Thursday, November 20, 2008

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TRIGLYCERIDES

 

 

What are triglycerides?

  • Triglycerides are a form of fat that come from eating and are made in your body.
  • Calories eaten in a meal and not used immediately by the tissues are converted to triglycerides.
  • Triglycerides are transported to fat cells in the body to be stored.
  • Hormones regulate the release of triglycerides from fat tissue so they can meet the body’s need for energy between meals.

 

How is an excess of triglycerides harmful?

  • An excess in triglycerides is called hypertriglyceridemia.  It is linked to the occurrence of coronary artery disease in some people.

  • Elevated triglycerides may also be a result of other problems, such as untreated or inadequately treated diabetes, hypothyroidism, kidney disease or obesity.

  • Very elevated triglyceride levels can even lead to pancreatitis, a condition in which the pancreas becomes inflamed.  This can be a very serious illness.

     

 

What are the National Cholesterol Education Program (NCEP) Guidelines for triglyceride levels?

 

·        Normal                               Less than 150 mg/dL

 

·        Borderline-high                   150-199 mg/dL

 

·        High                                   200-499 mg/dL

 

·        Very high                            500 mg/dL or higher

 

 

How are triglycerides detected?
  • Triglycerides can be detected by a blood test. 
  • The measurement should be made after 12 hour overnight food and alcohol fast.
  • Triglycerides are very sensitive to fasting.

     

What are the dietary treatment recommendations?
  • If you are overweight, cut down on calories to reach your ideal body weight.  This includes all sources of calories from fats, proteins, carbohydrates and alcohol.
  • Reduce all types of fats in your diet.
  • Reduce your intake of alcohol.  Even small amounts of alcohol can lead to large changes in the triglyceride levels.
  • Diets higher in carbohydrates may raise triglycerides levels.

     

 

Examples of foods that can help lower your triglycerides

  • Eat fish three times per week, such as salmon, mackerel and tuna
  • Choose lean meats, such as skinless chicken or turkey breast

  • Limit / avoid alcoholic beverages

  • Choose low fat dairy products

  • Limit / avoid foods and beverages with added sugars, such as regular soda, fruit juices, fruit drinks, cookies, cakes and other sweets with sugar, honey or corn syrup

  • Limit / avoid high fat foods, such as fried foods, oils and regular salad dressings

  • Choose foods high in fiber, such as whole grain breads, cereals and pastas; fresh vegetables, fresh fruits and beans

  • Avoid foods low in fiber, such as white bread, white rice and regular pasta

     

The triglyceride connection
  • People with high triglycerides often have high total cholesterol, high LDL (“lousy” cholesterol) and low HDL (“healthy” cholesterol) levels.
  • If you have high LDL level and/or high triglyceride levels, your doctor may recommend a medication or combination of medications, as well as lifestyle

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