Have more likely to diabetes and you have a lot of retirees but hopefully they’re active retirees so they’re dying exercise is helping control their diabetes yeah and we’ve heard that too that if you just take a daily walk it’s gonna do great things for everything but maybe this is one of those things right you’re exactly right people who have a dog and walk their
Dog have better outcomes than those who don’t have that who don’t take a daily walk correct okay but let’s can we talk to the people who have been diagnosed with diabetes are we are we specifically talking about type 2 study you could have even had type 1 but most type 2 is much more common than type 1 and patients with type 2 diabetes have about two to four times
The risk of having a heart attack stroke or dying there knows they don’t have diabetes even though we have great drugs to lower heart disease they still benefit beyond those drugs and that’s what this new study so the things that we normally associate with diabetes loss of eyesight loss of circulation in your extremities your toes are sometimes amputated do those
Things how is there something in common as and does the heart condition also stem from this whatever is happening to cause those things so high sugar can damage the lining of blood vessels there a small one vessel that can lead to blindness and kidney failure and loss of limb and there are big blood vessels that could lead to heart attack and stroke and although
Controlling your diabetes in what’s called your average server hemoglobin a1c can lower my kidney nerve disease you have to do more to lower big blood vessel disease where’s your cholesterol-lowering drug or your statin to lower your ldl where are your blood pressure drugs and now importantly know your triglyceride level which is another fat to bloodstream and do
Something about it and that’s what this study showed that giving this medication i cosas pen ethel known as bathsheba as its trade name lowered heart attack stroke and death on top of the cholesterol-lowering drug and their blood pressure drugs and their diabetes drugs well when we go to donate blood they give us our cholesterol levels and our blood pressure will
They also give us now our triglyceride level well they measure it but it’s sort of the forgotten lipid so as rodney dangerfield feds said triglycerides get no respect ldl does but triglycerides don’t and knowing your triglyceride level and if it’s above 135 do something about it and that’s what this new american diabetes association standard of care said that we
Have a drug that can lower heart attack stroke death on top of your statin drug and on top of your blood pressure drugs in your diabetes drug that’s what’s so important about this study we’ve heard of people who were on certain medications then they lost weight and the doctors took them off of the medications for example high blood pressure medications and i can
Give you a specific example of a celebrity it was penn jillette lost some weight and all of a sudden he didn’t eat it’s a high blood pressure with that same reversal happen for diabetes so that’s a good point so exercise in losing weight you could taper down some of your medications but if you still have diabetes you still should be on the statin drug no matter
What even if your cholesterol normal because statins lower heart attacks stroke death and patients with diabetes whether their ldl cholesterol is normal or even low but in addition to that if the triglycerides are high despite the weight loss they still should be on this other medication that sepa that would lower their risk of heart disease but you’re correct diet
And exercise are certainly very important and the pleasure as a physician is to taper down meds we love doing that yes keep adding another drug and added and other drugs so the tapering part is great but the patient has to pitch in and do their part with that so tell me the name of the drug that you were referring to earlier so this drug is called bathsheba it is
A prescription omega-3 fish oil it is not really good at its official that you can get over-the-counter it is not a generic fish oil this is a very specific purified fish oil which is called an epa official under the trade name festiva that’s why the epa is at the end of the day oh that’s interesting and i guess it wasn’t that long ago that doctors would really
Not prescribe things that were considered supplements like you might get at a health food store and that’s what this sounds like so we we’ve changed our mindset a bit in the in the medical field well no this is not a supplement no it’s not a prescription this is a prescription you have to get it from the from your clinician it’s a prescription type of omega-3 it
Is not the supplements over-the-counter or missing this to them or that a food additive this is not that although there’s much more of those taken than this prescription drug but this is a purified epa that is not found in those supplements so if you have borderline diabetes and you were prescribed us by your doctor would you be able to get your diabetes under
Control and not go over that line well that’s a good question this isn’t for the diabetes this is to lower your heart risk there are medications that you could be prescribed that would prevent your borderline diabetes from becoming diabetes we call that pre-diabetes and we often treat pre-diabetes to prevent it from going to diabetes but this is specifically to
Lower the heart risk that patients with diabetes have who also have high triglycerides then the high triglycerides indicates the risk of heart disease this drug that sepa lowers that risk dramatically on top of the cholesterol-lowering drug the statin and on top of their blood pressure drug dr. robert bush is on the phone with us and we’re talking about a new study
Of new treatment guidelines to improve heart health for people with diabetes and the the prescription he was talking about is called vicita i always have a question where we have somebody on the phone who’s got your kind of information do we need to know this and know in other words will i go to my doctor and tell him about this or will he already know about this
I do i have to specifically request it well hopefully the clinician and it’s not just doctors now as you know it’s nurse practitioners and physicians assistants who may be their medical provider they don’t all know it you know it’s been in new england journal it’s been in the medical press but there’s so much information to know as the diabetes doc i have to know
A lot about a they have to know a lot about a lot right may not know it so it’s important for the patients to say what’s my heart risk i know i’m on a statin is might triglyceride elevated and if it is i’ve read that that seat book can lower the risk of heart attack stroke and death but how is it administered as is whether you swallow it or isn’t it yeah it’s a
Capsule and there’s either for larger capsules a day or eight smaller capsules a day but it’s taken there’s a certain dose that was done in the study and that’s the dose that showed too low a heart attack stroke and death speaking of supplements one of the best supplements ever invented for radio is the internet and so what i like when we talk about things like
This is for our listeners to have a way to get more information is there a website you could recommend that might explain this in more detail very good point larry yes that’s c put comm tells about the safety information and the indications for this drug or for heart disease in general diabetes org or hearts org those would be internet sites where the paces can
Get a lot more information very good so you’re in san francisco are you sharing this with other doctors who may be unfamiliar with masipa i will be they may have heard about it but you know that this hopefully will give them the push to know how important it is when they walk in the exam room with the patient to know what the patient’s triglyceride level is and
Do something about it because we’ve always lived in an ldl world that’s the holy grail get the cholesterol down and now this is on top of that that even with the cholesterol being down taste and still get heart attack stroke and die and this low is that real uh-huh dr. bush thank you so much for taking time to talk to us about this i’m gonna try to narrow it down
You’re from long island right long island i’m from there too i’m from i’m from a larry thank you thank you doctor all right we’ll be right back ocala magazine is the city magazine distributed throughout ocala marion county and the
Transcribed from video
Dr. Robert Busch Interview – Hearth Health and Diabetes By WOCA The Source RadioliveBroadcastDetails{isLiveNowfalsestartTimestamp2019-06-07T133715+0000endTimestamp2019-06-07T134557+0000}
