Health Screenings For You & Your Family
Did you know that the state of Kentucky has the 9th highest rate of heart disease in the country? According to the Centers for Disease Control and Prevention , heart disease was the leading cause of death among Kentucky citizens. The Foundation of the NLA works with local health centers to provide complimentary LDL-cholesterol, triglyceride, and glucose/A1c screenings to communities in need. Since the beginning of our screening program in September 2018, 253 people in rural Kentucky communities have received a blood test report and risk counseling. Subscribe today to be alerted if we will be hosting a screening near you!
Why Lowering High Triglyceride Levels Matters
The national guidelines for fasting triglyceride levels in healthy adults are:
- Normal: Under 150 milligrams per deciliter .
- Borderline High: 151200 mg/dl.
- High: 201499 mg/dl.
- Very High: 500 mg/dl or higher.
When your triglyceride levels are high and you have a high amount of LDL cholesterol or a low amount of HDL cholesterol, all of this could contribute to the development of fatty buildups within the artery walls of the heart. The buildup can increase your risk of heart attack and stroke.
Top Foods To Help Lower Triglyceride Levels
3 ).
Diet plays a major role in the production of triglycerides in your body. Certain foods may even help lower your blood levels.
Here are 8 top foods that may help lower triglyceride levels.
5 ).
Daily intakes of at least 25 grams of soy protein were most effective at lowering these fats in the blood .
Soybeans, edamame, tofu, and tempeh are excellent sources of isoflavones, a health-promoting compound linked to reduced triglycerides, weight management, and improved menopause symptoms .
Fermented soy products like natto and tempeh have a higher nutritional value than unfermented soy. When used to replace sources of animal protein, they have a potent triglyceride-lowering effect .
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Medications Can Lower Ldl And Triglycerides
To get cholesterol and triglycerides into the target zone, many people with diabetes need to add medications to their healthy eating and exercise plans. Reducing elevated LDL cholesterol is typically the top priority. To achieve the target goals, many people need to take a medication in the statin category.
The American Diabetes Association recommends that statin therapy be added for people who have:
- a lower risk of cardiovascular disease and whose LDL cholesterol doesnt hit the target of 100 mg/dl or less with healthy lifestyle change.
- cardiovascular disease and who dont reach the LDL cholesterol target of 70 mg/dl or less.
Statin medications are most effective at lowering LDL cholesterol. All medications should be prescribed and monitored by a health care provider.
Common statins include:
Other medications that lower both LDL cholesterol and triglycerides:
- Prescription-strength niacin
Other medications prescribed to lower LDL cholesterol:
- Bile acid sequestrants, such as Questran or Colestid
- Welchol , a bile acid sequestrant that can also lower blood glucose
Other medications prescribed to lower triglycerides:
- Prescription-strength fish-oil pills
Other medications to lower cholesterol and blood pressure:
Medications that have been found to increase triglycerides:
- Birth-control pills
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Causes Of High Triglycerides
In many cases, habitual overeating causes high triglycerides. Occasionally, the trigger is an underlying condition such as:
- Excessive alcohol consumption
- Some types of liver disease
- Some types of kidney disease
- Some genetic disorders, including the inherited disease familial hypertriglyceridemia and familial combined hyperlipidemia .
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Establish A Regular Meal Pattern
Insulin resistance is another factor that can contribute to high blood triglycerides.
After you eat a meal, the cells in your pancreas send a signal to release insulin into the bloodstream. Insulin is then responsible for transporting sugar to your cells to be used for energy.
If you have too much insulin in your blood, your body can become resistant to it, making it difficult for your body to use insulin effectively. This can lead to a buildup of both sugar and triglycerides in the blood.
Fortunately, setting a regular eating pattern can help prevent insulin resistance and high triglycerides. For instance, research shows that not eating breakfast can lead to decreased insulin sensitivity .
An American Heart Association statement suggested that irregular eating patterns seemed less likely to achieve healthy cardiometabolic levels. They recommended intentional eating at regular times .
However, the evidence is mixed when it comes to meal frequency.
A 2013 study demonstrated that eating three meals per day significantly decreased triglycerides compared with eating six meals per day (
36 ).
Regardless of how many meals youre eating daily, eating regular meals can improve insulin sensitivity and lower blood triglyceride levels.
Summary
While studies are mixed on how meal frequency affects blood triglyceride levels, research suggests that sticking to a regular meal pattern can decrease many heart disease risk factors and prevent insulin resistance.
Triglycerides: Why They Matter And How To Lower Them
Triglycerides are the most common type of fat in foods and in your body. When you eat foods containing fat and oil, such as butter, French fries and chocolate chip cookies, the body takes the fat and stores it in your body as triglycerides. You want your triglycerides to be below 150 mg/dL. Triglycerides are high-risk above 200 mg/dL.
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What Kind Of Medications Treat High Triglycerides
If your triglyceride levels are very high, you may need medication.
Niacin supplements also known as vitamin B3 can help reduce blood triglyceride levels. You can get niacin naturally from meats, avocados, and peanuts among many other foods. Supplements work well, too, if youre worried you may not be getting enough through your diet alone.
For those who dont like to eat fish, packaged omega-3 fatty acids, and even cod liver oil, can come in a capsule and help you get some of the same benefits. Vascepa is an FDA-approved prescription-strength omega-3 fatty acid that you can take if you are 45 or older and have diabetes or cardiovascular disease. It has been shown to reduce triglyceride levels and the risk of heart attack or stroke when exercise, diet, and other medications arent enough.
One of the main types of medication prescribed to treat high triglycerides are called fibrates, including fenofibrate. These medications slow down production of triglycerides and help remove triglycerides from the bloodstream.
What Can Happen To Me If I Have High Triglycerides
High triglycerides can increase your risk of cardiovascular disease, including stroke, heart attack and heart disease.
A high triglyceride level is one of the signs of metabolic syndrome. This is a collection of health conditions that increase your risk of cardiovascular disease and diabetes.
An extremely high triglyceride level can cause inflammation of the pancreas, the organ in your abdomen that produces insulin.
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Becoming More Physically Active
A sedentary lifestyle lowers HDL cholesterol. Less HDL means theres less good cholesterol to remove bad cholesterol from your arteries.
Physical activity is important. At least 150 minutes of moderate-intensity aerobic exercise a week is enough to lower both cholesterol and high blood pressure. And you have lots of options: brisk walking, swimming, bicycling or even yard work can fit the bill.
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What Are Triglycerides And What Is Considered A Healthy Level
Triglycerides are sort of like cholesterol: Both are types of fat found in your blood. But while cholesterol is used to make cells and certain hormones, the job of triglycerides is to store unused calories to give your body energy between meals.
Triglycerides get stored after you eat. If you take in any calories that arent needed for energy right away, theyre converted into triglycerides and transferred to your fat cells for later use.
Eating more calories than you need on the reg can lead to high triglycerides over time, which can up your risk for heart disease. Triglycerides are usually measured along with cholesterol, and numbers over 150 mg/dL are usually considered high.
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Possible New Treatment For High Triglycerides
In the report in The New England Journal of Medicine, an international team of researchers describe a new therapy for high triglycerides. It involves a weekly injection of “antisense oligonucleotides” , pieces of DNA that short-circuit the livers production of triglycerides. The new report shows that ASOs can reduce triglyceride levels by as much as 70%.
Keep in mind that this was a phase 2 trial, which is designed to test whether a drug does what it is supposed to do . Larger, longer-term studies will be needed to see whether ASOs actually reduce the risk of heart disease, and what sorts of side effects they cause.
Many experimental medications that sparkle in early testing never become FDA-approved drugs. We wont know for several years whether ASOs will become available for individuals with high triglycerides.
What Are High Triglycerides
Triglycerides are a kind of fat found in blood. Cholesterol is another kind. Stored in fat cells for later use, triglycerides are a major energy source. Normal amounts are important for good health. Eating more fat than the body burns can lead to high triglyceride levels . High triglyceride levels may result in hardening of the arteries , which increases risks of stroke, heart attack, and heart disease. They can be part of metabolic syndrome, which also includes too much fat around the waist, high blood pressure, high blood sugar, and abnormal cholesterol levels.
Sometimes high triglyceride levels mean poorly controlled type 2 diabetes, low thyroid hormone levels , liver or kidney disease, or rare genetic conditions.
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How Quickly Can I Lower My Cholesterol
Your cholesterol levels may lower as quickly as a few weeks to a few months, depending on your treatment plan.
If your levels are very high, your healthcare provider may recommend taking medications at the start of your treatment plan. This may help lower your cholesterol levels more quickly. The sooner you can lower your bad cholesterol levels, the sooner you can lower your risk for plaques to form.
You can also lower your cholesterol through lifestyle and diet changes alone, but it may take three to six months to see results. Talk with your healthcare provider to figure out the best treatment plan for you.
Ask Your Doctor About Natural Supplements
Several natural supplements could have the potential to lower blood triglycerides. Always speak with your doctor before starting any supplements, as they can interact with other medications.
Note especially that the Food and Drug Administration does not regulate supplements in the same way as it regulates pharmaceuticals, and supplement quality can vary widely.
Below are a few of the main supplements that have been studied:
- Fish oil. Well known for its potent effects on heart health, fish oil is rich in omega-3 fatty acids, which have been shown to decrease triglycerides and several other risk factors for heart disease (
Summary
Several supplements have been studied for their ability to lower triglyceride levels, including fish oil, fenugreek, garlic extract, guggul, and curcumin.
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How Can I Lower My Triglyceride Level
You may be able to lower your triglycerides with a combination of losing weight, diet and exercise.
- Avoid simple carbohydrates, such as foods containing sugar or made with white flour. Eat more whole-grains, such as oats, brown rice and multi-grain bread.
- Reduce alcohol intake drink less than the recommended amount of alcohol per week. These guidelines are usually too high for people with high triglycerides. If you have triglyceride levels over 5mmol/L you should avoid alcohol completely.
- Eat less fat and choose healthy fats
- cut back on saturated fat and trans fats
- eat more fish omega-3 fats in salmon, tuna, sardines, and other fatty fish can lower triglycerides. Having fish twice a week is fine.
See our Healthy Living section for more ideas to help you get started.
You also may need to take medication to lower your triglycerides. Your doctor may start you on a statin, or a fibrate . Your doctor will let you know if you need to take medication.
What Causes High Triglyceride Levels
- Being overweight.
- Lack of physical activity.
- Excessive alcohol use alcohol is high in calories and sugar. Even small amounts of alcohol can raise triglyceride levels.
- A very high carbohydrate diet.
- Certain diseases and medicines.
- People with very high triglycerides often have a genetic disorder which prevents them from moving triglycerides out of their blood.
- Smoking increases your risk of heart disease and stroke by increasing clotting factors in the blood, decreasing HDL cholesterol levels, increasing triglyceride levels, and damaging the lining of blood vessels.
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Dos And Donts In Managing High Triglycerides:
- DO exercise regularly.
- DO eat more fruits and vegetables and high-fiber foods such as oat bran. Cook with monounsaturated fatsolive, peanut, and canola oils.
- DO stop smoking.
- DO lose weight by changing your diet and doing aerobic exercise, such as walking, jogging, bicycling, or swimming. Exercise at least 30 minutes daily.
- DONT forget to treat other medical conditions such as diabetes and underactive thyroid.
- DONT drink more than two alcoholic drinks per day.
- DONT change your diet or medicines without your doctors approval.
Limit Your Added Sugar
You know that too much of the sweet stuff is bad news, and thats definitely the case here. When youre eating sugary foods, its easy to end up chowing down on more calories than your body needs.
The excess will be turned into triglycerides, which can lead to serious trouble:One 15-year study found that people who got 25 percent of their calories from sugar were twice as likely to die from heart disease as those who ate significantly less.
The American Heart Association recommends that women consume no more than 6 teaspoons and men consume no more than 9 teaspoons of added sugar per day.
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How Long Does It Take To Lower Triglycerides
Depending on whats causing your high triglyceride levels, you may be able to lower them in just a few days. A night out drinking or eating foods high in sugar can cause a spike in your triglyceride levels. Limiting alcohol and sugar intake can bring your levels back to normal within a few days.
If you have consistently high triglycerides, it may take a few months for them to return to a healthy range. How fast they lower depends on the lifestyle changes, diet, and medications youre taking.
How Can Triglycerides Be Lowered
If you have high triglycerides, making changes to your diet and lifestyle can help to reduce these.
Diet and Lifestyle Recommendations:
People who have high triglycerides may also require medications as well as diet and lifestyle modifications. You can discuss this further with your medical team.
If you have severely high triglycerides then you will be advised to reduce all types of fat, aiming for less than 25g fat per day. Further information on this is at the end of this diet sheet .
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What Vitamins And Supplements Help Lower Triglyceride Levels
Fish oil lowers triglycerides. The dose needed to reduce triglycerides is 1 to 4 grams of EPA/DHA per day. Four grams per day has been shown to reduce triglycerides by 25% to 30%. People with the highest triglycerides benefit most. It is worth noting that non-marine omega 3 fatty acids do not appear to lower triglycerides in the same way. The prescription form of synthetic omega-3 fatty acids, Lovasa, Vascepa, or Epanova is approved by the US Food and Drug Administration for people with triglycerides over 500 mg/dL.
Niacin is another supplement for lowering triglycerides. Both regular and extended-release nicotinic acid has been shown to reduce triglycerides by up to 40% . Niacin has the added benefit of increasing HDL and lowering LDL. The high doses of niacin needed to lower triglycerides can cause uncomfortable flushing in some people. To avoid this, niacin can be taken with baby aspirin, with food, or with an extended-release form of niacin/nicotinic acid . Inositol-hexanicotinate, marketed as no-flush niacin, is NOT the same thing and contains very little nicotinic acid.
Fibers, such as chia, flax, psyllium, or bran, help lower triglycerides. Fibrates, a class of cholesterol-lowering drugs that have been used for decades, also have a triglyceride-lowering effect through the same general mechanisms.
There are other supplements with limited research supporting their benefit in hypertriglyceridemia.
Will A Keto Diet Lower Triglycerides And Cholesterol
No, keto diets have been shown to increase cholesterol levels. The Mediterranean diet, however, has been shown to lower cholesterol levels and reduce the risk of cardiac events.
The Mediterranean diet promotes eating vegetables, fruits, whole grains, and healthy fats daily eating fish, poultry, beans, and eggs weekly reducing portions of dairy and limiting red meat.
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