Hello! Why such a sudden jump? Change in diet? Meds? Vacation? What should you do? If you were my patient I would refer you to a Dietitian for instruction on a low fat, high fiber, triglyceride diet after your meds were re-evaluated. To lower triglycerides you follow the same diet as high cholesterol but in addition restrict fructose, high fructose corn syrup, alcohol, no sugary drinks and limited fresh fruit. Cardiovascular exercise as cleared by your doctor essential. Losing weight if need be.Optimal homocysteine levels are This is a serious situation and cooperation between the doctor and a dietitian in both the treatment of your hyperlipidemia and in helping you change your lifestyle to prevent further cardiovascular decline. A triglyceride level is often treated with extremely high doses of prescription omega- 3 fatty acids known by a variety of names such as Lovaza. Your Hba1c levels seem to indicate you might have diabetes. To diagnose diabetes the test needs to be repeated in the same manner it was diagnosed initially (fasting =fasting or Hba1c repeat Hba1c) Vitamin D should be repleted to above 30 and then maintained there or higher. I don t think you realize how seriously at risk these blood values show and the drastic increase may be more that you may not be familiar with goals. For example, if you have diabetes we like to see your LDLs less than 70. Triglycerides should be less than 150. You have actually been high for quite awhile. Stanlip is for cholesterol and triglycerides but if you were my patient I would put you on pharmaceutical levels of omega-3s and give your pancreatic enzymes. The enzymes are needed to digest your food. Rovusa 10 is a statin,and the potential for coenzyme Q10 deficiency is possible in about 30% of long term patients. Even though your blood sugar has come down and I don t know what your goals are but you are still testing as diabetic at 155 mg/dl fasting. Perhaps just seeing a Dietitian will help it come down. I would also have the thyroid checked because if that doesn t work optimally it will raise your lipids (but not this high!). I wish you luck in obtaining a medication review, being referred to a dietitian for low fat, high fiber, low triglyceride diet, carbohydrate controlled nutrition plan. Sincerely, Kathy Shattler, MS,RDN