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Thursday, August 24, 2017 11:40:17 AM
64 yo male prexisitng hx of dm2, hyperlipidemia and sleep apnea
Non compliant diabetic hgbaic at 10.4 – refuses injectables
Vascepa initiated 4/14 trigs 442
5/14 trigs 271
trigs 8/17 449
taking meds as prescribed
again isolated case - trigs have increased back to original levels as if med has become ineffective (odd it mimics last one ??) – could it just be worsening of diabetes which is out of control ? Certainly – yet other trig lowering meds dont seem to lose their capability in the face of escalating loss of glucose control ?
What does this mean ?
I dont know - its an observation of an existing reality in my daily practice ....
How does it make me feel ?
It give me an uneasiness about vascepa – because as stated - with other trig lowering meds I dont see this loss of control.
What did I do ?
This is a bit of a quandary as a diabetic hes on a statin - FDA says no to statin and fibrates (ineffective) using gemfiobrozil with statins – risks of side effects
My guidance?
Concentrate on controlling diabetes – stop vascepa, increase statin concentrate on diet and recheck lipids in 8 weeks
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