Statins increase the risk for Diabetes ( Type 2 ) !
A look at the risk of taking a statin
This has been a topic of discussion on the evening news and in medical community.
An article in the March 15, 2012 Internal Medicine news that made a statement that I agree with " this should not change any clinician's day to day practice in any way".
In the article Dr. Jennifer G. Robertson, professor of medicine and epidemiology at the university of Iowa estimates that of the 10 to 15 % of patients who will develop Type 2 Diabetes over the next several years on statin treatment, roughly one case out of 500 will be attributable to statins".
People who are at the greatest risk of progressing to diabetes is someone with Pre-Diabetes with fasting plasma glucose levels between 115 and 125 mg/dl.
The potential increase in glucose related to statins is 5 to 7 mg/dl according to Dr. Roger S. Blumenthal professor of medicine and Director of preventive medicine at Johns Hopkins Medical institutions in Baltimore.
A look at the benefits of taking a Statin
One among many studies outlying the benefits of taking a statin is the CARDS Study. This study was done on typical people with Type 2 diabetes
2838 patients age 40 to 75 with type 2 diabetes with no documented history of Heart Disease who had:
LDL cholesterol of 4.14 mm/l ( 159 mg/dl ) or less
Triglyceride level of 6.7mm/l (592 mg/dl) or less
with one other risk factor, retinopathy ,albumin urea ,current smoking or high blood pressure
1410 patients received atorvastatin ( lipitor ) 10 mg/day and the other half received a placebo
The patients taking lipitor ( atorvastatin) after 3.9 years had :
Acute coronary disease events reduced 36% compared to placebo
coronary revascularisations reduced 31 % compared to placebo
Strokes reduced 48% compared to placebo
Death rate reduced 27% compared to placebo
You make the call
Have Fun , be Smart and take a Statin
David Calder, MD