Indicators of hyperlipidemia

Written by Li Hui Zhi
Endocrinology
Updated on September 17, 2024
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In fact, there are several commonly used lipid indicators. One is total cholesterol, the second is triglycerides, the third is high-density lipoprotein, and the fourth is low-density lipoprotein. The definition of hyperlipidemia, in fact clinically, is primarily characterized by elevated cholesterol and low-density lipoprotein levels. Some patients predominantly have elevated triglycerides. Therefore, these indicators need to be controlled in clinical practice. For example, total cholesterol, for diabetic patients, is generally required to be controlled below 4.5 mmol/L. For low-density lipoproteins, in people without coronary heart disease, it should be controlled below 2.6 mmol/L; for those with coronary heart disease as a high-risk factor, it should be controlled below 1.8 mmol/L.

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How to relieve dizziness caused by hyperlipidemia?

Hyperlipidemia is a common disease in our daily life, often detected through health check-ups or blood tests when visiting a doctor for illness, which reveals elevated blood lipid levels. Some hyperlipidemia patients may exhibit symptoms such as dizziness. The alleviation of dizziness caused by hyperlipidemia primarily includes the following aspects. First, controlling blood lipids is crucial; medications should be taken under a doctor's guidance to bring the lipid levels back to a normal range. Second, medical treatment. If the symptoms are significant, medications to improve cerebral blood supply or certain traditional Chinese medicines can be taken under a doctor's guidance to alleviate symptoms. Third, maintaining good lifestyle habits is very important for managing hyperlipidemia. Persisting in exercise, controlling weight, eating less greasy food, etc., can effectively alleviate dizziness through comprehensive treatment.

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Written by Luo Juan
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What fruits to eat for hyperlipidemia?

First, in adjusting the dietary structure for blood lipids, it is generally necessary to increase the intake of high-fiber foods. This is because it can increase the excretion of cholesterol in the intestines, reduce the absorption of cholesterol, and enhance the clearance of low-density lipoprotein, as well as reduce the synthesis of lipoproteins. Therefore, it can lower plasma cholesterol, especially the levels of low-density lipoprotein. Fruits contain abundant plant fibers, so it is advisable to consume a moderate amount of these fresh fruits in the diet. Of course, some cases of hyperlipidemia are related to obesity. Thus, for some high-calorie fruits such as grapes and watermelon, it is advised to limit their consumption. For example, consuming fruits like apples, cherries, and strawberries, which have relatively lower sugar content, might be better. Generally, all fruits can be eaten with hyperlipidemia, but the intake of fruits with high sugar content should be appropriately limited.

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Written by Tang Zhuo
Endocrinology
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What medicine should I take for hyperlipidemia?

In clinical practice, the basic tests for blood lipids include total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol. When hyperlipidemia is diagnosed, the first approach is to implement comprehensive treatment measures, starting with therapeutic lifestyle changes, which are fundamental and primary measures for controlling abnormal blood lipids. Medication should be used when necessary, strictly according to indications, and with careful monitoring of adverse drug reactions. The main categories of lipid-lowering drugs include: first, statins, such as atorvastatin, rosuvastatin, pravastatin, simvastatin, and pitavastatin; second, fibrates, such as fenofibrate and bezafibrate; third, niacin; and fourth, bile acid sequestrants. (The use of these drugs should be under the guidance of a doctor.)

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Written by Li Hui Zhi
Endocrinology
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The harms of hyperlipidemia

Hyperlipidemia mainly causes damage to the blood vessels throughout the body, easily leading to arteriosclerosis. In severe cases, plaques may form. This then affects the heart, potentially impacting the coronary arteries, leading to acute coronary syndrome or an acute myocardial infarction. It can also affect the cerebral vessels, possibly causing an acute cerebral infarction. When it affects the lower limb vessels, particularly in combination with diabetes, it can lead to diabetic lower limb vascular changes resulting in vascular occlusion and diabetic foot. Therefore, it is important to treat hyperlipidemia promptly.

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Written by Li Hui Zhi
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Foods to avoid for high blood lipids

Foods that should be avoided for high blood lipid mainly include greasy foods. First, foods like braised pork and deep-fried dishes should be avoided. Second, it is best not to consume animal fats, and instead, opt for vegetable oils that contain unsaturated fatty acids. Third, animal organs are not recommended. The overall diet should be light, with an emphasis on eating more vegetables and fruits, which are more suitable.