What is the standard for hyperlipidemia?

Written by Luo Han Ying
Endocrinology
Updated on June 25, 2025
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A lipid panel typically includes five tests: triglycerides, cholesterol, high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), and low-density lipoprotein (LDL). If triglycerides are greater than 1.69 mmol/L, total cholesterol is greater than 5.2 mmol/L, HDL is lower than 0.78 mmol/L, LDL is higher than 0.78 mmol/L, and VLDL is higher than 3.64 mmol/L, these conditions can collectively be diagnosed as hyperlipidemia. Each component of the lipid panel can vary, and different elevations require different medications. For example, the drugs used to lower triglycerides are completely different from those used to lower cholesterol.

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Written by Luo Han Ying
Endocrinology
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What to eat for hyperlipidemia?

The definition of hyperlipidemia mainly depends on which type of lipid is elevated in the blood, the most common being hypercholesterolemia and hypertriglyceridemia. Hypercholesterolemia is generally caused by abnormal metabolism in the body, and at this time, it is mainly necessary to take statin drugs to ensure that the blood lipids reach a normal value range. Because hypercholesterolemia usually accompanies hyper-low-density lipoproteinemia, the increase in low-density lipoprotein is damaging to the cardiovascular system. Another type of lipid disorder is hypertriglyceridemia, which in most cases is related to diet. Therefore, at this time, it is necessary to advise the patient to follow a low-fat diet, and if the triglycerides are greater than 4.5 mmol/L, it is advisable for the patient to take fibrate drugs to reduce lipids. (Please take medication under the guidance of a professional physician.)

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Written by Zhang Yue Mei
Cardiology
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What should be paid attention to for hyperlipidemia?

What should be noted for hyperlipidemia? First, maintain regular life habits, avoid staying up late, smoking, excessive drinking, and overeating. Try to avoid consuming animal offal, fatty meats, fried foods, and foods high in cholesterol. Opt for easily digestible and high dietary fiber foods, and consume more vegetables and fruits to help lower blood lipids. Additionally, under the guidance of a doctor, medication that regulates blood lipids should be used. Common medications include rosuvastatin, atorvastatin, fenofibrate, and Xuezhikang, which should be routinely used to maintain blood lipids within a normal range.

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Written by Zhang Yue Mei
Cardiology
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How is hyperlipidemia formed?

The formation of hyperlipidemia is a very complex physiological process, simply related to the dysregulation of lipid metabolism. Disorders in lipid metabolism are related to some diseases, common ones include diabetes, nephrotic syndrome, liver damage, and gallbladder disease. These diseases can cause increased blood lipids. It is also directly related to an unreasonable dietary structure. Consuming foods that are high in calories and cholesterol, which exceed the body's needs, can lead to increased blood lipids. Examples include animal organs and some high-cholesterol seafood, excessive intake of which can lead to hyperlipidemia.

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Written by Zhang Yue Mei
Cardiology
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What foods should be eaten for hyperlipidemia?

People with high blood lipids should first pay attention to a diet low in fat, sugar, and oil, and eat more fruits and vegetables that are rich in dietary fiber, high in vitamins, and high in trace elements. These effective substances can reduce blood viscosity and increase the elasticity of blood vessels, thereby achieving the effect of regulating blood lipids. Common foods to consume include apples, pineapples, grapefruits, oranges, kiwis, seaweed, rapeseed, shiitake mushrooms, winter melon, celery, spinach, onions, and wood ear mushrooms. These foods are all suitable for people with high blood lipids.

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Written by Gan Jun
Endocrinology
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What are the harms of hyperlipidemia?

Long-term hyperlipidemia can cause a series of serious harms to the human body, including arterial atherosclerosis and acute pancreatitis, among others. It first leads to liver function damage, can induce fatty liver, and even lead to liver cirrhosis. Long-term hyperlipidemia also causes arterial atherosclerosis, followed by the formation of coronary heart disease, cerebral infarction, and other ischemic cardiovascular and cerebrovascular accidents. At the same time, hyperlipidemia can also be accompanied by hypertension, making the body's blood vessels more fragile and more likely to suffer from severe diseases such as hemorrhagic stroke. Therefore, for patients with hyperlipidemia, it is essential to control the condition actively through diet, physical exercise, and appropriate medication.