Dyslipidaemia
Raised cholesterol or triglycerides. The number that matters is almost never the one people look at first.
“High cholesterol” is a summary that hides very different scenarios. A raised LDL with normal triglycerides is not the same as triglycerides above 150 with low HDL: the second profile usually travels with insulin resistance and is corrected along a completely different route.
So the approach starts by reading the full lipid panel alongside body composition, not by cutting the egg from breakfast. A large share of raised triglycerides responds more to excess sugars and alcohol than to dietary fat.
- Full lipid panel read as a whole: LDL, HDL, triglycerides and their ratios
- Distinguishing atherogenic dyslipidaemia from isolated LDL elevation
- Work on free sugars and alcohol in the high-triglyceride profile
- Soluble fibre, unsaturated fats and the overall dietary pattern
- Coordination with drug treatment where it exists
This page is educational material from a registered dietitian, not a diagnostic tool. Diagnosis and medical treatment are your doctor’s remit; clinical nutrition accompanies that treatment, it does not replace it.
Frequently asked questions
For the great majority of people, no. Dietary cholesterol has a far smaller effect on blood cholesterol than was assumed for decades. The overall dietary pattern, excess sugar, alcohol and body composition weigh much more. Detail in this article.
Triglycerides respond quickly, in four to six weeks. LDL is slower and usually needs three to six months to reflect a sustained change. Repeating labs sooner tends to create unnecessary frustration.
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