Most ldl cholesterol assessments will often measure triglycerides, butthey aren’t a kind of ldl cholesterol. Nonetheless, triglycerides are associated to the 2 sorts of ldl cholesterol: LDL and HDL. Like ldl cholesterol, triglycerides are sorts of lipids (or fat) that journey by the blood to carry out important features within the physique. And, like LDL ldl cholesterol, excessive ranges of triglycerides can pose dangers to coronary heart well being.
We reached out to New York heart specialist and member of the HealthyWomen Ladies’s Well being Advisory Council Nieca Goldberg, M.D., to speak about what we are able to do to handle excessive triglycerides.
How do excessive ranges of triglycerides have an effect on my danger of coronary heart assault or stroke?
An ordinary lipid panel measures ranges of complete ldl cholesterol in addition to triglycerides, however this quantity is usually missed. It shouldn’t be, as a result of excessive ranges of triglycerides elevate the danger of coronary heart assault and stroke by selling atherosclerosis — the build-up of ldl cholesterol and inflammatory components — within the partitions of the blood vessels that provide blood to the center muscle. Very excessive triglycerides are additionally related to irritation of the pancreas (pancreatitis), which is one other necessary motive to maintain triglycerides in examine.
How do I do know if I’ve excessive triglycerides?
There aren’t any signs if in case you have excessive triglycerides. So, step one is to get a lipid panel and ask about your triglyceride degree. Borderline excessive ranges are above 150 milligrams per deciliter (mg/dL), excessive ranges are better than 200 mg/dL, and really excessive ranges are above 500 mg/dL.If the extent is better than 150 mg/dL, speak to your healthcare supplier about the most effective strategy to managing cardiovascular danger related to any degree of elevated triglycerides.
Ought to I keep away from sure meals if I’ve excessive triglycerides ranges?
Step one to managing cardiovascular danger related to elevated and excessive triglyceride ranges is to have a look at what you’re consuming. Alcohol, fat, easy carbohydrates and sugars can all elevate your triglycerides. As a substitute of consuming meals which can be excessive in saturated fats, easy sugars and starches, eat a Mediterranean-style weight-reduction plan with complicated carbohydrates — akin to complete grains — and loads of fruits, greens and wholesome fat like omega-3. These are the sorts of fat present in fish, olive, canola or avocado oil. Eating regimen and train resulting in weight reduction can enhance triglyceride ranges. It’s additionally good to scale back your alcohol consumption.
How can I decrease my triglycerides and my danger of heart problems?
Oftentimes, if triglycerides are mildly elevated, a easy dietary change like consuming extra fish is enough, together with switching to a nutritious diet and exercising extra. Nonetheless, in case your ranges are reasonable to excessive, your physician could order prescription-strength fish oil or omega-3s, which has larger ranges of omega-3 fatty acids than over-the-counter dietary complement choices. A few of these prescription-strength fish oils include omega-3 fatty acids referred to as EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), and others include solely a purified type of EPA referred to as IPE (icosapent ethyl). All of those merchandise will decrease your triglycerides and should lower your danger of pancreatitis, however they don’t all decrease your danger for coronary heart illness, coronary heart assault and stroke. Nonetheless, prescription-strength omega-3 with pure EPA, referred to as IPE, has been confirmed in medical trials to scale back your danger of heart problems when used with statins, medication used to decrease ldl cholesterol.
One other medicine referred to as fibrates can decrease triglycerides, however probably the most generally used fibrates haven’t been proven to decrease the danger of coronary heart assault or stroke.
This instructional useful resource was created with help from Amarin.
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