14
Hypertriglyceridemia
Table 5. Nutrition Therapy for Very High TG (≥500 mg/dL)/
Chylomicron Clearing
Temporarily limit total fat to 10–15% calories (typically 20–40 g/day) during
chylomicron clearing
Avoid alcohol
Avoid refined starches and partially replace with high fiber, whole grain foods.
Avoid added sugars, limit fruit, no fruit juice or sugary beverages.
Spread calories and carbohydrates evenly through the day.
Limit calories if weight loss is indicated.
If extra calories are needed, add medium chain triglyceride oil and increase
gradually.
Exercise 30–60 min most days.
Adjust diabetes medications as appropriate to maintain glycemic control.
Once chylomicron particles have been cleared and triglycerides are
<500 mg/dL, gradually advance dietary fat to tolerance.
