Saturday, July 30, 2011

How to lower triglyceride levels


My husband is 64 years old and extremely active..He is also very fit and is doing most things that he can to lower his triglyceride level..which is still at 560..

Our primary physician has him on 80 mg. of simvistatin each day as well as taking the omega 3;s, eating oatbran,, oatmeal.,etc..


His levels have been high for several years and I wonder if he should continue with this regimen or seek the counsel of a cardiologist...His primary physician checks him every 6 months and seems to think he is doing ok...
I am not so sure and think maybe he can get his levels lowered... 





Thanks for your question.  It may be that your husband's triglyceride levels are high due to a familial/genetic condition.  Many individuals have hypertriglyceridemia (elevated triglyceride levels).  Triglyceride levels should always be checked when a patient is fasting for at least 8 hours as the level will be higher post-prandial (after meals).  A normal triglyceride level is below 150 mg/dL.

Triglyceride levels can be elevated due to high fat and/or high sugar diet, as well as alcohol.  In addition to limiting high fat foods (fast food, fried food, high fat desserts, butter, gravy, margarine, fatty cuts of meat, sausage, bacon, etc), excess sugar consumption should also be scaled back.  Sugar from soda, sweetened beverages, candy and dessert is not the only culprit.  Even excess sugar from fruit and fruit juice as well as other carbohydrates (pasta, rice, cereal, pretzels, corn, etc) may increase triglyceride levels.  Finally, being overweight or obese will increase triglyceride levels as can alcohol consumption.

Beyond diet, exercise, medication and omega-3-fatty acid supplementation (ie. prescription dose fish oil), there is not much more to do.  It sounds like your husband's physician has him on the right regimine to reduce his triglycerides and your husband is doing his part.

If his other lipid levels are within normal limits (HDL at 40 or higher, LDL at 130 or less and total cholesterol below 200), and other risk factors for coronary heart disease are controlled (i.e. high blood pressure, diabetes, etc), his risk for heart disease may be less even with an elevated triglyceride level.

Finally, if he has not seen a Registered Dietitian to review his diet for sugar and fat content, I'd highly recommend it!  To find an RD in your area, check out the American Dietetic Association web site: www.eatright.org  there is a section called "Find a nutrition professional" where he can locate one to work with.

Best of luck!

Nutrigirl

Monday, July 4, 2011

Red, white and blueberry

We had plenty of leftover ice cream, cake and a peach pie my husband whipped up this morning for a neighborhood pot luck.

But the best dessert for the 4th?  It doesn't get much easier (or healthier) than this!

Cut and wash 1 cup of fresh strawberries.
Wash 1 cup of fresh blueberries
Place a half cup of each in a bowl and cover in light ready whip.  Serve to your two favorite sweeties. Done.

Sunday, July 3, 2011

Hooked on McDonald's for breakfast

Dear Nutrigirl-

I can't seem to kick my egg McMuffin habit.  Any thoughts on a healthier alternative?

Thanks,
Egg on her face

Dear Egg-

Here's a simple and tasty way to enjoy your favorite breakfast, while reducing the carbon footprint!  The time and money you spend to hit the drive-through could be used making this simple sandwich.  Here's what you'll need:

1 whole wheat English muffin
1 egg & 1 Tbsp. water
Non-stick cooking spray (i.e. Pam)
1 Tbsp. low fat shredded cheddar or other cheese
1 Tbsp. Chopped onions, peppers or other spinach (optional)

Directions
Toast the muffin and set aside.
Spray a small bowl with non-stick spray.
Crack the egg and place it in the bowl with 1 Tbsp. water.  Scramble the egg.
Add your vegetables of choice and mix in with the egg.
Microwave the egg mixture for ~1 minute, then take out of the microwave and add the cheese.
Fold the egg & cheese in a square and place on the muffin.

Voila- healthy breakfast sandwich!

Nutrition Facts: Calories 280, Fat 11 grams, Protein 14 grams