Do I need to take medication for triglycerides 3.50

Whether to take medication for triglyceride 3.50mmol/L depends on individual circumstances, and in most cases, it is recommended to prioritize lifestyle interventions for control. The main influencing factors include underlying diseases, cardiovascular risk, dietary structure, exercise habits, and family medical 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. It is recommended to evaluate the vascular status through examinations such as carotid ultrasound and coronary CTA.

2. Dietary structure adjustment:

Reduce refined carbohydrates intake, control daily main food intake within 300 grams, and prioritize low glycemic index foods such as oats and brown rice. Limit saturated fat intake, avoid animal organs and fried foods, and increase the frequency of intake of deep-sea fish to at least 3 times a week.

3. Optimization of exercise plan:

Engage in 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking and swimming. It is recommended to combine resistance training with equipment or self weight training twice a week. Increasing muscle mass can enhance lipoprotein activity and promote triglyceride breakdown.

4. Metabolic index monitoring:

requires simultaneous detection of fasting blood glucose, glycated hemoglobin, and liver function. If combined with insulin resistance, metformin can be considered to improve metabolism. Alcohol intake should be strictly limited, with no more than 25 grams per day for men and 15 grams per day for women.

5. Drug intervention threshold: After 3 months of lifestyle intervention, if the

is still above 5.65mmol/L, it is recommended to initiate drug treatment. Common medications include fibrate based lipid-lowering drugs such as fenofibrate and benzimidazole, while statins are more suitable for those with mainly elevated cholesterol. Pregnant women or those with abnormal liver and kidney function need to adjust their medication regimen. Establishing a long-term blood lipid management plan is crucial. Use monounsaturated fatty acid oils such as olive oil and tea seed oil for daily cooking, and increase the intake of nuts such as walnuts and almonds. Maintain a regular daily routine and avoid cortisol elevation caused by staying up late. Recheck the blood lipid profile every 3 months and dynamically adjust intervention strategies. For overweight individuals, it is recommended to control BMI below 24 and waist circumference not exceeding 90 centimeters for males and 85 centimeters for females. For patients with familial hyperlipidemia, genetic testing and lifelong follow-up management are necessary.