Do I need to take medication for triglycerides 3.45

Whether to take medication for triglyceride 3.45mmol/L depends on individual circumstances, and in most cases, it is recommended to control it through lifestyle interventions. The main influencing factors include underlying diseases, cardiovascular risk stratification, dietary structure, exercise habits, and family history.

1. Cardiovascular risk assessment:

Patients with hypertension, diabetes or atherosclerosis need more strict management. If there is a history of coronary heart disease or stroke, even mild elevation of triglycerides may require medication intervention. Doctors will assess the 10-year risk of cardiovascular events using tools such as the Framingham score.

2. Dietary structure adjustment:

Reducing the intake of refined carbohydrates can lower the synthesis of triglycerides in the liver. The proportion of miscellaneous grains in daily staple food should exceed one-third, and sugary drinks and alcohol should be restricted. Increase the intake of omega-3 fatty acids in deep-sea fish, and it is recommended to consume salmon, mackerel, etc. 2-3 times a week.

3. Optimization of exercise plan:

Aerobic exercise can enhance lipoprotein lipase activity. Perform 5 30 minute brisk walks or swimming sessions per week, with a heart rate maintained within the range of 220 age x 60% -70% during exercise. Impedance training can be conducted synchronously, with compound movements such as squats and plank supports performed twice a week.

4. Troubleshooting of metabolic abnormalities:

Fasting blood glucose and glycosylated hemoglobin should be detected to exclude diabetes. hypothyroidism can lead to secondary hypertriglyceridemia, and those with abnormal thyroid stimulating hormone need to supplement with levothyroxine. Simultaneously investigate secondary factors such as nephrotic syndrome.

5. Medication intervention threshold:

Those who fail to meet the standard of lifestyle intervention after 3-6 months should consider medication. Betrate drugs such as fenofibrate can significantly reduce triglycerides, while statins are more suitable for mixed hyperlipidemia. Omega-3 fatty acid preparations need to reach a daily dose of 2-4g to have lipid-lowering effects. Establishing a long-term blood lipid management plan is more important than simply focusing on single test values. Use olive oil instead of animal oil for daily cooking, and control nut intake at 20-30g/day. Continuously monitor changes in blood lipid profile, and synchronously evaluate liver function every 3 months during follow-up examinations. Lack of sleep can exacerbate lipid metabolism disorders, so it is important to fall asleep before 23:00. For hereditary diseases such as familial hypercholesterolemia, a clear diagnosis should be made through genetic testing.