Diabetes and Elevated Triglycerides

Elevated triglycerides are our risk enhancing factor so especially for you know moderate hyper triglyceride means still start with treatment with a statin and lifestyle is really important i want to emphasize that um much more so than LDL triglycerides are very responsive to weight loss even modest amounts of weight loss can influence triglyceride levels. High dose EPA at 4 grams a day compared to placebo showed 25 percent reduction in major adverse cardiovascular events but we did not see this with other agents that were combined EPA and DHA notably the strength trial which also studied a high dose omega-3 formulation did not reduce cardiovascular events it was really as null as you can get.