And lots of cholesterol! 😬

πŸ‘‰ Most Patients that present with high cholesterol (hyperlipidemia) have dietary or lifestyle indiscretion.

πŸ‘‰ Diets rich in cholesterol or saturated fat tend to increase blood LDL (bad) cholesterol levels while carbohydrates or alcohol increases blood VLDL triglycerides.

πŸ‘‰ Patients with diabetes or hyperthyroidism tend to present with hyperlipidemia, in which case the former has to be controlled first to which the latter would respond slowly.

Dietary Management:

πŸ₯— A modified fat diet should be given for 3-6 months before considering drug therapy.

πŸ₯— Dietary management should aim to decrease the intake of red meat, dairy produce and refined sugar.

πŸ₯— Simultaneously, it should significantly increase the intake of vegetables, fruits and pulses.

πŸ₯— Other sources of protein such as fish should be encouraged, particularly oily fish such as mackerel, salmon or trout. (Fact: Omega 3 poly unsaturated fats really help!)

πŸ₯— Increased physical activity should be encouraged, this will improve glucose, blood pressure and lipid profiles.

πŸ₯— Avoidance of cigarette smoking is absolutely essential in these patients.

Discrete Methods:

⭐ Reduce energy intake to achieve ideal body weight.

⭐ Increase dietary fibre intake.

⭐ Reduce saturated fat intake to provide 30% of total fat intake.

⭐ Reduce total fat intake to provide 30% of energy intake.

⭐ Moderate alcohol intake.

⭐ Increase consumption of oily fish.

⭐ Eat greater than or equal to five portions of fresh fruit or vegetables per day.

SOURCE: Davidson’s Principles and Practices of Medicine (19th edition)

Sunantha πŸ“–

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