How Do I Treat High Triglycerides?

Triglyceride (TG) is a component of lipids. It is a lipid formed by glycerol and 3 fatty acids. The lipid composition is complex. In addition to triglycerides, it also includes cholesterol, phospholipids, fatty acids, and a small amount of other lipids. Normally, the triglycerides in the plasma maintain a dynamic balance. There are two main sources of triglycerides in plasma: Exogenous: Fat ingested in food is in the intestine, absorbed by the intestinal mucosa under the action of bile acids and lipases, and glycerol is synthesized in the intestinal epithelial cells Triester. Endogenous: Triglycerides synthesized in the body are mainly in the liver, followed by adipose tissue. The main function of triglycerides is to supply and store energy, and also to fix and protect the internal organs. Serum triglyceride determination is a routine item in blood lipid analysis.

Triglyceride

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Triglyceride (TG) is

1. Increase: Triglycerides are a risk factor for cardiovascular disease. Serum triglyceride levels are affected by age, gender, and diet. Increased serum triglycerides can be seen in familial hypertriglyceridemia, diets with large amounts of triglycerides and secondary to certain diseases such as diabetes, hypothyroidism, nephrotic syndrome and pancreatitis, atherosclerosis, glycogen storage Backlog, etc.

2. Decrease: seen in hyperthyroidism, decreased adrenal function, severely impaired liver function, chronic obstructive pulmonary disease, cerebral infarction, malnutrition, congenital - lipoproteinemia, etc.

The normal reference value of serum triglyceride: 0.45 1.69mmol / L. According to the 2007 "Chinese Adult Lipid Abnormality Prevention Guidelines" division criteria, fasting (fasting for 12 hours) triglycerides below 1.70 mmol / L is the appropriate level; 1.70-2.25 mmol / L is marginal elevation; 2.26 Millimoles / liter is elevated. ^[1]

1. Serum triglyceride levels are affected by living habits, diet, age, etc., and fluctuate greatly within and among individuals.

2. Eat as little lipid food as possible 2 to 3 days before blood collection and draw blood for 12 hours on an empty stomach to rule out and reduce the effects of diet.

For patients with clear causes of hypertriglyceridemia, the cause should be adjusted. Improve your lifestyle first, rather than taking medicines orally. Generally, after a period of diet control and increased exercise, the triglyceride index of most patients can drop to normal levels. Those with severely elevated triglycerides (5.65 mmol / L) should be treated with drugs first.

Lifestyle changes include the following: Control weight. Overweight or obese patients will reduce body weight by 5% -10%, which can reduce triglyceride levels by about 20%; reasonable diet. By controlling the total calories in the diet, controlling the intake of carbohydrates (including rice and noodles) and the total amount of fat, and increasing the total intake of vegetables and high-quality protein, you can often drink Juewu Tang for long-term treatment, which can reduce triglyceride levels by 20% -50%; Limit drinking. Alcoholism is a common cause of elevated triglycerides. Those with severely elevated triglycerides should quit drinking immediately; exercise in moderation. People with elevated triglycerides should perform moderate-intensity aerobic exercise for at least 30 minutes a day, at least 5 times a week, including brisk walking, cycling, and climbing stairs, etc. Those who are overweight or obese should further increase their exercise volume; Quit smoking. Smoking can not only increase triglyceride levels, but also increase the harm of serum hypertriglyceridemia to the body. Patients with hypertriglyceridemia should quit smoking. ^[1]