables, fruits, whole grains and miscellaneous food. Regular exercise to reduce excess weight and weight loss, requiring at least 30-45 minutes of moderate-intensity aerobic exercise every day, can achieve fat loss, enhance muscle endurance, so that excessive blood lipids down to normal; must also be regularly checked TC, TG, HDL-C and LDL-C four indicators, to understand the situation of blood lipids, adhere to the control of the diet and improve the lifestyle, if necessary, with medication to lower the lipid therapy to minimize Coronary heart disease and other atherosclerotic disease risk.

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

Hello, I am Pharmacist Wang and I am happy to answer this question for you. Triglyceride is a kind of lipid substance in the human body, which is one of the important indexes during the blood lipid examination. Under normal circumstances, the diagnostic criteria for triglycerides are: ideal level <1.70mmol/L, critical range: 1.70-2.25mmol/L, elevated: 2.26-5.63mmol/L, and very high: ≥5.64mmol/L. When the triglycerides are ≥2.26mmol/L, then the diagnosis of hypertriglyceridemia will be made.

Your triglyceride level is 3.5mmol/L, which is already elevated and requires timely intervention. Because triglyceride long-term high level state, easy to bring a lot of health hazards, such as accelerating the development of atherosclerosis, triggering heart attack, cerebral infarction, acute pancreatitis and other diseases.

How do you lower triglycerides?

Although hypertriglyceridemia is diagnosed when triglycerides are ≥2.26 mmol/L, medications, mainly acipimox (Eppin), etc., are generally needed only when triglyceride levels are ≥5.64 mmol/L. Because triglycerides are strongly influenced by diet and other factors, most people can reduce their triglycerides to desirable levels through lifestyle interventions.

Therefore, you have to do is: ① reasonable diet, advocate a light diet, control calorie and carbohydrate intake, eat less high fat, high cholesterol food, especially to eat less animal fat, increase the intake of fruits and vegetables and protein, cooking methods as little as possible frying, more steaming. ② increase exercise, exercise can accelerate the body's metabolism, help regulate triglyceride levels, aerobic exercise is recommended, such as swimming, jogging, playing Tai Chi and other sports are good choices, exercise time is best more than 30 minutes, avoid excessive exercise. Quit smoking and drinking, long-term smoking and drinking will raise triglycerides, so try to quit. Other ways: control or reduce weight, ensure adequate sleep, avoid emotional stress and so on.

After three months of lifestyle intervention, go to the hospital to review your blood lipids, and if triglycerides are not significantly reduced or are higher than previous levels, consider taking medication, which should be taken as prescribed by your doctor.

In summary, triglycerides are strongly influenced by lifestyle habits, and some patients are likely to have elevated triglycerides when they eat a large amount of high-fat foods the night before a lipid panel. Therefore, if triglycerides are not particularly high and there is no comorbidity with other diseases such as diabetes mellitus, lifestyle intervention should be considered first. Strict dietary control, appropriate increase in exercise, and resolute cessation of smoking and alcohol, most people can reduce triglycerides to the desired level in this way.

Triglycerides are the main components of blood lipids and their levels are one of the main items reported in lipid screening. Elevated triglycerides are known as hypertriglyceridemia, a type of hyperlipidemia.

Triglycerides 3.5 on physical exam, what do I need to do?

Hypertriglyceridemia, a type of hyperlipidemia, is a typical lifestyle disease that is closely related to people's long-term improper dietary and living habits. Therefore, the treatment of hypertriglyceridemia also needs to start from life intervention.

1. Treatment of elevated triglycerides:Normal triglyceride level is 0.56～1.71mmol/L, over 1.71mmol/L can be regarded as elevated triglyceride. Elevated triglycerides are a risk factor for cardiovascular disease, and a severe elevation of >13mmol/L can lead to acute pancreatitis, etc. Their levels are affected by age, gender, diet, etc. Triggers for elevated triglycerides are familial hypertriglyceridemia, high-fat dietary intake, and disease factors such as diabetes mellitus, hypothyroidism, nephropathy, and pancreatitis.

In our opinion, the slight elevation of simple triglyceride level (2.83-5.65 mmol/L) is mostly related to the patient's recent inappropriate diet, such as excessive intake of high-fat and fried foods. For this group of patients, if there are no risk factors such as hyperlipidemia, hypertension, atherosclerosis, etc., we recommend lifestyle intervention treatment first, and then consider medication when it is ineffective. For patients with severely elevated triglycerides (>5.65mmol/L) or with atherosclerosis, hyperlipidemia, etc., the treatment goal should be to reduce triglycerides as soon as possible, and then drug treatment is necessary.

2. Specific treatment modalities:Lifestyle intervention mainly includes dietary intervention and exercise intervention. Specifically, patients should pay attention to the fact that diet should reduce the intake of fat and cholesterol, and control the daily intake of fat should account for less than 25% of the total calorie intake; must pay attention to limiting the consumption of alcohol and try to quit drinking; and consume more vegetables, fruits, and roughage to accelerate the metabolism of the organism. Moderate exercise can directly reduce triglyceride levels, and also help to reduce body weight and promote excess lipids out of the body, patients should pay attention to choosing the right exercise program, adhere to the daily exercise for 30min, to develop a good habit, and not to give up halfway. For life intervention is ineffective, patients should follow the doctor's instructions to start drug treatment, commonly used drugs include beta, niacin, statins, etc., can be used alone or in combination, the specific should be selected under the guidance of the doctor.

No treatment is needed, just watch your diet.

Next door, Xiao Wang, who is obese and has a poor long-term dietary habit check, likes to eat high-fat diets and lacks exercise, was found to have elevated triglycerides of 3.5mmol/L in a recent physical examination and came to ask how to treat him and whether he needed to take lipid-lowering drugs. My suggestion is to check again before deciding, in order to clarify whether it is really elevated triglycerides, because Xiao Wang ate hot pot and drank alcohol the day before the physical examination, and diet is the main cause of elevated triglycerides, so before the physical examination you need to avoid eating too greasy diet, and at the same time, fasting for more than eight hours for the examination, in order to improve the accuracy of the examination.

Elevated triglycerides are very common in our life, normal people triglycerides should be less than 1.7mmol/L, when we are under normal diet, fasting for more than eight hours measured triglyceride elevation more than 1.7mmol/L, can be considered hypertriglyceridemia. Elevated triglycerides are closely related to the occurrence and development of many diseases such as atherosclerosis, coronary heart disease, cerebral infarction and pancreatitis. Causes of elevated triglycerides are numerous, common factors are: ① irrational diet, such as fat meat, poultry skin, animal offal, broth, chocolate, cream, Western-style pastries and other high-fat, high-cholesterol and high-sugar diet; ② alcohol consumption, long-term alcohol consumption will cause blood lipid level disorders, resulting in elevated triglycerides; ③ lack of exercise will increase the incidence of obesity and overweight, resulting in elevated lipids; ④ overweight or obesity, will also elevate triglycerides; ④ overweight or obesity, will also elevate triglycerides. Overweight or obesity will also raise triglycerides; ⑤ Heredity, the probability of hypertriglyceridemia is greater in the offspring of those whose immediate family members have hypertriglyceridemia; ⑥ Suffering from diabetes, diabetes will lead to metabolic disorders in the body, causing triglyceride rise; ⑦ Long-term use of glucocorticosteroids and other medications will also cause triglyceride rise.

For patients with a clear diagnosis of hypertriglyceridemia, they should follow the guidance of professional doctors and carry out standardized treatment. According to the level of triglyceride, the existence of comorbidities or complications, etc., the treatment plan for hypertriglyceridemia should include lifestyle intervention and lipid-lowering drug therapy when necessary, in which lifestyle intervention should be carried out throughout the treatment. mmol/L or triglycerides exceed 2.3 mmol/L and are combined with hypertension, diabetes, coronary heart disease, stroke and other underlying diseases, the use of lipid-lowering drugs is recommended.

For people with elevated triglycerides, we should pay attention to the following in our daily lives: ① light diet, eat more fresh vegetables, fruits, coarse grains, etc.; ② limit the consumption of alcohol, do not drink the best, it is difficult to give up alcohol must be strictly limited to the amount and frequency; ③ appropriate exercise, mainly aerobic exercise, and gradual; ④ control body weight, obesity attention to weight loss; ⑤ active treatment of diabetes and other underlying diseases; ⑥ limit the use of glucagon and other drugs. Corticosteroids and other drugs. When the effect of lifestyle intervention is poor or the blood uric acid level is too high, lipid-lowering drugs are recommended, and we recommend the use of beta-lipid-lowering drugs such as fenofibrate or lipid-lowering drugs such as α-3 fatty acids. While we are on regular treatment, we should also pay attention to monitoring changes in blood lipid levels and regular review.

This article was originally written by General Practice Sweeper, I hope it will be helpful to you, copyright ©️, reproduced must indicate the source. Inadequate, please correct, the article is for reference only, not as a medical advice, does not have the condition of medical guidance.

Triglyceride 3.5 is the need to take some appropriate lipid-lowering drugs. Triglyceride 3.5 is a sign that the body has a high blood fat phenomenon, the emergence of high blood fat and the usual dietary intolerance has a very big relationship, if you often eat high cholesterol food, or often eat some high-fat food, will lead to the body to develop high blood fat, serious will jeopardize the health of the body.

I'm Yoyo Xuanxuan, and when you read my answer, you're off to a good start on your lipid-lowering journey! It's actually not that hard to lower triglycerides, it just depends on your willingness to change your long-standing habits. The way to do this is by adopting a healthy lifestyle, which you can watch my video about.

Keep your mouth shut and your legs open. Strictly control the intake of high-fat and high-calorie food! Eat more fruits and vegetables dietary fiber-rich foods, balanced nutrition, drink more water and exercise, weight loss and muscle building!

Respect the doctor's advice.