High Triglycerides - Treatment Overview

High Triglycerides
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High Triglycerides

Treatment Overview

You can use diet and lifestyle changes to lower triglyceride levels. These changes may be especially good at lowering borderline-high levels (150 to 199 mg/dL) back to normal levels (less than 150 mg/dL).

Diet and lifestyle changes include:

  • Staying at a healthy weight.
  • Limiting fat and sugars.
  • Being more active.
  • Limiting alcohol.

You may also take medicines to lower triglyceride levels. Medicines may be used if you have risk factors for coronary artery disease (CAD). In this case, your doctor may first want to lower your LDL ("bad") cholesterol level and raise your HDL ("good") cholesterol level before adding medicine to lower your triglycerides.

For more information on target levels and treatment for high cholesterol, see the topic High Cholesterol.

Use this Interactive Tool: Are You at Risk for a Heart Attack?Click here to see an interactive tool. to calculate your risk of a heart attack based on your cholesterol levels and other factors.

Initial treatment

Diet and lifestyle changes are the first steps you will take to lower triglyceride levels.

Diet and lifestyle changes include:

  • Staying at a healthy weight or reducing calories to lose weight.
  • Limiting the amount of carbohydrate and unhealthy fat that you eat.
  • Being more active.
  • Limiting alcohol.
  • Not smoking.
  • Keeping blood sugar in a target range if you have diabetes.

Adding fish oils (omega-3 fatty acids) to your diet may lower triglyceride levels. You can add fish oil by eating fish at least 2 times a week or by taking supplements. Oily fish with lots of omega-3 fatty acids include salmon, tuna, and mackerel.

You may want to try Therapeutic Lifestyle Changes (TLC) and the Therapeutic Lifestyle Changes (TLC) diet. TLC is a combination of diet and lifestyle changes that can lower your cholesterol. The following information can help you get started with the TLC diet:

To reduce carbohydrate in your diet, you may want to learn about the amount of carbohydrate in various foods.

Alcohol has a particularly strong effect on triglycerides. Regular, excessive use of alcohol or even a one-time drinking binge can cause a significant increase in triglycerides. Binge drinking can cause a spike in your triglycerides that may trigger pancreatitis. Your doctor will want you either to stop or to limit the amount of alcohol you drink.

By: Healthwise Staff
Medical Review: Kathleen Romito, MD - Family Medicine
Carl Orringer, MD - Cardiology, Clinical Lipidology
Last Revised: December 9, 2010

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