The FDA has approved Trilipix (fenofibric acid), a delayed-release capsule for use along with diet to treat dyslipidemia. Trilipix is the first fibrate to be approved for use in combination with a statin.
A 41-year-old man uses zolmitriptan (Zomig Nasal Spray) every other day, sometimes daily, for severe migraine headache. He has hyperlipidemia and metabolic syndrome, and he is under stress. Is there any danger to his using zolmitriptan so frequently? Should he reduce his usage? Or stop it entirely? It’s the only medication that seems to help.—S.…
I would like to comment on treatment of dyslipidemia in the diabetic patient with total cholesterol 195 mg/dL, HDL 32 mg/dL, LDL 98 mg/dL, and triglycerides 195 mg/dL (Item 120-8). According to my calculations, the patient’s LDL should be 124. It’s important to know, however, whether the HDL was measured by the older indirect method…
Are triglyceride levels related to ingestion of fat or carbohydrates? Which diet is best for lowering triglycerides?—Colleen Root, MD, Fishers, Ind. The specific diet recommended for patients with hypertriglyceridemia depends on the underlying cause and the triglyceride level. Patients with elevated triglyceride levels should avoid diets high in simple carbohydrates, especially those containing fructose (e.g.,…
A diabetic patient with hemoglobin A1c 6.5%, total cholesterol 195 mg/dL, HDL 32 mg/dL, LDL 98 mg/dL, and triglycerides 195 mg/dL takes atorvastatin (Lipitor) 20 mg daily. Should I try to bring down the triglycerides to <150 while “raising” the HDL a bit? The patient is on seven medications for comorbid conditions. Are omega-3-acid ethyl…
What are the recommended goals for nonfasting cholesterol levels? Since we spend most of our life in a nonfasting state, shouldn’t we be more concerned about nonfasting levels than we are about fasting ones?—Bradley Hope, MD, Santa Barbara, Calif. Since total serum cholesterol levels vary very little from the fasting to the nonfasting state, it…
Are you responsible for a patient’s noncompliance? A plaintiff’s lawyer will try to convince a jury you are.
Foods with a low-glycemic index affect blood sugar more slowly, flattening fluctuations in blood glucose levels.
