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Suggest Remedies To Keep Cholesterol In Control
Sir,
Today my TGL is 360. it varied in last six years between 150-250. I am 32/M working in rotating shift duty in Oil refinery - Sulphur plant. No hard working. My CHOL=208,HDLC=35, LDLC=101, SUGAR=NIL. how can I reduce maintain all parameters normal ?
Today my TGL is 360. it varied in last six years between 150-250. I am 32/M working in rotating shift duty in Oil refinery - Sulphur plant. No hard working. My CHOL=208,HDLC=35, LDLC=101, SUGAR=NIL. how can I reduce maintain all parameters normal ?
Tue, 18 Aug 2015
Hello,
This gives me some information, but not all, of what I need to give you my professional opinion on what is possible for you to achieve. And, information and opinions are changing so quickly that I will do my best to give you my working experience with these matters.
Your triglycerides have increased, so let us question what happened between the years you kept it under 150 (out goal) and the 250 and now the 360.Your total cholesterol should, optimally, be 180 - 200 mg/dl and your HDL > 50 and LDL
Lowering your Triglycerides is especially sensitive to lowering your carbohydrates focusing on those carbohydrates filled with sugar, of high glycemic index or load (you may obtain list from google), losing weight if overweight and a good exercise program. Exercise routinely with no excuses for 1/2 hour each session (5 minute warm up; 5 minute cool down)and keep your heart rate at 220- age=Maximum Heart Rate x .60 - .70 to get your target heart rate range to work out at in your 20 minutes (minimum). Do your routine 5 x per week to lower triglyerides. Lower saturated fat, increase soluble fibers (oats, skin of fruit), NO HIGH FRUCTOSE CORN SYRUP.
Please start with this. What will be useful to you is 1)List of soluble fiber foods; 2) what High Fructose Corn Syrup is and where to find it; 3) A list of low glycemic index foods (these are especially important when eating the food item alone; 4) A List of High and Low Glycemic LOAD foods. Avoid High Gycemic Load foods at mixed meals;5) exercise routine ideas and the importance of following your target heart rate and what that means.
If you would like me to follow you, I would be happy to. As you can see, diet is individualized and takes some help getting on the "right track" so to speak.
Try what I have suggested, write me if I can help you further after you do your homework, start your exercise routine, begin changing your eating habits - come back with a new lipid profile and your list of questions. I am here. Thank you for coming to HCM. Kathryn Shattler, MS,RDN or www.bit.ly/askkathyshattler/ Also, educational site at http://www.pinterest.com/kathyshattler/
This gives me some information, but not all, of what I need to give you my professional opinion on what is possible for you to achieve. And, information and opinions are changing so quickly that I will do my best to give you my working experience with these matters.
Your triglycerides have increased, so let us question what happened between the years you kept it under 150 (out goal) and the 250 and now the 360.Your total cholesterol should, optimally, be 180 - 200 mg/dl and your HDL > 50 and LDL
Lowering your Triglycerides is especially sensitive to lowering your carbohydrates focusing on those carbohydrates filled with sugar, of high glycemic index or load (you may obtain list from google), losing weight if overweight and a good exercise program. Exercise routinely with no excuses for 1/2 hour each session (5 minute warm up; 5 minute cool down)and keep your heart rate at 220- age=Maximum Heart Rate x .60 - .70 to get your target heart rate range to work out at in your 20 minutes (minimum). Do your routine 5 x per week to lower triglyerides. Lower saturated fat, increase soluble fibers (oats, skin of fruit), NO HIGH FRUCTOSE CORN SYRUP.
Please start with this. What will be useful to you is 1)List of soluble fiber foods; 2) what High Fructose Corn Syrup is and where to find it; 3) A list of low glycemic index foods (these are especially important when eating the food item alone; 4) A List of High and Low Glycemic LOAD foods. Avoid High Gycemic Load foods at mixed meals;5) exercise routine ideas and the importance of following your target heart rate and what that means.
If you would like me to follow you, I would be happy to. As you can see, diet is individualized and takes some help getting on the "right track" so to speak.
Try what I have suggested, write me if I can help you further after you do your homework, start your exercise routine, begin changing your eating habits - come back with a new lipid profile and your list of questions. I am here. Thank you for coming to HCM. Kathryn Shattler, MS,RDN or www.bit.ly/askkathyshattler/ Also, educational site at http://www.pinterest.com/kathyshattler/
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Hello. Thank you for your question and welcome to HCM. I understand your concern.
Triglycerides are the blood compartment of fat that reflects also the last meal and, in general, a recent meal. So, even if you were fasting on your blood test, you may have eaten 8-10 hours before the measurement. To get the precise level of triglycerides in blood, they should be measured after 24 hours of fasting, ideally. However, a 16 hours difference between eating and the blood test, reveal the real triglyceride levels in 95% of cases. I recommend you to do that, on your next blood test. Also, a diet rich in fibers is very helpful in lowering this parameter (green or dark green leafy vegetables and fruit), as well as lowering your alcohol intake to a maximum of 30 g ethanol a day (two beers with standard percentage of alcohol, or a glass of wine). Even if you have respected all the measures, and the triglycerides are still high, then we could start a one-month course of treatment with a drug from the class of fibrates (fenofibrate 160 mg once a day, for example), and then check your triglycerides again, after the course of treatment is completed.
As for the cholesterol side of the lipid profile, everything seems to be normal. There are still controversies in the cardiologist society to which are the highest levels of cholesterol that can be called normal. Some clinics have this parameter on 200, some even at 240. In our clinic, normal cholesterol levels are up to 220 mg/dL. In this context, my opinion is that this figures are normal, but keep under observation.
I hope I was helpful. Take care.
Kind regards,
Dr. Meriton
Triglycerides are the blood compartment of fat that reflects also the last meal and, in general, a recent meal. So, even if you were fasting on your blood test, you may have eaten 8-10 hours before the measurement. To get the precise level of triglycerides in blood, they should be measured after 24 hours of fasting, ideally. However, a 16 hours difference between eating and the blood test, reveal the real triglyceride levels in 95% of cases. I recommend you to do that, on your next blood test. Also, a diet rich in fibers is very helpful in lowering this parameter (green or dark green leafy vegetables and fruit), as well as lowering your alcohol intake to a maximum of 30 g ethanol a day (two beers with standard percentage of alcohol, or a glass of wine). Even if you have respected all the measures, and the triglycerides are still high, then we could start a one-month course of treatment with a drug from the class of fibrates (fenofibrate 160 mg once a day, for example), and then check your triglycerides again, after the course of treatment is completed.
As for the cholesterol side of the lipid profile, everything seems to be normal. There are still controversies in the cardiologist society to which are the highest levels of cholesterol that can be called normal. Some clinics have this parameter on 200, some even at 240. In our clinic, normal cholesterol levels are up to 220 mg/dL. In this context, my opinion is that this figures are normal, but keep under observation.
I hope I was helpful. Take care.
Kind regards,
Dr. Meriton
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