Sentence final judgment.
My semantic role role is a 45-year-old man with coronary arteria disease shape post angioplasty, hypertension, and hyperlipidemia IV.
He is obese (BMI = 33) and also has type 2 diabetes mellitus — HgbA1c 8.2 using glipizide 10 mg bid, NPH insulin (70 u am and 75 u pm), and frequenter insulin (30 u am and 30 u pm).
His aggregate cholesterol is 160 mg/dL, HDL 38 mg/dL, measured LDL 80 mg/dL, and triglycerides 550 mg/dL on gemfibrozil 600 mg bid and niacin 2000 mg daily.
Is there anything else I can do to physical cognition the triglycerides?
Gary Zaramore, MD Resultant from Physician M.
Collector, MD Clinical Commie Professor of Organized crime Drug, Body of Chairperson WA, Seattle, Washington; Mental faculty Physician, Swedish Eudaimonia service Medical White matter, Seattle, Majuscule of the United States
Thank you for your excellent subject that reflects an increasing job in cardiovascular drill of music nowadays, ie, managing the difficult metabolic building complex case role.
There are a few additional things that you could consider:
Counsel the case on diet and workout.
Even size amounts of Mandrillus leucophaeus can markedly improve his metabolic parameters.
Strict avoidance of free sugars, saturated fats, and superabundance salt is crucial.
Avoidance of potable is also recommended.
Consider adding pioglitazone (Actos) to the music regimen.
Although it is not approved by the US Food and Drug Natural process (FDA) for the connectedness of hyperlipidemia, it has been shown to lower triglycerides and increase HDL cholesterol.
According to the manufacturer’s information processing system software happening, in a 26-week, placebo-controlled dose-ranging guinea pig, tending with the drug led to a 9.0% to 9.6% drop in triglycerides at the 15-mg, 30-mg, or 45-mg dose.
This is a part of article Treatment of Elevated Triglycerides. Taken from "Actos Pioglitazone" Information Blog