### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Soon after our marriage I came to know that my wife age 29 is having family history of diabetes .I suggested her to go for some medical tests. After receiving the report we came to know that her cholesterol level is at   201.30    mgdL   Triglycerides   229.30    mgdL  HDL Cholesterol  43.80    mgdL   LDL Cholesterol  Calculated    111.64    mgdL  VLDL Cholesterol Calculated   45.86    mgdL  . TSH   4.67   uIUmL . Some of my friends are suggesting us to replace rice with bread atleast in one of the two meals . Please suggest what should be done to reduce the abnormal levels and also retain the normal. Further we are planning child in near future. Keeping the levels in mind will it be safe to go for it My blood group is O negative and her A positive or do we have to wait till levels get to normal or if some precautions are needed please suggest. Also I have come to know from internet that people with higher triglyceride levels are 30 percent more vulnerable to heart attack, therefore is it safe to have physical relationship while the levels are up.

### output:

Hi, I think you should consult a physician for the abnormal lipid profile. Some diet adjustment and medications will help her. Regarding the blood groups, it is alright. There is no need to worry about.  If wife is positive and husband is negative, there is nothing to worry about.  You can try for pregnancy as deranged lipid profile will not have any adverse effects but first control the sugars as high sugar levels can lead to miscarriages.  Physical relationship can be maintained. It will not increase the chance of heart attack.  Maintain healthy lifestyle and do exercises regularly.  Hope I have answered your question. Regards Chat Doctor. 