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Research has not demonstrated that lowering triglyceride levels will necessarily lead to improved heart health. However, the strategies recommended for lowering triglyceride levels are all heart–healthy, and many result in an improved cholesterol ratio. These strategies include:
- Decrease the amount of saturated fat in the diet.
- Eat a balanced, heart-healthy diet in which carbohydrates are eaten in proportion with proteins, vitamins and minerals, essential fatty acids and fiber.
- Take steps to raise the HDL level.
- Favor complex carbohydrates over simple carbohydrates. Simple carbohydrates, such as sugar, are absorbed quickly and can cause a sudden rise in insulin production (which in turn can increase triglycerides).
- Limit alcohol use. Even small amounts of alcohol can lead to large changes in triglyceride levels.
- Start a regular exercise program.
- Achieve and maintain a healthy weight.
- Control diabetes.
- Control high blood pressure.
If these strategies are unsuccessful, a physician might prescribe cholesterol-reducing drugs, such as certain fibrates (e.g., fenofibrate) or niacin (nicotinic acid). However, it is important that patients who are prescribed medication to lower triglycerides also make the necessary dietary changes. | 
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