Are there current guidelines regarding the use of aspirin, vitamin E and omega-3 fatty acids for young adult diabetics? What doses seem most efficacious?

Yes, there are guidelines for these. There are more specific guidelines for aspirin, compared to the other two. The reason for that is that routine use of vitamin E and omega-3 fatty acids for young diabetics don’t exist. No recommendations for their routine use have been made. As for aspirin, these guidelines were changed two years ago. The reason for the change is that several large studies had not seen much benefit for primary prevention of aspirin in young people with diabetes. That is, they did not see any benefit to the use of aspirin when it was used to prevent a vascular complication, such as heart attack or stroke, before one ever existed. For patients with diabetes, this has been modified so that treatment with aspirin is recommended for men over 50 and women over 60. It is contraindicated for those under 21 years of age because of a condition known as Reye’s syndrome. The aspirin taken for primary prevention is usually a low-dose aspiring with 81 to 162 mg per day. Your doctor may place you on larger doses or at a younger age if you have a heart attack or stroke, as this may prevent a recurrent event.

JTL