Reasonable diet; by controlling total dietary calories, limiting carbohydrate and fat intake, and increasing vegetable and high-quality protein intake, TG can be reduced by 20% to 50%. Triglycerides are oil, so people with high triglycerides must eat less oil, try not to eat fat meat and animal oils, and eat less vegetable oils. Eat more light foods such as vegetables. Don’t eat too much pasta either.

Control weight; for overweight or obese patients, the weight can be reduced by 5% to 10%, and TG can be reduced by about 20%. According to Chinese standards, body mass index (BMI) ≥ 24 kg/m2 is overweight, and BMI ≥ 28 kg/m2 is obese. People should strive to normalize their BMI or reduce their weight by at least 10% within one year. It is also important to increase exercise in daily life. Burning off excess energy in the body is crucial to reducing triglyceride levels.

You must stop drinking; if you stop drinking, you must stop drinking! Drinking alcohol can also cause elevated triglycerides. Without abstinence from alcohol, hypertriglyceridemia cannot be satisfactorily controlled. More importantly, acute pancreatitis is a life-threatening disease, and severe hypertriglyceridemia and heavy drinking are two important causes of acute pancreatitis.

Drug treatment; for patients with mild to moderate elevation of triglycerides (2.26-5.65mmol/L), the type of medication should be determined based on the patient’s other conditions. If the patient has already developed coronary heart disease, cerebral infarction, or stenosis (more than 50% stenosis) of large arteries such as the carotid artery, statin therapy should be the first choice. For example, rosuvastatin (Ruizhi) has better lipid-lowering effect, better liver selectivity and fewer drug interactions than similar drugs. The LDL-C lowering effect on patients with various types of dyslipidemia is significantly better than other similar drugs, and it can significantly increase the lipid-lowering target rate. If triglycerides are severely elevated (≥5.65mmol/L), acute pancreatitis is likely to occur. In this case, fibrate drug treatment should be applied immediately to reduce triglycerides to a relatively safe level as soon as possible to prevent the occurrence of pancreatitis.