Let us consider the following case. Mr. K is a 51 year old Indian male with type 2 diabetes and hypertension since 10 years. He comes to the clinic for a regular check up. He smokes about 5 cigarettes a day for the past 30 years and has a family history of premature coronary artery disease with father who died of heart attack at age 50. On examination, he is an obese male with BMI 30kg/sq.m.,acanthosis nigricans and skin tags.
Rest of examination is normal. Lab report shows : Parameter Values Fasting blood glucose 110 mg/dl Post-prandial glucose 150 mg/dl HbA1C 6.8% Sr. LDL 90 mg/dl (baseline was 120mg/dl before statin) Sr. Triglycerides 214 mg/dl His current medications are: Telmisartan 40mg once a day, Vildagliptin with Metformin 50/1000, twice a day, Empagliflozin 25mg once a day and Rosuvastatin 20mg every night. He is keen to start fish oil supplement, as he has read about it…
