Blood Test Results: Managing Cholesterol and Triglycerides - Nutrition

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Blood draw issues?


Hello Doctor, I recently had a blood test due to knee pain.
The report was mostly fine, but there were two concerning values regarding my lipid profile: total cholesterol 165 mg/dL, triglycerides 215 mg/dL, high-density lipoprotein (HDL) 32 mg/dL, and low-density lipoprotein (LDL) 112 mg/dL.
It seems that my triglycerides are a bit high and my HDL is low.
Since I had my blood drawn two hours after a meal, I would like to ask if my triglyceride level is considered normal under these circumstances.
Also, how can I increase my HDL cholesterol?

Huang, 20~29 year old female. Ask Date: 2021/10/07

Dr. Cai Xiuwen reply Nutrition


Hello, the standard for total cholesterol should be below 200 mg/dL, and triglycerides should be below 150 mg/dL.
However, the reference values may vary among different hospitals.
It is recommended to have triglycerides tested after fasting for more accurate results.
Therefore, you should consult your attending physician regarding your test report to understand your condition.
To increase high-density lipoprotein (HDL) cholesterol, you can consume adequate amounts of high-protein foods and increase physical activity.
This information is provided by the Nantou Hospital of the Ministry of Health and Welfare.
Wishing you peace and good health.

Reply Date: 2021/10/07

More Info


Understanding blood test results, particularly those related to cholesterol and triglycerides, is crucial for maintaining cardiovascular health. Based on your recent blood test results, let's break down the values and discuss their implications.

1. Total Cholesterol (165 mg/dL): This value is within the desirable range. Generally, total cholesterol levels below 200 mg/dL are considered healthy. However, it's essential to look at the breakdown of cholesterol types to get a complete picture.

2. Triglycerides (215 mg/dL): This value is elevated. Normal triglyceride levels are typically below 150 mg/dL. Elevated triglycerides can increase the risk of heart disease and may be associated with other conditions such as obesity, diabetes, and metabolic syndrome. Since you mentioned that the blood was drawn two hours after a meal, it's important to note that triglyceride levels can be temporarily elevated after eating. However, if this level remains high in future tests, dietary and lifestyle changes may be necessary.

3. High-Density Lipoprotein (HDL) Cholesterol (32 mg/dL): This value is considered low. HDL is often referred to as "good" cholesterol because it helps remove other forms of cholesterol from your bloodstream. Low levels of HDL can increase the risk of heart disease. Ideally, HDL levels should be 40 mg/dL or higher for men and 50 mg/dL or higher for women.

4. Low-Density Lipoprotein (LDL) Cholesterol (112 mg/dL): This value is near optimal. LDL is known as "bad" cholesterol, and levels below 100 mg/dL are considered optimal. However, levels between 100-129 mg/dL are still acceptable for most individuals.


Recommendations for Managing Cholesterol and Triglycerides:
1. Dietary Changes:
- Reduce Saturated Fats: Limit intake of red meat and full-fat dairy products.

- Eliminate Trans Fats: Avoid partially hydrogenated oils found in many fried and commercially baked products.

- Increase Omega-3 Fatty Acids: Incorporate fatty fish (like salmon, mackerel, and sardines), flaxseeds, and walnuts into your diet.

- Eat More Fiber: Foods high in soluble fiber, such as oats, beans, lentils, fruits, and vegetables, can help lower cholesterol levels.

- Limit Sugar and Refined Carbohydrates: Reducing sugar intake and avoiding refined carbs can help lower triglyceride levels.

2. Physical Activity:
- Aim for at least 150 minutes of moderate aerobic exercise each week, such as brisk walking, swimming, or cycling. Regular physical activity can help raise HDL cholesterol and lower triglycerides.

3. Weight Management:
- If you are overweight, losing even a small amount of weight can help improve your cholesterol levels and reduce triglycerides.

4. Avoid Tobacco Smoke:
- If you smoke, quitting can improve your HDL cholesterol level.

5. Consider Alcohol Intake:
- Moderate alcohol consumption may increase HDL levels, but excessive drinking can lead to high triglycerides. If you drink, do so in moderation.

6. Regular Monitoring:
- Schedule regular check-ups with your healthcare provider to monitor your cholesterol and triglyceride levels. If lifestyle changes do not improve your levels, your doctor may consider medication.


Conclusion:
Your triglyceride level is elevated, and your HDL is low, which are both important factors to address for cardiovascular health. Implementing lifestyle changes such as a heart-healthy diet, regular exercise, and weight management can significantly impact your cholesterol levels. It’s advisable to follow up with your healthcare provider for personalized recommendations and to discuss the need for further testing or treatment options.

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