81
Without ASCVD or
Diabetes
(Fasting TG ≥150 mg/dL or
nonfasting TG ≥175 mg/dL to
499 mg/dL)*
Severe Hypertriglyceridemia
(TG ≥500 mg/dL, and especially
TG ≥1000 mg/dL)*
Optional Interventions to Consider
• Referral to a registered dietitian nutritionist
• Addition of TG risk-based medication
• Screening for familial chylomicronemia syndrome
• Referral to lipid specialist
Persistent fasting hypertriglyceridemia
Factors to Consider
• Evaluate and manage secondary cause of hypertriglyceridemia
• Optimize diet and lifestyle interventions for hypertriglyceridemia
• Implement guideline-directed statin therapy in appropriate
patients and optimize statin adherence
• Optimize glycemic control
• Monitor response to therapy and adherence
• Conduct clinician-patient discussion of potential benefits,
potential harms, and preference
