PATIENT PROFILES
Triglide® fenofibrate is indicated for three different diagnoses: primary hypercholesterolemia, mixed dyslipidemia and severe hypertriglyceridemia. If any of your patients resemble these profiles, you may want to consider prescribing Triglide in addition to recommendations of diet and exercise.
HANIF
| GENDER/RACE | Male/African American |
| AGE | 42 |
| HEIGHT | 6’3″ |
| WEIGHT | 197 lbs. |
| BMI | 24.6 |
| LIPID PROFILE | |
| LDL-C | 160 mg/dL |
| HDL-C | 60 mg/dL |
| TRIGLYCERIDES | 180 mg/dL |
| TOTAL-C | 256 mg/dL |
| CASE SUMMARY | ||
| Patient complains of occasional to frequent weakness in arms and muscle pain. Some infrequent dizziness. | ||
| SOCIAL HISTORY | ||
| Patient leads active lifestyle as high school teacher/coach. Married. Three children. Active in community. | ||
| FAMILY HISTORY | ||
| Both parents living. No cardiovascular events but both reportedly managing cholesterol with statin medications. | ||
| PAST MEDICAL HISTORY | ||
| Current prescription of generic statin medication, Atorvastatin, 20mg daily. Patient claims high compliance. Diagnosis of pre-diabetes within past 12 months. HbA1c level of 5.9%. No other medications. | ||
| DIAGNOSIS | ||
| Primary Hypercholesterolemia. Suspicion of statin intolerance. | ||
| THERAPY CONSIDERATIONS | ||
| Reduce saturated fats and trans fats in diet. Limit red meat and dairy products. Emphasize fruits, vegetables, whole grains. Triglide fenofibrate, 160mg daily. | ||
JOHN
| GENDER/RACE | Male / Caucasian |
| AGE | 62 |
| HEIGHT | 5’11” |
| WEIGHT | 235 lbs. |
| BMI | 32.8 |
| LIPID PROFILE | |
| LDL-C | 180 mg/dL |
| HDL-C | 25 mg/dL |
| TRIGLYCERIDES | 400 mg/dL |
| TOTAL-C | 337 mg/dL |
| CASE SUMMARY | ||
| Patient is a smoker (pack/day) and describes himself as moderate drinker (2-3 beers daily). | ||
| SOCIAL HISTORY | ||
| Unemployed. Divorced. | ||
| FAMILY HISTORY | ||
| Patient is unaware of family medical history. | ||
| PAST MEDICAL HISTORY | ||
| No previous cardiovascular events. HbA1c level of 6.2% | ||
| DIAGNOSIS | ||
| Mixed Dyslipidemia | ||
| THERAPY CONSIDERATIONS | ||
| Smoking cessation. Reduced alcohol consumption. Low saturated fat diet. Triglide fenofibrate: 160mg daily. | ||
KAREN
| GENDER/RACE | Female/Caucasian |
| AGE | 57 |
| HEIGHT | 5’5″ |
| WEIGHT | 174 lbs. |
| BMI | 29 |
| LIPID PROFILE | |
| LDL-C | 135 mg/dL |
| HDL-C | 45 mg/dL |
| TRIGLYCERIDES | 520 mg/dL |
| TOTAL-C | 284 mg/dL |
| CASE SUMMARY | ||
| Patient has experienced recent weight gain (within past six months) of 10-12 pounds, exhibits significant bellyfat. | ||
| SOCIAL HISTORY | ||
| Steady employment as librarian in local high school. Enjoys shopping, watching TV, reading. | ||
| FAMILY HISTORY | ||
| Patient’s father died from heart attack in early 60s. Patient’s mother living, in good health. Uncle and one brother have type 2 diabetes. | ||
| PAST MEDICAL HISTORY | ||
| Borderline hypertension. | ||
| DIAGNOSIS | ||
| Severe Hypertriglyceridemia. | ||
| THERAPY CONSIDERATIONS | ||
| High fiber, reduced calorie diet. Lean protein at all meals. Leafy salad greens. Depending on response, Triglide fenofibrate, 160mg daily. | ||
