Male: 0.45 1.8 1mmol/L,
Female: 0.40 1.53 mmol/L.
The critical level is defined as1.702.26 mmol/L.
Triglyceride is high, which is a kind of hyperlipidemia, and some people are accompanied by high total cholesterol. We collectively call it hyperlipidemia.
Hyperlipidemia is the main factor leading to arteriosclerosis and coronary heart disease. It is of great significance to master scientific diet to prevent hyperlipidemia.
Bates drugs for hypertriglyceridemia (1): such as bezafib, fenofibrate and gemfibrozil.
(2) Nicotinic acid: Nicotinic acid is a soluble vitamin B, which is beneficial to all lipoproteins.
(3) Unsaturated fatty acids: including EPA and DHA extracted from fish oil and linoleic acid extracted from vegetable oil. They can inhibit the absorption of lipids and the reabsorption of bile acids in small intestine.
In terms of diet, it is necessary to reduce the intake of fatty acids and cholesterol and limit drinking. The daily intake of fat should be controlled below 30% of total calories, and saturated fatty acids should be controlled below 7%. For patients with hypertriglyceridemia, a small amount of drinking will also lead to a significant increase in serum triglyceride levels. Therefore, drinking must be limited. At the same time, it should be noted that the obvious increase of carbohydrate content in diet will also increase serum triglyceride level and decrease HDL- cholesterol level.
Recommend a folk prescription to reduce blood fat, and make Liu Ma barley tea at home.
Prescription: Liu Ma 10g, coix seed 5g.
Practice: Chop all the two ingredients, pack them in cloth bags, and put them in a pot to cook tea for half an hour. It's best to have a drink every morning and evening. If you don't know how to cook, you can consider making tea.
Liu Ma barley tea can reduce serum cholesterol, triglyceride and low density lipoprotein, and increase high density lipoprotein. At the same time, it can also reduce the whole blood viscosity and plasma viscosity and improve the disorder of hemorheology. Contains triterpenoid saponins, flavonoids, steroids, terpenoids, organic acids, alkaloids and other ingredients, which can reduce blood lipid and cholesterol levels, enhance the toughness of microvascular walls and inhibit atherosclerosis.
Do you have a high triglyceride level?
Although this is a common problem, many of us know nothing about high triglycerides. Studies have always associated high triglyceride levels with heart disease, heart attack and stroke, especially among people with "good" high-density lipoprotein cholesterol levels and patients with type 2 diabetes.
The good news is that you can lower your triglycerides yourself and improve your health.
First, see if your triglycerides are high. Then, find out what to do.
Know your triglyceride value
This is based on the level of fasting blood test.
Normal: less than 1.7 mmol/L.
Boundary line: 1.7mmol/L-2.25mmol/L
Height: 2.26 mmol/L -5.64 mmol/L.
Very high: over 5.65 mmol/L.
Why are triglycerides high?
High triglyceride levels are related to the liver and pancreas.
However, studies have shown that the role of high triglycerides is contradictory to the risk of heart disease. Not all experts agree that triglycerides play an important role in heart problems.
High triglycerides may be accompanied by other problems, such as hypertension, diabetes, obesity, high levels of "bad" low-density lipoprotein cholesterol and low levels of "good" high-density lipoprotein cholesterol. So it is difficult to determine which problems are caused by high triglycerides alone.
For example, some people have a genetic disease that seems to lead to high triglyceride levels. But they didn't increase the risk of heart disease. However, there is some evidence that high triglycerides themselves increase the risk of disease. Other studies have shown that high triglycerides only play a role when considering other heart disease risks.
With the deepening of research, scientists hope to find out whether drugs that lower triglycerides can also reduce the risk of heart disease.
In general, it is important to remember that improving diet and lifestyle will reduce triglycerides and reduce the overall risk of heart and vascular problems.
Controlling hypertriglycerids: lifestyle changes
Although it may be disturbing to find that the triglyceride content is too high, there are still many ways to reduce the triglyceride by yourself. Changing your lifestyle can bring great benefits. Here are some suggestions:
Take part in more sports activities. Exercise has a great influence on triglyceride level. Experts suggest that everyone should exercise at least five times a week for at least 30 minutes each time. If you are not used to it, start slowly. Start with a brisk walk three times a week, and then start here.
Lose weight. If you are heavy, lose a few pounds and try to maintain your ideal weight. Exercise will help, but you also need to pay attention to your diet. The key is to eat fewer calories-whether they come from fat, carbohydrates or protein. Pay attention to the high diet of fruits, vegetables, lean protein and low-fat dairy products. Cutting down on sugary foods, such as soda, does help.
Choose better fat. Pay more attention to the fat you eat. Eat less foods containing unhealthy fats (meat, butter and cheese) and trans fats (processed foods and margarine) and cholesterol to increase your olive oil. Eat healthy monounsaturated fat and polyunsaturated fat in nuts and some fish. Studies have found that omega-3 fatty acids in fatty fish (such as tuna, salmon, mackerel and sardines) can especially reduce triglyceride levels. Because even if healthy fat contains high calories, you still need to eat these foods in moderation.
Reduce alcohol. Even a small amount of alcohol seems to cause a sharp rise in triglyceride levels.
Controlling hypertriglycerids: drug therapy
People with heart disease and high triglycerides may need drugs to lower their levels.
Bete drugs can lower triglycerides. They also moderately improved their cholesterol levels.
Omega-3 fatty acids in fish oil help to control triglycerides. Ask your doctor if you should use prescription fish oil. Omega-3 acids from plants such as flaxseed may help.
Nicotinic acid (nicotinic acid) can reduce triglycerides by up to 50%. It can be used as over-the-counter supplements and prescription drugs.
Statins are the standard drugs to treat unhealthy cholesterol levels, which can reduce "bad" cholesterol levels and reduce the risk of heart disease. They can also lower triglycerides. Statins are the only cholesterol drugs that have been proven to reduce the risk of heart attack and stroke, although some doctors also recommend fibrates, fish oil or nicotinic acid.
Remember, in order to stay healthy and reduce triglycerides, you still need to focus on improving your lifestyle.
When you talk to your doctor, discuss all the medicines, supplements and vitamins you take. Some common drugs, such as beta blockers, birth control pills and diuretics, may cause side effects of hypertriglyceridemia. It may be one of them, which may lead to your health problems.
Hello, thank you for asking. You're right. Blood triglyceride level is closely related to diet. Frequent consumption of high-fat foods may increase triglyceride levels. Of course, triglycerides are also related to other factors. Let me explain it to you in detail.
Triglycerides mainly exist in human adipose tissue, and plasma triglycerides mainly exist in triglycerides-rich lipoproteins, including chylomicrons, very low density lipoproteins and their residues. Food intake of exogenous triglycerides and liver synthesis and secretion of very low density lipoprotein rich in triglycerides can lead to an increase in plasma triglyceride levels.
In addition to triglycerides, you must also know the concepts of blood lipids and cholesterol. The so-called blood lipid refers to total cholesterol (including total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol and so on. ), triglycerides and lipids in plasma. Total cholesterol is the general name of all kinds of cholesterol in blood, including low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL) and so on.
You know, there is no atherosclerosis without blood lipids, and naturally there is no coronary heart disease. However, blood lipid is the basic element to maintain life. Among them, triglycerides provide energy for the human body and participate in energy metabolism; Cholesterol is an essential raw material for the synthesis of cell membranes and hormones. It is not difficult to understand that low blood lipids will affect the normal function of the human body; If the blood lipid is too high, it will induce and accelerate the process of atherosclerosis, and eventually lead to cardiovascular and cerebrovascular diseases such as coronary heart disease and cerebral infarction. Therefore, blood lipids should not be too high or too low, and should be maintained within a reasonable range.
For the method of lowering blood lipid, it should be stratified according to risk. Of course, diet is the basis of treatment, including a low cholesterol diet. Dietary factors only account for about 20% of total cholesterol factors, and more rely on liver metabolism.
High or low, high or low, high or low, low or high LDL cholesterol index varies from person to person. For example, for the group with high risk of coronary heart disease, the China Blood Lipid Guide recommends the target value of 4.1mmol/L. Even if it is slightly higher than the target value, non-drug interventions, such as adjusting fat diet and losing weight, can be considered. For patients with coronary heart disease, the recommended target value is1.8 mmol/L. No matter what the actual blood lipid level is, almost everyone should use statins to reduce blood lipid.
High triglyceride (TG) is one of the important indexes of human hyperlipidemia. The mainstream lipid-lowering drugs, such as statins, mainly inhibit the formation of low-density lipoprotein in the body, and have limited effect on reducing triglycerides. Therefore, it is very important to control diet and regulate blood lipids, especially triglycerides.
Today, I will focus on the precautions of high triglyceride life and diet:
1. Reduce saturated fat intake.
It is often said that it is right to eat less fat because of high blood fat and high triglycerides, but this is not enough. Pay attention to reducing the intake of all kinds of saturated fat in life. In addition to the well-known fat meat and red meat, let's talk about a few cold knowledge-coconut is rich in saturated fat, and friends with high triglycerides should eat less or not, including coconut oil and fresh coconut juice. Most baked goods use a lot of butter. Butter, like lard, is rich in saturated fat and should not be eaten more. Edible oil should be vegetable oil, such as olive oil and rapeseed oil.
In addition, controlling the intake of high-fat foods also includes cured meat and various pork, beef and mutton. Friends who have no meat and are unhappy can eat some white meat such as fish and poultry. Unsaturated fatty acids in fish oil can reduce triglycerides. But it is not recommended to buy fish oil as a health care product. Daily supplements or prescription drugs are the right way.
Control sugar intake
Excessive sugar intake in the body will be converted into triglycerides, thus improving your blood lipid level. Therefore, patients with hyperlipidemia should pay special attention to controlling sugar intake. It is a good choice to replace dessert with fruit. In addition, we should also pay attention to the sugar content in snacks, drinks and fruit juices we hold every day, and control the intake or try to consume as little as possible. Honey, maple syrup, etc. The sugar content is not low, so don't think this sweetener is safe.
Control drinking
Is a glass of red wine good for cardiovascular system? In fact, whether it is beer, white wine or red wine, moderate drinking has little effect on blood lipids, but if excessive drinking, the sugar in wine will increase the triglyceride level in the body. It is suggested that patients with hyperlipidemia should not exceed half a bottle of beer, a glass of red wine and a half a glass of white wine every day.
4. control the intake of carbohydrates, which is the staple food in daily life. Patients with hyperlipidemia, especially those with high triglycerides, should reduce the intake of polished rice and white flour, and appropriately increase the proportion of coarse grains such as brown rice and oats in the staple food. Excessive carbohydrate intake will be converted into triglycerides in the body, which is very unfavorable for the control of hyperlipidemia.
In addition, the proportion of vegetables on the dining table can be increased. If you eat too many vegetables, you will naturally eat less staple food. Moreover, broccoli, purple cabbage, mushrooms, carrots and other vegetables are conducive to controlling blood lipids.
Triglyceride is one of the important indexes to measure blood lipid. When the fasting triglyceride (hereinafter referred to as TG) is 5.6 mmol/L, the risk of acute pancreatitis will increase obviously. Hypertriglyceridemia is related to the occurrence and development of diabetic nephropathy and diabetic retinopathy in patients with type 2 diabetes. It can be said that hypertriglyceridemia poses a great threat to human health, and hypertriglyceridemia is indeed a "bad guy" hidden in the blood.
To get rid of this "bad guy", we can start from the following two aspects:
First of all, since most of the triglycerides in the blood come from food and a small part is synthesized by the liver, on the basis of adjusting diet, it will be of great help to reduce triglycerides by controlling weight, quitting smoking and drinking and increasing physical activity.
① Control the intake of saturated fat and trans fat.
Choose fat-free meat and eat less animal fat such as lard, cream and butter; Eat less fried foods, biscuits and other processed foods.
(2) Controlling the amount of edible oil, increasing the proportion of unsaturated fatty acids is beneficial to reduce triglycerides.
For people with high triglycerides, the daily edible oil should be controlled below 30 grams; On the basis of common oils such as soybean oil and sunflower oil, increase the proportion of olive oil, tea seed oil, mustard oil rich in oleic acid and linseed oil or perilla oil rich in linolenic acid.
③ EPA and DHA can effectively reduce triglycerides with good safety.
Eat more deep-sea fatty fish, such as tuna and salmon; Taking 2~4 grams of high-purity fish oil every day can effectively reduce the serum triglyceride level.
④ Appropriate intake of egg yolk and soy products (such as soybean milk). ), which is rich in lecithin can also reduce triglycerides.
⑤ Control the intake of sugar, because when sugar enters the body and becomes glucose, it will synthesize triglycerides, and the sharp rise of blood sugar will also affect the body's ability to decompose triglycerides.
Reduce the amount of white rice and flour in the staple food and increase the proportion of coarse grains (more than 50%); Eat less sweets and sweet drinks and eat more fruits and vegetables in moderation.
⑥ Controlling body weight and keeping body mass index within the normal range (18.5~24) are reasonable standards for total energy intake.
Body mass index = weight (kg) height (m) height (m)
⑦ Insist on at least 30 minutes of moderate-intensity physical exercise every day, and choose walking, jogging and swimming.
Secondly, taking medicine on the basis of choosing a healthy lifestyle is the most effective means to reduce triglycerides.
Bate drugs are specific drugs to reduce triglycerides, especially fenofibrate, and the safety of its use alone or in combination with statins has been confirmed. Please consult a professional doctor for specific medication details.
Author: Li Guojia's second-class public dietitian
Triglycerides are the main components of blood lipids. Under normal circumstances, the triglyceride should be1.7 mmol/L. If it exceeds this range, it will increase. There are many reasons for the increase of triglyceride, including unreasonable diet, drinking, lack of exercise, obesity, heredity, diabetes, taking glucocorticoid and other factors, among which unreasonable diet is the main reason for the increase of dietary triglyceride.
In the face of elevated triglycerides, everyone should pay attention to it, because high triglycerides are closely related to the occurrence and discovery of many diseases, such as coronary heart disease, stroke, pancreatitis, fatty liver and so on. Therefore, once diagnosed, standardized treatment should be carried out under the guidance of doctors to stabilize blood lipid levels, reduce complications and improve the quality of life.
The treatment of hypertriglyceridemia should be individualized, and lifestyle intervention and/or hypolipidemic drugs should be selected according to the blood lipid level and complications. The specific contact information is as follows:
1, slightly increased: that is, the triglyceride is within1.7 2.3 mmol/L. It is suggested to improve lifestyle, pay attention to low-fat and low-sugar diet, limit alcohol consumption, exercise properly, control weight, actively treat basic diseases such as diabetes, and use glucocorticoid cautiously.
2. Moderate increase: the triglyceride is 2.3 5.6 mmol/L, so lifestyle intervention should be started in time. For those with diabetes, hypertension, coronary heart disease, stroke and other basic diseases, it is recommended to use lipid-lowering drugs at the same time.
3. Severe increase: that is, the triglyceride exceeds 5.6 mmol/L. It is suggested that while improving the lifestyle, we should start to use hypolipidemic drugs, such as fibrates and nicotinic acids, and pay attention to monitoring the changes of blood lipid levels and review them regularly.
I hope everyone understands it correctly and must not be biased. It is very important to see a doctor regularly.
The body mainly depends on two metabolic modes-glucose metabolism and lipid metabolism.
Under normal metabolism, when blood lipids rise, the body will increase the proportion of fat metabolism.
However, for patients with hyperlipidemia, the body does not burn fat in a normal way.
This is the crux of the problem. Why not burn fat?
The answer is probably that you eat too many carbohydrates, especially refined carbohydrates, which are an important source of glucose and make your blood full of glucose. In order to lower the blood sugar level, the pancreas releases insulin, which on the one hand increases the proportion of glucose burned by the body, and on the other hand closes the door of fat energy supply.
Fat can't be burned, and it is sent to fat cells with glucose. However, the storage space of fat cells is limited. Once fat cells are difficult to receive more fat and glucose, insulin resistance will occur.
But glucose and fat must be sent to cells, so the pancreas needs to secrete more insulin to complete its work, but it can't produce obvious results. Triglycerides in fat cells are decomposed into free fat, released, re-synthesized in the liver, wrapped in a layer of protein, and imported into the blood. As a result, the level of triglycerides in the blood increased.
The main reason is not eating too much, let alone eating too much fat, but eating too much carbohydrates, which leads to too high insulin level and the body can't burn fat.
Solution: Reduce the insulin level and increase the energy supply ratio of fat.
Operational thinking: reduce the intake of carbohydrates, especially refined carbohydrates (blood sugar level rises rapidly). If you used to focus on high-carbon water, you can first reduce the intake of carbohydrates to about 130g, and match the thickness. After adaptation, it will be reduced to below 100g g, and the main sources of carbohydrates should be non-starch vegetables, fruits and a small amount of whole grains.
Of course, after reducing the total carbohydrate, we should increase the intake ratio of protein and high-quality fat.
Low-carbon diet will gradually restore the sensitivity of insulin, and at the same time make the insulin level tend to be stable, thus increasing the burning rate of fat.
How to get rid of the "bad guys" in the blood and make it burn!
Normal blood triglyceride is a kind of blood lipid. The main function of triglycerides is to supply and store energy, and also to fix and protect internal organs. However, if the triglyceride rises, it will be harmful to human body, which will lead to cardiovascular and cerebrovascular diseases and even acute pancreatitis. So how can we make this indispensable villain less?
When the triglyceride exceeds 1.80mmol/L, it is diagnosed as hypertriglyceridemia, which is also a high risk factor for cardiovascular and cerebrovascular diseases in theory. Hypertriglycerids can be asymptomatic in clinic, so most of them need blood tests to find out.
One of the main reasons for the increase of triglycerides is bad living habits, which means that diet is closely related to triglycerides. Fried food and food with high fat content will cause the increase of triglyceride, and the triglyceride will also increase if steamed bread and rice are eaten too much. Therefore, in order to control triglycerides, it is necessary to achieve: low calorie, low cholesterol, low fat, low sugar and high fiber. To prevent the increase of triglycerides is to reduce the intake of fat, sugar and high calories, and eat more fruits and vegetables.
Of course, in addition to diet control, you need to exercise and burn more calories to avoid turning into triglycerides. At the same time, good habits such as quitting smoking and drinking, drinking more water all contribute to triglyceride metabolism.
Also, you can refer to the following points: 1, eating more fish properly is conducive to stabilizing blood pressure and blood lipids; 2, eat more fresh fruits and vegetables, such as; 3. Coarse grains such as oats and buckwheat should be added to the daily diet. 4. Eat more foods containing protein and vitamins. Such as milk, lean meat and bean products. 5. Foods with high cholesterol content need to be controlled;
To sum up: when the triglyceride is greater than 1.8mmol/L, it is necessary to control diet and strengthen exercise; When it exceeds 6mmol/L, you need to start taking fibrates. Remember to control your diet, exercise more, and check your triglyceride and liver function regularly after taking the medicine.
2065438+August 8th Edited by Dr. Wang Cardiovascular.
Blood lipids are triglycerides, which consist of one molecule of glycerol and three molecules of fatty acids. It is an inducement of cardiovascular and cerebrovascular diseases. The normal reference value of serum triglyceride is 0.4565438+0.69 mmol/L.
Methods of lowering blood lipid
What foods should be avoided:
1. refined grains. In fact, the refined white rice and refined white flour we eat every day raise blood lipids even more than the meat we eat. Because these foods have a very high glycemic index (GI), they are easily digested and absorbed by the human body, which leads to a rapid increase in blood sugar and an increase in insulin in blood vessels. Insulin is called "fat generator", which converts these blood sugar into fat, that is, blood lipids. Therefore, foods with high glycemic index lead to a rapid increase in blood lipids. You can change polished rice and flour into brown rice, coarse grains or miscellaneous grains. Add some oatmeal, buckwheat, etc.
2. Saturated fat of red meat. In 20 15, the restriction of dietary cholesterol was abolished in the United States, and it was considered that the cholesterol in food had little effect on the increase of cholesterol in human blood, but it still restricted the intake of saturated fat by animals. It is controversial that animal fatty foods increase blood lipids, but the American Heart Association still requires that the intake of saturated fat in animals be controlled.
3. Trans fatty acids. This is the worst fat among fats. It is easy to cause coronary heart disease, and the probability of cardiovascular disease is 3~5 times that of saturated fat. It is made from liquid vegetable oil by hydrogenation at high temperature and high pressure. That is to say, the high temperature of liquid vegetable oil is generated. Now our diet contains a lot of trans fatty acids, cream cakes, bubble tea and so on. American experts point out that if artificial trans fatty acids are removed from the diet, 3000 people will die of coronary heart disease every year.
A diet that lowers blood lipids:
1. vegetables, more than 200 experiments abroad have proved that people who eat 5 servings of vegetables every day greatly reduce the occurrence and death of cardiovascular and cerebrovascular diseases. Tufts University's research on 1 300 elderly people shows that compared with people who eat less than 1 serving of dark green vegetables (such as cabbage and spinach) every day, people who eat two or more servings of vegetables every day have a risk of heart disease of 1/2. Vegetables that are particularly good for cardiovascular and cerebrovascular diseases are Cruciferae (broccoli, cabbage, kale, etc. ) and dark green (spinach, etc. ) or yellow vegetables (carrots, red onions, etc. ).
2. nuts. Five studies show that eating nuts can reduce heart disease by 50%. 10~ 15 walnuts, almonds, macadamia nuts and Brazil nuts. Moderate drinking can reduce cardiovascular diseases by 20-30%.
3. Bacteria and algae. Auricularia auricula is known as "the scavenger of blood vessels", such as mushrooms and kelp. , all have the effect of lowering blood fat.
4. fish. Deep-sea fish, in particular, are rich in EPA (vascular scavenger) and DHA (brain gold), which plays a very important role in reducing cardiovascular and cerebrovascular diseases. Eating high-fat fish twice a week can reduce the death caused by coronary heart disease by 32% and the total death rate by 29%. Choose fatty and small marine fish, such as sardines and salmon, for better results.
5. Alcohol, especially red wine. Red wine is rich in polyphenols and bioflavonoids, such as resveratrol and proanthocyanidins, which have a very good effect on reducing blood lipid. Moreover, studies have proved that alcohol can increase high density lipoprotein (HDL, good lipoprotein) and decrease low density lipoprotein (LDL, bad lipoprotein). But not too much.
Tea, especially green tea. Green tea contains theanine. It has a good effect on dementia, hyperlipidemia, arteriosclerosis, pain and inflammation. At the same time, green tea can reduce the peak blood sugar, which is good for diabetics. After 7 years of follow-up, the researchers found that people who drink more than 5 cups of green tea every day have a lower risk of premature death than those who drink 1 cup every day. Green tea contains a lot of antioxidants, which can reduce free radicals. More antioxidants can directly improve arteriosclerosis, dilate arteries, reduce thrombosis and have anti-inflammatory effects.
7. Dietary fiber. Can slow down the speed of blood sugar absorption, thereby reducing blood lipids. The FDA of the United States allows "labeling dietary fiber is beneficial to cardiovascular and cerebrovascular diseases".
Health products for reducing blood fat:
Fish oil. Fish oil contains EPA and DHA. Vitamin c, vitamin e, vitamin d, vitamin B3 (nicotinic acid), coenzyme Q 10, lecithin.
In fact, if we only consider blood lipids, it can only explain 50% of heart disease patients, while the other 50% of people who died of heart disease have normal blood lipids. Other causes of cardiovascular and cerebrovascular diseases include hyperhomocysteinemia, hypersensitivity protein, type A behavior and personality.
Therefore, hyperlipidemia should be comprehensively adjusted from eating habits and living habits, which will have a very good effect.
Triglycerides are closely related to diet. How to eliminate the "bad guys" hidden in the blood? Triglycerides mainly exist in chylomicrons and very low density lipoprotein (VLDL) particles in blood, which are collectively called triglycerides-rich lipoproteins. Therefore, the increase of triglyceride concentration mainly reflects the increase of the level of these two particles, and also reflects the influence on atherosclerosis, so the increase of triglyceride is also very harmful to the cardiovascular system.
There are two main reasons for the increase of triglyceride, one is the intake of exogenous triglyceride in diet, and the other is the synthesis and secretion of very low density lipoprotein rich in triglyceride in liver, which may lead to the increase of triglyceride level. Therefore, it is very important to reduce triglycerides and control diet.
At present, the clinical normal range of triglycerides is defined as 0.45 1.8 1mmol/L for men and 0.40 1.53mmol/L for women. Patients with severe hypertriglyceridemia need active treatment to prevent acute pancreatitis. For patients with mild to moderate hypertriglyceridemia, if they are accompanied by high-risk groups of coronary heart disease or cardiovascular disease, we can consider combining statins to reduce triglyceride levels.
Changing diet structure, improving lifestyle and using appropriate drugs when necessary are the basic principles for treating hypertriglyceridemia at present. The total fat intake is reduced by 5%, and the triglyceride level is reduced by 6%. Medium-fat diet (32.5%~50% calories come from fat) can lower the plasma triglyceride level more than low-fat diet (18%~30% calories come from fat), and the degree of decline is more significant in diabetic patients. Low cholesterol diet can lower plasma triglyceride level more than low fat diet. The calorie supply of carbohydrates should not exceed 60%. Dietary fiber can reduce the plasma triglyceride level in patients with type 2 diabetes. The degree of weight loss can directly affect the plasma triglyceride level. Every 5%~ 10% decrease in body weight can reduce the plasma triglyceride level by 20%. For patients with high baseline triglyceride level (150mg/dL), high daily exercise intensity and reduced total calorie intake, exercise can significantly reduce triglyceride level.
In terms of drug therapy, at present, the drugs with better triglyceride lowering effect are fibrates and nicotinic acids, such as fenofibrate and bezafib, and the representative drug of nicotinic acid is acipimox (Yiping).
I am pharmacist Wang, and I am committed to explaining the knowledge of intractable diseases in easy-to-understand language to help you manage your body well. Your praise is my greatest motivation! In addition, if your family also suffers from high triglycerides, please pass this article on to them!