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New content on EAS Academy - Low HDL High Triglyceride, Diabetic Dyslipidaemia

Tuesday 23 August 2016   (1 Comments)
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EAS 2016 Innsbruck EBAC session: Low HDL High Triglyceride, Diabetic Dyslipidaemia

Announcing the publication of new presentations on the EAS Academy. The following debate took place at EAS 2016 Innsbruck and is available as premium content.

Olov Wiklund, Chair

Low HDL High Triglyceride, Diabetic Dyslipidemia

Alberto Zambon

Diabetic Dyslipidaemia

Borge Nordestgaard

Triglyceride, Remnants and Atherosclerosis

Session speakers

Debate on Low HDL High Triglyceride, Diabetic Dyslipidaemia: Conclusion & Discussion


William E. Feeman Jr says...
Posted Monday 26 September 2016
The condition of low HDL-cholestrol and high TG is at the root of the insulin resistance syndrome and precedes the development of diabetes by decades. Since insulin resistance is the basis of the large majority of diabetes cases, I tell my patients with low HDL-cholesterol and high TG that before they die--no one lives forever--they will be diabetic. I do not start preventive measures specifically for diabetes until the 2 hr pp blood sugar rises above 125 mg/dl, but if the ratio between LDL- and HDL-cholesterol is elevated (>3.4), then I treat the dyslipdiemia. (Actually, the ratio I prefer is the Cholesterol Retention Fraction, or CRF, defined as [LDL-HDL]/LDL, which is abnormal at 0.70 or higher--see the European Medical Journal (Cardiology)'s upcoming issue.

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