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A 57-year-old man with a strong family history of type 2 diabetes and ischaemic heart disease has a triglyceride level of 6.5 mmol/l. His cholesterol is 4.8 mmol/l. He is generally healthy, but slightly overweight, and takes no medication. Fasting blood glucose is

6.8 mmol/l and glycosylated haemoglobin (HbAlc) is in the normal range at 5.9%. He smokes ten cigarettes per day.

Is his high triglyceride level significant?

What steps might you take to manage it?

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