Description
This article is from the Interpretation Of
Lab Test Profiles, by Ed Uthman uthman@neosoft.com with
numerous contributions by others.
32 TRIGLYCERIDES
Markedly increased triglycerides (>500 mg/dL) usually indicate
a nonfasting patient (i.e., one having consumed any calories
within 12-14 hour period prior to specimen collection). If
patient is fasting, hypertriglyceridemia is seen in
hyperlipoproteinemia types I, IIb, III, IV, and V. Exact
classification theoretically requires lipoprotein
electrophoresis, but this is not usually necessary to assess a
patient's risk to atherosclerosis [See "Assessment of
Atherosclerosis Risk," above]. Cholestyramine, corticosteroids,
estrogens, ethanol, miconazole (intravenous), oral
contraceptives, spironolactone, stress, and high carbohydrate
intake are known to increase triglycerides. Decreased serum
triglycerides are seen in abetalipoproteinemia, chronic
obstructive pulmonary disease, hyperthyroidism, malnutrition,
and malabsorption states.
 
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