High Triglycerides

[ispeak]

My Details are as

Glucose Fasting(F)             84.00    mg/dL
Creatinine, Serum                 0.79   mg/dL
Uric Acid                              6.70   mg/dL

SGOT                                  24.00  U/L

Lipid Profile

Cholesterol                          170.00 mg/dL
Triglycerides                         258.00 mg/dL
HDL                                     31.00  mg/dL
LDL                                      80.00 mg/dL
VLDL                                    59.00 mg/dL
Non HDL                               139.00 mg/dL

C-Reactive Protein; hs CRP   3.10 mg/dL
  

I am 40 years with raised levels of triglycerides detected while a regular health chech up exercise. Am a regular smoker ( average 1pack of 10 cig a day) and occasional party drinker. Height 6 feet with a weight of 95Kgs.

Post tests have stopped smoking ,started moderate exercising and am trying and to have a balanced diet. Earlier my eating pattern was bad, bowl of cereals and a glass of Juice for Brf, 90% no Lunch during the day and Dinner used to be heavy.

I still have not consulted any doctor but would like to know what are the measures to reduce my raised levels.and do i need to consult one and be on the medication.

Any major apparent risks, if there is one what measures should be taken.

  

[ed34]

The UK has decided that LDL should be between 3-4 mmol/L and yours is 2.06. I would watch for symptoms such as finding concentration hard with it so low. Your HDL should be greater than 1.0mmol/L and is 0.8. However, with such low LDL, this ratio is fine.
Your trigs should be lower then 1.4mmol/L and are 2.91 which is far too high. Your very low density lipoproteins are also high, these are recycled by the liver, having one of the proteins on the outer membrane removed, to become LDL.
I had a very similar situation to you, but before you think about more medication, you mention you are a smoker. Your metabolism including that of fats is very affected by a lack of vitamin C and smoking lowers vitamin C absorption in a smoker by around half. You say you have fruit juice in the morning, but try drinking more during the day, fresh fruit juice high in vitamin C should help a lot with many aspects. Don't take vitamin pills, research shows the body doesn't like this, it prefers to extract its own. A small cup of fruit juice three or four times a day will make a huge difference to your health.
If this doesn't help with your trigs. then you could ask your Doctor to try another approach that worked with me. I take statins, but they only affected LDL and not trigs. Ezetimibe helps inhibit fats through the gut, and they did the trick, just 10mg a day.
Trigs are in all fat lipids and are packed for transport to the liver by the gut. They are simply three fatty acids on a backbone. So, cutting down the fat in the gut, cuts down the supply to the liver and there is less in the blood for recycling.
Hope this makes sense.

[erijon]

There is still much debate over the interaction of high TGL's and heart disease, no one is quite sure of the role TGLs play yet. When you speak of people with high TGL levels, some can be well into the thousands.

TGL's are easy to lower, the fastest way is to cut out empty carbs like sugars, breads and pasta. All these metabolize to sugar and raise TGL. Also, don't drink as alcohol also metabolizes as sugars and will increase serum levels of TGL.

If these don't help, you can ask for a fenofibrate such as Tricor which is very effective in lowering TGL. However, your level is not all that high, lifestyle changes should do the trick. Meds are mostly prescribed when people have TGL levels over 600.  

Your bigger concern should be increasing your HDL. Yours should be over 40. Exercise is a great way to increase HDL as is Niacin. You should also discuss this with your doctor. Even though your numbers don't look bad in total, your low HDL puts you at risk.

Hope this helps,

Jon