Triglycerides இதயத்திற்க்கு ஆபத்தா?
#triglyceride
#heartdiseases
#cholesterol
#insulinresistance
#heartattack
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00:00 Introduction
High triglycerides levels can cause atherosclerosis and predisposes to heart diseases and stroke.
00:32 What is triglycerides?
Triglycerides is a type of fat in our body.
When we eat too much of carbohydrates excess energy gets converted into triglycerides by insulin and stored as fat in adipose tissue.
When we fast - don't eat the fat gets mobilised from adipose tissue and gets converted into triglycerides and free fatty acids released into the bloodstream and converted into energy.
03:24 What is the normal range?
Normal less than 150 mgs per dl
But optimum or ideal is less than 100 mgs per dl
From 150 to 200 Borderline High
200 - 500 High
More than 500 very high
03:48 Causes of high triglycerides and how to decrease?
03:52 Number one - food habits
When we eat highly processed carbohydrates like sweets, pizza, burger, breakfast cereals, dairy products like milk, cheese, butter the excess energy gets converted into triglycerides.
When we eat processed meat, red meat, Salami,Bacon, deep fried items like french fries triglycerides level may go up.
05:08 Second sedentary Lifestyle
Calori excess
Inhibition of lipoprotein lipase
Insulin resistance
05:47 Alcohol conception
Alcohol contains high calories which gets converted into triglycerides
Alcohol gets metabolised in liver so other nutrients metabolisation diminishes. Giving rise to elevated triglycerides.
Again insulin resistance
VLDL levels increase
06:32 Smoking cigarettes
Inhibition of lipoprotein lipase
Nicotine stimulates free fatty acids release birthday into triglycerides in liver
Insulin resistance
07:08 Genetic causes
07:15 Drugs which can be used to lower triglyceride levels
Fibrates
Omega 3 fatty acid
Statins
Niacin etc
07:56 Who needs drug therapy for lowering triglyceride levels
People who have more than 500 mg per dl. Because untreated this can cause pancreatitis
Levels more than 200 mg per decilitre - who are at higher risk of developing heart disease like having low HDL, high LDL, history of smoking, diabetes, hypertension, family history of heart disease
Diabetes patients who are having more than 200 and not able to decrease triglycerides by Lifestyle modifications
People who cannot lower triglycerides with several months of lifestyle modifications
People who had already suffered Heart Attack and stroke with the more than 200 triglyceride levels
09:15 Problems with high Triglycerides
When we have poor lifestyle habits first things would go up is triglycerides. And development of Insulin resistance. If we identify these two early we can prevent most of the modern lifestyle diseases. When triglycerides are high for many years that can lead to Obesity, Insulin resistance, Hypertension, Diabetes, Heart diseases, Stroke, Fatty liver, Kidney diseases etc
09:50 Things to be followed before testing triglyceride levels
Eight to 12 hours of fasting. You should not eat or drink anything other than plain water.
Smoking cigarettes and alcohol should be stopped at least 24 to 48 hours before the test.
Should drink adequate water before test.
Should sleep well before the test and should not be stressed.
10:50 For whom the test should to be done how frequently it should be done
Adults (20 years and older)**:
- **Normal Risk**: Every 4-6 years as part of a comprehensive lipid panel.
- **Borderline or High Triglycerides**: More frequent testing as recommended by your healthcare provider, possibly annually.
2. **High-Risk Individuals**:
- **Existing Heart Disease, Diabetes, or High Blood Pressure**: At least once a year, or more often based on your healthcare provider's advice.
- **Family History of Heart Disease or Hyperlipidemia**: Every 1-2 years or as recommended by your healthcare provider.
3. **Children and Adolescents**:
- **Normal Risk**: Generally, a lipid panel is recommended once between ages 9-11 and again between ages 17-21.
- **High Risk (such as obesity, diabetes, or family history of heart disease)**: More frequent testing as advised by a healthcare provider.
4. **Individuals on Lipid-Lowering Therapy**:
- Regularly, to monitor the effectiveness of the treatment. This could be every 3-6 months initially, then annually once levels are stable.
11:46 Final Word