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Hello. I Just Had Some Bloodwork Done Yesterday And Did

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Posted on Sun, 23 Jun 2019
Question: Hello. I just had some bloodwork done yesterday and did not fast prior to the tests because I did not know that I would being doingla work after my annual ob/gyn appt. My triglycerides were 167! Vs the last nine years they were never above 70 so I am worried. My cholesterol has never been over 170 (avg was 145) and it was 192. I ate an egg McMuffin two hours before the blood test. I am a 57 female and trying to get to menopause.
Thanks for your feedback!
doctor
Answered by Dr. AJEET SINGH (36 minutes later)
Brief Answer:
Lipid profile

Detailed Answer:
Hi.
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
Normal triglyceride levels are less than 150 milligrams per deciliter (mg/dL) i.e less than 1.7 millimoles per liter (mmol/L).
Your TG falls in borderline high — 150 to 199 mg/dL (1.8 to 2.2 mmol/L).
A high level is 200 to 499 mg/dL (2.3 to 5.6 mmol).
Normal cholesterol levels desirable in adults is less than 200 and your's is quite normal.

Serum lipid profile is always done in a fasting state and there are limitations in non fasting estimation.
12 to 14 hrs fasting (except clear water) is recommended.
There are 2 main reasons for it.
Post meals TG remains elevated for several hours.
Second,all the reference values have been established on fasting blood samples.
TG and cholesterol levels depend on time of last meal,amount of fats in last meal,prolonged torniquet application (increase cholesterol),patient's upright or supine position while drawing blood,alcohol consumption,patients hydration, renal status and season of winter or summer etc.
Ethnicity and menopausal status should also be considered in clinical practice.

Hence please procure a fresh fasting lipid profile after a week and that would give a better estimate.
Your values are fair and you don't have to worry much about them.
Do dietary and life style modifications and be physically active.
After all,it's just a number.

Stay healthy and stay blessed.
Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. AJEET SINGH (14 hours later)
Thank you.
doctor
Answered by Dr. AJEET SINGH (5 minutes later)
Brief Answer:
Hypercholesterolaemia

Detailed Answer:
You are most welcome.Would be more than happy to clear your doubts,if any.
Happy living.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. AJEET SINGH

General & Family Physician

Practicing since :1994

Answered : 2151 Questions

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Hello. I Just Had Some Bloodwork Done Yesterday And Did

Brief Answer: Lipid profile Detailed Answer: Hi. Welcome to Ask a doctor. I am Dr Ajeet XXXXXXX Normal triglyceride levels are less than 150 milligrams per deciliter (mg/dL) i.e less than 1.7 millimoles per liter (mmol/L). Your TG falls in borderline high — 150 to 199 mg/dL (1.8 to 2.2 mmol/L). A high level is 200 to 499 mg/dL (2.3 to 5.6 mmol). Normal cholesterol levels desirable in adults is less than 200 and your's is quite normal. Serum lipid profile is always done in a fasting state and there are limitations in non fasting estimation. 12 to 14 hrs fasting (except clear water) is recommended. There are 2 main reasons for it. Post meals TG remains elevated for several hours. Second,all the reference values have been established on fasting blood samples. TG and cholesterol levels depend on time of last meal,amount of fats in last meal,prolonged torniquet application (increase cholesterol),patient's upright or supine position while drawing blood,alcohol consumption,patients hydration, renal status and season of winter or summer etc. Ethnicity and menopausal status should also be considered in clinical practice. Hence please procure a fresh fasting lipid profile after a week and that would give a better estimate. Your values are fair and you don't have to worry much about them. Do dietary and life style modifications and be physically active. After all,it's just a number. Stay healthy and stay blessed. Regards.