Triglycerides are fats which are made by the body from fats and carbohydrates in food, and stored in fat tissue. High triglyceride levels (hypertriglyceridaemia) are associated with coronary artery disease and diabetes mellitus.

High triglycerides were observed among people with AIDS even before the advent of HAART. However, more recently, cases of high triglycerides are being observed among people who are virologically controlled on antiretroviral therapy.

Triglyceride levels are higher after eating; tests should be done on an empty stomach to yield ‘fasting levels’.

Triglyceride levels:

  • Normal: 0.5 to 1.8 mm (44 - 160mg/dl).
  • Normal to high: 1.8 to 4.5 mm (160 to 400mg/dl).
  • High: 4.5 to 11.3 mm (400 - 1000mg/dl).
  • Very high: over 11.3 mm (over 1000mg/dl).

To convert triglyceride measurements in mm into United States measurements (mg/dl), multiply by 88.5. To convert mg/dl into mm, multiply by 0.0113.

British HIV Association guidelines recommend that people with fasting triglyceride levels above 8mm should:

  • Consider switching to a PI-sparing regimen if taking their first regimen.
  • Stop smoking.
  • Increase exercise and adjust diet.
  • Consider fenofibrate or gemfibrozil treatment to reduce triglyceride levels.

The target triglyceride level is less than 4mm in individuals with fasting triglycerides currently above 8mm, and less than 6mm in those with fasting triglycerides above 10mm.

Community Consensus Statement on Access to HIV Treatment and its Use for Prevention

Together, we can make it happen

We can end HIV soon if people have equal access to HIV drugs as treatment and as PrEP, and have free choice over whether to take them.

Launched today, the Community Consensus Statement is a basic set of principles aimed at making sure that happens.

The Community Consensus Statement is a joint initiative of AVAC, EATG, MSMGF, GNP+, HIV i-Base, the International HIV/AIDS Alliance, ITPC and NAM/aidsmap

This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends checking whether this is the most current information when making decisions that may affect your health.

NAM’s information is intended to support, rather than replace, consultation with a healthcare professional. Talk to your doctor or another member of your healthcare team for advice tailored to your situation.