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Dyslipidemia FOR TREATMENT OF Diabetes
Author - Prof. Maria Damyanova

The aterogen dyslipidemia represents a triad, which consists of:
        1 / elevated levels of triglycerides
        2 / increase in bad cholesterol / lipoprotein cholesterol in low-density LPNP / small solid particles, and
        3 / low levels of good cholesterol / NVP.
This lipid triad is placed in a causal link with insulin resistance in diabetes and is the major risk factor for accelerated atherosclerosis.
As a first choice for treatment of dyslipidemia are statins. Treatment with statins is an effective method because the lowering of bad cholesterol, increase good cholesterol and reduces the levels of triglycerides, which is the primary aim of lipid-lowering therapy in patients with diabetes mellitus.
American Diabetes Association recommends that treatment be maintained following lipid values:
• triglycerides below 1.7 mmol / l
• bad cholesterol below 2.6 mmol / l
• good cholesterol for men than 1mmol / and for women - more than 1.29 mmol / l.
Mechanism of action of statins is associated with liver metabolism effect of bad cholesterol, increasing its degradation and reduction of its synthesis are therefore harmful in active and chronic liver disease. In some cases, require combination therapy with fibrates and / nicotinic acid, niacin / 
Fibrates are the first choice in patients with high triglitseridemiya because they lower triglyceride levels more effectively than statins. Other literature, however, establish greater benefit from the application of fenofibrate.
Nicotinic acid is the best remedy for increasing good cholesterol and lowering triglyceride concentration
Combination therapy of statins with niacin may reduce the incidence of dyslipidemia and cardiovascular events up to and over 80%.
Along with medical treatment having regard to the dietary reduction of saturated fats and their replacement by mono-and polyunsaturated fatty acids reduce levels of triglycerides in the blood. Culinary treatment is to replace frying with baking and steaming. Consumption of fried almost ready products or homemade increases the content of trans fats, which, like saturated fats raise levels of bad cholesterol. Trans fats irrespective of hydrogenated vegetable in their becoming saturated fat. To minimize the consumption of trans fats is necessary to minimize the consumption of prepared pasta and fried or fried foods in restaurants.
Consumption of alcoholic beverages with high alcohol is contraindicated, especially in patients with hypertriglyceridemia. High levels of triglycerides bordering the risk of onset of acute pancreatitis / acute inflammation of the pancreas.
Maintenance of glucose levels in lipid levels improves performance primarily of triglycerides.
A particularly favorable effect is abandoning smoking and motor activity system.
These are the key factors that must be given to the treatment ca dyslipidemia in diabetes mellitus type 2 mainly.