The blood lipid index triglyceride is 3.2, everything else is normal, it is considered high blood lipid?

        Seeing this problem, we should first understand the standard range of triglycerides. Under normal circumstances, when the triglyceride content is lower than 1.76mmol/L, it belongs to the normal range, and when the triglyceride content is higher than 1.76mmol/L, it is low. When the level is 2.26mmol/L, it is called the critical high level. When the triglyceride content is higher than 2.26mmol/L, it is called "hypertriglyceridemia"!

        In fact, the greatest harm to the human body with high levels of triglycerides is that it is a high-risk factor for coronary heart disease. Therefore, here we use coronary heart disease and other cardiovascular and cerebrovascular diseases and their high-risk factors (such as diabetes, tobacco and alcohol addiction). Etc.) as an example, briefly describe the treatment of "hypertriglyceridemia" in different situations:

        1. For people who do not have cardiovascular and cerebrovascular diseases and their high-risk factors, the triglyceride content of 3.2mmol/L is not a big problem at all. As long as the intake of high-calorie foods is restricted and the amount of exercise is appropriately increased, approximately It takes 1 to 2 weeks to reduce triglycerides to a critical high level or below; not only that, as long as the triglyceride content does not exceed 5.65mmol/L, we can temporarily ignore medication and use the above methods to control "Sickness";

        However, there are special circumstances that need to be noted here. Even if a few friends take diet and exercise therapy, they cannot reduce the triglyceride content in a short time. Then, in order to minimize the risk of coronary heart disease, this group of people is best Still choose to take drugs to control "blood lipids"!

        2. Patients suffering from coronary heart disease and other cardiovascular and cerebrovascular diseases or with high-risk factors have very strict control of triglyceride content. Even if the content of several other "blood lipids" is normal, as long as the triglyceride is higher than the normal range It is necessary to take drugs for control, of course, diet control and exercise therapy are also essential means!

        It is also necessary to pay attention to the choice of drugs. In general, fenofibrate can be taken for pure "hypertriglyceridemia". If there is an increase in total cholesterol or low-density lipoprotein cholesterol, statins should be selected for treatment. !

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   For blood lipid examination, generally speaking, it will include at least 4 indicators, triglycerides, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, of which the first three are bad blood lipids, and the last one is good blood lipids. We always hope that bad blood lipids will be lower and good blood lipids will be higher, so that it can be beneficial to health. Regarding the bad blood lipids such as triglycerides, we must at least understand the following points.
        1. Elevated triglycerides are also harmful

   Elevated low-density lipoprotein cholesterol is the main culprit of atherosclerosis, and it is well known to everyone. The harm caused by the increase in triglycerides is often overlooked by everyone. And clinically, doctors are not so active in the control of triglycerides. In fact, it does not mean that they are not active. Rather, they are not actively using drugs. In fact, elevated triglycerides are also one of the risk factors for atherosclerosis. For people with severely elevated triglycerides, such as glycerides greater than 5.6 millimoles per liter, it may also induce acute pancreatitis, a critical illness.

  2, the treatment of elevated triglycerides

   For different levels of elevated triglycerides, the treatment methods used are also different.

(1) Non-drug treatment: For people whose triglycerides are elevated but lower than 5.6 millimoles per liter, you can use non-drug treatment, that is, control your diet and eat less fatty meat, red meat, and fried meat. Food, etc., abstinence from alcohol, more exercise, weight loss, most people can get better control.

   (2) Medication: Medication can be divided into two situations. The first situation is that the level of triglycerides exceeds 5.6 millimoles per liter. As mentioned earlier, it has the risk of inducing acute pancreatitis. At this time, fibrates should be used to reduce triglycerides to a safer level.

The second situation is to treat patients whose triglycerides are still high through non-drug treatment. At this time, we have to see how low-density lipoprotein cholesterol is. If it is elevated, it can be treated with statins, which can not only reduce Low-density lipoprotein cholesterol can also lower triglycerides, and can also increase high-density lipoprotein cholesterol to a certain extent.

  3. Precautions for blood lipid examination

   Among the several indicators of blood lipid examination, triglycerides are the most affected by food. In order to be able to accurately measure. In the first 2 to 3 days before the blood test, do not eat too much oily food, eat lightly, and fast for 12 hours before the blood test. The triglyceride detected in this way is more accurate and reliable, and serves as a reference basis for our treatment. If you are still eating and drinking a day before the test or a few hours before the test, the detected value is not accurate, then it will lead to misuse of medicine.

   In short, triglyceride is one of the important indicators of blood lipid examination, and it is also a risk factor for cardiovascular disease. Under the condition of ensuring the accuracy of the test value, different treatment methods are used for different levels of elevated triglycerides.
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   The first thing to say is that your triglyceride 3.2mmol/L has exceeded the 2.26mmol/L diagnostic criteria for hypertriglyceridemia. It is one of the dyslipidemias, which is hyperlipidemia.

However, the occurrence of hypertriglyceridemia is most closely related to inclusion, and it is greatly affected by the type of food in the diet. Your triglyceride level does not require medication, as long as you control your diet reasonably, such as reducing fat intake, Do not eat fatty meat, stir-fry vegetables with low oil, eat less pasta, eat more fruits and vegetables, and strengthen exercise will soon drop. The normal value of triglyceride is 1.7mmol/L. By the way, popularize a bit of knowledge about blood lipids. The blood lipid tests we usually do mainly include four items:

   Total Cholesterol (TC): The normal value is less than 5.18mmol/L, and the marginal increase is 5.18-6.19mmol/L, and it is hypercholesterolemia if it is greater than 6.22mmol/L.

   Triglycerides (TG): the normal value is less than 1.7mmol/L, the marginal increase is 1.7-2.25mmol/L, and the value greater than 2.26mmol/L is hypertriglyceridemia

   low-density lipoprotein (LDL-C): the normal value is less than 3.37mmpl/L, the marginal elevation is 3.37-4.12mmol/L, more than 4.14mmol/L is hyperlipidemia

   High Density Lipoprotein (HDL-C): The normal value is greater than 1.04mmol/L, when it is less than this value, it is also called dyslipidemia.

   Therefore, no matter which one of them is abnormal, it belongs to the range of dyslipidemia. Among them, triglycerides are closely related to diet, and abnormalities in other items are related to abnormal lipid metabolism in the body, and drug intervention is often required for treatment.




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