A recent study published in the journal Diabetes Care has found that low doses of the omega-3 fatty acids eicosapentaenoic acid (EPA), docosaheaxaenoic acid (DHA), and alpha-linolenic acid (ALA) reduced the risk of heart arrhythmia-related events in diabetic patients who had previously suffered a heart attack.

1,014 diabetic patients, aged 60 to 80 years old, were randomized into four groups and consumed margarine that contained either 223 mg EPA and 149 mg DHA, 1.9 g ALA, both EPA/DHA and ALA, or no omega-3 fatty acids every day for 40 months. The group that consumed the margarine with EPA/DHA and ALA experienced an 84 percent lower risk of arrhythmia-related events and a 72 percent lower risk of arrhythmia-related events and fatal coronary events when compared to the group consuming the plain margarine. Heart arrhythmia is an irregular heartbeat, and can lead to cardiac arrest.

The authors of the study suggest a few possible reasons why these omega-3s might be helpful in diabetics with heart disease. One, they might play a role in regulating insulin sensitivity, an important factor in diabetes. Two, they may help to lower blood sugar levels. And three, their anti-inflammatory properties may help to reverse insulin resistance. All these factors can lead to heart disease if unaddressed.

More studies will be done to determine the precise role each omega-3 plays in heart arrhythmia and heart disease, but this study adds to the thousands of studies illustrating the heart-healthy benefits of omega-3 oils.

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It is well-known that fish is a healthy food. Even the American Heart Association recommends at least two servings of fish every week for heart health. Unfortunately, not everyone is aware of the differences in omega-3 levels in fish.

For example, a woman who eats tilapia three times per week may think she is getting plenty of omega-3s, when in reality tilapia is much higher in omega-6 than omega-3. Or a man who eats a large portion of fried fish twice a week may think he is in the clear, but fish used for frying tends to be lower in omega-3s, and high in fat.

On the other hand, eating spicy tuna sushi rolls a few times a week may give you plenty of omega-3s, but what about the mercury content of that tuna? Fish that are higher up on the food chain (especially albacore tuna) concentrate toxins like mercury, and end up on your plate.

What’s a person to do? How can you protect your heart by eating the right fish in the right ways? It’s not easy, but it can be done. Honestly, your best bet is probably sardines, as it is a small fish (low in toxicity) with high omega-3 levels. But let’s face it, sardines aren’t exactly high on the list of big cravings. Another good option is wild salmon, baked or grilled.

But if you have more serious heart concerns and need more than the minimum recommended two servings of fish per week (which is equal to about 500 mg daily of the combined omega-3s EPA and DHA), then you’ll probably have to eat far more fish than you can stomach. This is where a good fish oil supplement comes in. A high-potency, concentrated fish oil can give you plenty of omega-3 in one softgel. Look for a fish oil that has the IFOS seal (International Fish Oil Standards), which exceeds world standards for purity. This ensures you are getting a pure fish oil, without all the toxins. Not all fish oil meets these standards.

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