RT Journal Article T1 Omega 3 fatty acids induce a marked reduction of apolipoprotein B48 when added to fluvastatin in patients with type 2 diabetes and mixed hyperlipidemia: a preliminary report A1 Valdivielso Felices, Pedro A1 Rioja, José A1 García-Arias, Carlota A1 Sánchez-Chaparro, Miguel Ángel A1 González-Santos, Pedro K1 Glucemia K1 Omacor K1 Eicosapentaenoic Acid K1 Docosahexaenoic Acids K1 Fluvastatin K1 Apolipoproteína B-48 K1 Presión Arterial K1 Terapia Combinada K1 Diabetes Mellitus Tipo 2 K1 Dietoterapia K1 Ácidos Docosahexaenoicos K1 Combinación de Medicamentos K1 Ácido Eicosapentaenoico K1 Ácidos Grasos Monoinsaturados K1 Hemoglobina A Glucosilada K1 Hiperlipidemia Familiar Combinada K1 Hipertensión K1 Antihipertensivos K1 Lípidos K1 Hipolipemiantes AB BACKGROUNDMixed hyperlipidemia is common in patients with diabetes. Statins, the choice drugs, are effective at reducing lipoproteins that contain apolipoprotein B100, but they fail to exert good control over intestinal lipoproteins, which have an atherogenic potential. We describe the effect of prescription omega 3 fatty acids on the intestinal lipoproteins in patients with type 2 diabetes who were already receiving fluvastatin 80 mg per day.METHODSPatients with type 2 diabetes and mixed hyperlipidemia were recruited. Fasting lipid profile was taken when patients were treated with diet, diet plus 80 mg of fluvastatin and diet plus fluvastatin 80 mg and 4 g of prescription omega 3 fatty acids. The intestinal lipoproteins were quantified by the fasting concentration of apolipoprotein B48 using a commercial ELISA.RESULTSThe addition of 4 g of prescription omega 3 was followed by significant reductions in the levels of triglycerides, VLDL triglycerides and the triglyceride/HDL cholesterol ratio, and an increase in HDL cholesterol (P < 0.05). Fluvastatin induced a reduction of 26% in B100 (P < 0.05) and 14% in B48 (NS). However, the addition of omega 3 fatty acids enhanced this reduction to 32% in B100 (NS) and up to 36% in B48 (P < 0.05).CONCLUSIONOur preliminary findings therefore suggest an additional benefit on postprandial atherogenic particles when omega 3 fatty acids are added to standard treatment with fluvastatin. PB BIOMED CENTRAL YR 2009 FD 2009-01-08 LK http://hdl.handle.net/10668/678 UL http://hdl.handle.net/10668/678 LA en NO Valdivielso P, Rioja J, García-Arias C, Sánchez-Chaparro MA, González-Santos P. Omega 3 fatty acids induce a marked reduction of apolipoprotein B48 when added to fluvastatin in patients with type 2 diabetes and mixed hyperlipidemia: a preliminary report. Cardiovasc Diabetol. 2009;8:1 NO Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 11, 2025