What is Hyperlipidemia? | Hyperlipidemia Symptoms and types by Dr. Rishi Mangat

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Dr. Rishi Mangat
General Physicians

What is Hyperlipidemia? | Hyperlipidemia Symptoms and types | Risk Factors 

In this video, SimpliHealth expert Dr. Rishi Mangat, a diabetes specialist at Apollo Clinic, Chandigarh, is talking about hyperlipidemia in Diabetes and answers questions like: 

  • What is hyperlipidemia? 
  • What are the symptoms of hyperlipidemia? 
  • Are there more than one type? and its types and symptoms

What do you mean by hyperlipidemia?

During diabetes when there is an increase in the concentration of lipids or fats in the blood. Then we call this condition hyperlipidemia. When they are at a marginal increase and are not affecting us clinically, we call this condition mild hyperlipidemia. 

Mild Hyperlipidemia 

But technically, mild hyperlipidemia doesn’t bring that much impact on the management. So when it is mild, like we do in diabetes, we recommend lifestyle modification as it helps. 

But if the hyperlipidemia is more than normal parameters, we prescribe some medicines. Often people enquire that they have diabetes because of hyperlipidemia. But I want to clarify that diabetes can cause hyperlipidemia; there can be an increase in cholesterol which I will discuss further, but high cholesterol doesn’t cause diabetes.

Why is there an increase in cholesterol or fats during diabetes? 

First, it increases because, in the initial stage, the patient develops insulin resistance, one of the initial modes of diabetes. Due to insulin resistance, the body stops responding to the insulin. As a result, to overcome the scarcity of insulin, our body secretes more insulin. 

Therefore the liver, as a response, produces more fat cells, which gradually increase the concentration of fatty acids in the body. The second reason is the release of fatty acids from our adipose tissue or fat cells toward the liver. This occurs when our body is low on insulin. The third thing, mainly our insulin, prevents the conversion of our triglycerides into the fatty liver. So when the insulin level drops, there is an increase in the level of fatty acids.

The four mechanisms 

However, we can go more technical in these three or four mechanisms: the chemical reaction occurring in the liver or the proportion of the insulin, which finally levels up the fatty acids in the body. So now we will talk about three essential elements in lipid profile. 

First, any diabetic patient’s total cholesterol should usually be less than 200. Next, our three most critical subparts, one is triglycerides. Our body triglycerides should be less than 150; we target it to be less than 150.

Another thing is we expect to have an LDL of less than 100. Another and rather only one thing that we say that should increase, and we ask the patients to increase is good cholesterol or HDL. It should be more than 60. 

Role of HDL

However, why should it be above 60; what benefit does HDL provide to the body? HDL is anti-inflammatory and antioxidant, and it helps in reducing cholesterol stress or basic fat. It is the healthy cholesterol in our body.

What are the measures to increase HDL in the body?

There is only one way to increase HDL in the body by exercising. Exercise is the only way to increase HDL in the body. Now let’s come to the next: why are we putting so much stress on hyperlipidemia in diabetes. The reason is that if the concentration of lipids in diabetes is high, they are at more risk of heart attack or heart-related diseases. 

It is twice in males and thrice to four times in females. That is why it is important to control the concentration of lipids in diabetic patients to prevent the risk of cardiac problems.

What are the Risk Factors of  Hyperlipidemia? What leads to hyperlipidemia?

The main reasons that overlap is not doing any physical exercise, consumption of fatty food, intake of excessive alcohol and smoking, improper diet, and stressful life; theoretically, people are predisposed to this, so these are a few factors that may lead to hyperlipidemia in patients. 

Healthy lifestyle 

So when these patients come for treatment initially, we suggest walking for 30-40 minutes; we give the same advice to hyperlipidemia patients that you must use the body’s stored fat. So we advise them to do muscle strengthening and exercise, which burns energy. Avoid trans fat in the diet, regulate the concentration of fat in the body, and stay stress-free as much as possible. 

Avoid alcohol and smoking 

And the third most important thing is to avoid smoking and alcohol. If you can give up these habits, then sure shot you can have a healthy life at least you won’t be at risk of cardiac-related problems. I hope this information is helpful to you. On behalf of Simpli Health and me, Thank you .

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