Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do These Following Lab Reports Indicate?
Posted on
Mon, 13 Mar 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 13 Mar 2017
Answered on
Tue, 4 Apr 2017
Last reviewed on
Question : Hello Doctor, I had reached out for your suggestion 2 months back as my husband's triglycerides and cholosterol are high. After diet changes also there is no improvement in numbers. Can you check the latest reports and suggest next steps please. Thank you very much.
Brief Answer:
There is not much change in cholesterol
Detailed Answer:
Hi
Thanks for your query.
I have seen your current and previous reports. There is not much change in cholesterol levels.
According to international guidelines, lipid lowering drugs are to be taken if LDL is more than 190. In your husbands case it is less than 190. Triglycerides are somewhat raised. In XXXXXXX there is a trend to give medicines if triglycerides are also raised.
I would still suggest that food be free of milk or milk products like cheese, butter, ghee, sweets, chocolates etc. Sine he is not having any health condition like hypertension or diabetes, I think he does not require medicine yet.
Medicine like tablet atorvastatin may be taken at dose of 10 mg OD at night for 4 weeks after consulting with your doctor.
Dr Vaishalee
There is not much change in cholesterol
Detailed Answer:
Hi
Thanks for your query.
I have seen your current and previous reports. There is not much change in cholesterol levels.
According to international guidelines, lipid lowering drugs are to be taken if LDL is more than 190. In your husbands case it is less than 190. Triglycerides are somewhat raised. In XXXXXXX there is a trend to give medicines if triglycerides are also raised.
I would still suggest that food be free of milk or milk products like cheese, butter, ghee, sweets, chocolates etc. Sine he is not having any health condition like hypertension or diabetes, I think he does not require medicine yet.
Medicine like tablet atorvastatin may be taken at dose of 10 mg OD at night for 4 weeks after consulting with your doctor.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you doctor for the advice. shall we continue to watch our diet and see if the numbers improve? Any other dietary changes and health routine that you would prescribe without tablets
Brief Answer:
Diet modification is mainstay
Detailed Answer:
Hi again
In absence of any additional medical conditions like high blood pressure and diabetes, there is no harm in continuing lifestyle changes alone for next three months. Recheck the lipid profile after 3 months time.
The lifestyle changes should include:
-Diet changes need to be done as the fatty diet is the usual culprit. Reduced intake of saturated fats to less than 7% and cholesterol to less than 200 mg/day. This means to completely exclude milk products like ghee, butter, cream, ice cream, sweets, chocolate, high fat milk, cookies, cakes, pastries. Non veg food is also to be avoided. If it is must to take it, then the fat has to stripped nicely from it. Take 3 smaller meals per day.
-increase the soluble fiber in the diet. Sources of soluble fiber include oatmeal or oat cereal, lentils, apples, oranges, pears, strawberries, nuts, beans, dried peas, blueberries, psyllium, cucumbers, celery, and carrots.
-Weight reduction
-Increased physical activity of atleast 20 min a day. It can include walk, yoga, gym , swimming, cycling, etc. Swimming is especially beneficial to burn the extra fat.
Dr Vaishalee
Diet modification is mainstay
Detailed Answer:
Hi again
In absence of any additional medical conditions like high blood pressure and diabetes, there is no harm in continuing lifestyle changes alone for next three months. Recheck the lipid profile after 3 months time.
The lifestyle changes should include:
-Diet changes need to be done as the fatty diet is the usual culprit. Reduced intake of saturated fats to less than 7% and cholesterol to less than 200 mg/day. This means to completely exclude milk products like ghee, butter, cream, ice cream, sweets, chocolate, high fat milk, cookies, cakes, pastries. Non veg food is also to be avoided. If it is must to take it, then the fat has to stripped nicely from it. Take 3 smaller meals per day.
-increase the soluble fiber in the diet. Sources of soluble fiber include oatmeal or oat cereal, lentils, apples, oranges, pears, strawberries, nuts, beans, dried peas, blueberries, psyllium, cucumbers, celery, and carrots.
-Weight reduction
-Increased physical activity of atleast 20 min a day. It can include walk, yoga, gym , swimming, cycling, etc. Swimming is especially beneficial to burn the extra fat.
Dr Vaishalee
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
