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High triglyceride causes include a number of factors, some of which are controllable. A high triglyceride count is usually caused by obesity, poorly controlled diabetes, an underactive thyroid, kidney disease, unhealthy diet (eating more calories than are burned), and drinking a lot of alcohol.ne needs some triglycerides for good health, but high triglycerides can increase the risk of heart disease, diabetes and stroke. It may also be a sign of metabolic syndrome, which is the combination of high blood pressure, high blood sugar, too much fat around the waist, and high triglycerides.
1 Borderline levels are between 150-200 mg/dL. 2  High levels of triglycerides (greater than 200 mg/dl) are associated with a increased risk of atherosclerosis and therefore coronary artery disease and stroke. 3  Extremely high triglyceride level s (greater than 500mg/dl) may cause pancreatitis (inflammation of the pancreas).