Why did my triglycerides go up?


I am a type 2 diabetic for the past 15 yrs I switched to a plant based/no nuts/ no oil diet for the past 4 months ( have been a vegetarian all my life ). My recent blood work shows an improvement in everything except triglycerides which has gone up from 158 to 194 and my HDL went down to 38 from 44 in 4 mths. Why did the triglycerides go up and what can I do to improve the HDL and reduce the triglycerides??


Excellent questions!
For those adopting a low-fat, whole foods, plant-based diet whose triglycerides rise the likely culprit is fructose and other simple forms of sugar. Most notably, fruit juices, smoothies, and dried fruit have these forms of sugars. Some people are sensitive to regular whole fruit in this way too, but it is not as big of a culprit as the others. Please see this article by John McDougall, MD for a more in-depth explanation - https://www.drmcdougall.com/misc/2003nl/030100putamingelevatedtriglycerides.htm.
As for HDL going down, this is not uncommon for those adopting a plant-based diet with no animal foods or oils. Please see this article by Dean Ornish, MD for an explanation on HDL - http://ornishspectrum.com/zine/can-get-ldl-cholesterol-lower-ratio-hdl-cholesterol-51/.
Hope that helps.
Dustin Rudolph, PharmD