Hypertriglyceridemia

  My 12-year old son was tested a year ago and had total cholesterol of 240, hdl in the mid 20's, and triglycerides over 700.  He altered his eating habits (primarily fat), increased his exercise, and has now had two tests with cholesterol going down to 190 and most recently, 165.  However, his triglycerides have been 300 and 400, and his hdl has remained in the mid 20's.He gets a lot of exercise, is not overweight, and of course does not consume alcohol.  When his triglyceride level was over 700, he used to get bad stomach aches, a messing in his pants was a common problem, often occuring in the late afternoon.  This problem, which I think was related to inflammation of the pancreas, has virtually disappeared for the past 9 months.  His doctor and I are both very concerned that his triglycerides are still so high. I worry about long-term damage to the pancreas.  The doctor has mentioned the possibility of medication.  Could you tell me about the benefits and side effects, and also about the best and worst foods for him?  One paternal great-grandfather died from diabetes complications in his 60's, and one maternal grandfather developed diabetes but did not require insulin injections.

[hfhs.rn-tao]

Dear Ken,
I apologize for the length of time it has taken to respond to your questions.
Before considering any medications it is important for your son to be investigated for an inborn error in triglyceride metabolism. Ask your doctor for a referral to a genetic metabolic disease specialist or an endocrinologist with special interest in Lipid Disorders.
You should encourage your son to keep up with his current diet and exercise plan. You should have your son see a nutritionist with special interest in lipid lowering diets.
This material is provided for general informational purposes only and should not be considered a formal medical evaluation. If you have specific questions, please contact your primary physician.
hfhs.rn-tao