The raison d'etre of this website is to provide you with hard scientific information which may help you make informed decisions in your quest for health (so far I have blogged concise summaries of over 1,500 scientific studies and have had three books published).

My research is mainly focused on the effects of cholesterol, saturated fat and statin drugs on health. If you know anyone who is worried about their cholesterol levels and heart disease, or has been told to take statin drugs you could send them a link to this website, and to my statin or cholesterol or heart disease books.

David Evans

Independent Health Researcher
Showing posts with label Statins and Diabetes. Show all posts
Showing posts with label Statins and Diabetes. Show all posts

Friday, 10 June 2016

Statins associated with a 101% increase in diabetes

This study was published in the American Journal of Cardiovascular Drugs 2016 Jun 7


Study title and authors:
Use of Statins and the Risk of Incident Diabetes: A Retrospective Cohort Study.
Olotu BS, Shepherd MD, Novak S, Lawson KA, Wilson JP, Richards KM, Rasu RS.
Department of Pharmacy Practice, University of Kansas School of Pharmacy, 2010 Becker Dr., Lawrence, KS, 66047, USA. buzzlotus@ku.edu.


This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/27272032


The objective of this study was to examine whether the use of statins increases the risk of diabetes. The two year study included 106,424 subjects, aged 20-63 years, of which 53,212 were statin users and 53,212 non statin users. None of the subjects had diabetes at the start of the study.


The study found that statins users had a 101% increased risk of diabetes compared to non users.


Links to other studies:

Tuesday, 29 March 2016

Statin use associated with a 27% increased risk of diabetes in heart attack and angina patients

This study was published in the Canadian Journal of Diabetes 2016 Mar 15. pii: S1499-2671(15)30026-5

Study title and authors:
Statin Use and the Risk for Incident Diabetes Mellitus in Patients with Acute Coronary Syndrome after Percutaneous Coronary Intervention: A Population-Based Retrospective Cohort Study in Taiwan.
Lin ZF, Wang CY, Shen LJ, Hsiao FY, Lin Wu FL.
School of Pharmacy, College of Medicine, National Taiwan University, Taipei, Taiwan;

This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/26992286

Acute coronary syndrome is a term given to various heart conditions, including a heart attack and unstable angina. These conditions are due to there being a reduced amount of blood flowing to a part of the heart.

Percutaneous coronary intervention, or coronary angioplasty is a procedure to unblock a coronary artery.

The purpose of the study was to examine the association between statin use and the risk for diabetes in patients with acute coronary syndrome following percutaneous coronary intervention. The study include 9,043 statin users and 9,043 non-statin users.

The study found:
(a) Statin use was associated with a significant increase of 27% in the risk for new-onset diabetes compared to non-statin use.
(b) Almost all types of statins were associated with a statistically significant increase in the risk for new-onset diabetes compared to those without statin use.

Lin concluded: "Our study indicated an association between increased risk for new-onset diabetes mellitus and statin use."

Links to other studies: 
Atorvastatin associated with an increased death rate in diabetic patients
Statins increase the risk of diabetes by 48%
Statin use is associated with accelerated artery calcification in type two diabetes

Sunday, 20 March 2016

Statin use associated with a 93% increased risk of diabetes

This study was published in Drug Safety 2016 Mar 15

Study title and authors:
Long-Term Outcomes of Short-Term Statin Use in Healthy Adults: A Retrospective Cohort Study.
Mansi IA, English J, Zhang S, Mortensen EM, Halm EA.
Medicine Services, VA North Texas Health Care System, 4500 S. Lancaster Rd #111E, Dallas, TX, 75216, USA. Ishak.Mansi@va.gov.

This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/26979831

The objective of the study was to examine the associations of short-term statin use (less than one year) with adverse events and cardiovascular outcomes in 'healthy' people. The study matched 1,525 statin users to 1,525 nonusers who were followed for six years.
(i) Statin users used statins for 90-365 days during 2005 as their only prescription medication.
(ii) Nonusers had medical encounters but did not receive prescription medications during 2005, and did not receive any statins throughout the study period.

The study found:
(a) Statin users had a 93% increased risk of developing diabetes compared to nonusers.
(b) Statin users had a 115% increased risk of developing diabetic complications compared to nonusers.
(c) Statin users had a 17% increased risk of suffering major acute cardiovascular events compared to nonusers.

Mansi concluded: "Short-term statin use for primary prevention in this healthy cohort was associated with an increased risk of long-term diabetes and diabetic complications without cardiovascular benefits."

Links to other studies:
Statin use associated with a 101% increased risk of diabetes
Statins increase the risk of diabetes by 46%
Statin use is associated with an increased risk of type two diabetes, which increases with longer duration of use

Thursday, 12 November 2015

Dr finds that statins do not help diabetics and official guidelines regarding statin use should be re-examined and reformulated by experts independent from the pharmaceutical industry

This paper was published in Reviews on Recent Clinical Trials 2012 May;7(2):150-7

Study title and authors:
Is the use of cholesterol-lowering drugs for the prevention of cardiovascular complications in type 2 diabetics evidence-based? A systematic review.
de Lorgeril M, Hamazaki T, Kostucki W, Okuyama H, Pavy B, McGill AT, Rabaeus M.
Laboratoire Coeur & Nutrition, Université Joseph Fourier-CNRS, Faculté de Médecine, 38706 La Tronche, France. michel.delorgeril@ujf-grenoble.fr

This paper can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/22353198

This paper systematically reviewed the results of high-quality double blind trials testing whether cholesterol-lowering drugs (statins and fibrates) reduce mortality and cardiovascular complications specifically in type two diabetics.

The review of the scientific literature found four trials, three statin and one fibrate.
(a) Statin trials:
(ai) The Collaborative Atorvastatin Diabetes Study (CARDS) trial was discontinued 2 years before the anticipated end and in the absence of significant effect on both overall and cardiovascular mortality, suggesting that the trial should not have been prematurely stopped.
(aii) The Deutsche Diabetes Dialyse Studie (4D) trial showed no significant effect on heart attack, stoke or cardiovascular and overall death rates.
(aiii) The Atorvastatin Study for Prevention of Coronary Heart Disease Endpoints in Non-Insulin-Dependent Diabetes Mellitus (ASPEN) trial showed no significant effect in nonfatal heart attacks, nonfatal stroke, coronary artery bypass surgery, resuscitated cardiac arrest, worsening or unstable angina requiring hospitalization or cardiovascular and overall death rates.
(b) Fibrate trial: The Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) trial showed no significant effect on coronary heart disease death, non-fatal heart attack or death rates.

Dr de Lorgeril concluded: "This review does not support the use of cholesterol-lowering drugs (such as statin and fibrate) to reduce mortality and cardiovascular complications in type two diabetics. Official guidelines should be re-examined and reformulated by experts independent from the pharmaceutical industry".



Tuesday, 3 November 2015

In type 1 diabetics, statins significantly increase the risk of developing diabetes-related complications.

This study was published in Diabetes Research and Clinical Practice 31st October 2015

Study title and authors:
Statins are Independently Associated with Increased HbA1c in Type 1 Diabetes–The Thousand & 1 Study
Magnus Thorsten Jensen, Henrik Ullits Andersen, Peter Rossing, Jan Skov Jensen

This study can be accessed at: http://www.diabetesresearchclinicalpractice.com/article/S0168-8227(15)00423-4/abstract

The term HbA1c refers to glycated haemoglobin. It develops when haemoglobin, a protein within red blood cells that carries oxygen throughout your body, joins with glucose in the blood, becoming 'glycated'.

By measuring glycated haemoglobin (HbA1c), clinicians are able to get an overall picture of what our average blood sugar levels have been over a period of weeks/months.

For people with diabetes this is important as the higher the HbA1c, the greater the risk of developing diabetes-related complications.

This study examined the association between statin use and HbA1c levels in type 1 diabetics without known heart disease. The study included 1,093 patients, average age 49.6 years, who had had type 1 diabetes for an average of 25.5 years.

The study found that statin use was independently and significantly associated with higher HbA1c levels.





Saturday, 12 September 2015

Statins do not prevent cardiovascular and all-cause deaths

This paper was published in the Journal of Clinical Lipidology Volume 7, Issue 3 , Pages 222-224, May 2013
 
Study title and authors:
Point: Why statins have failed to reduce mortality in just about anybody
Eddie Vos, Colin P. Rose, Pierre Biron
127 Courser Road, Sutton, QC, Canada J0E 2K0
Department of Medicine, McGill University, Montreal, QC, Canada H3H 1V6
 
 
This paper reviewed the scientific evidence regarding statins and death rates.
 
(i) In JUPITER (Justification for the Use of Statins in Primary Prevention: An Intervention Trial Evaluating Rosuvastatin trial), a trial involving 17,802 participants randomised to rosuvastatin or placebo found for all participants the cardiovascular mortality was not reduced.
(ii) All published trials with placebo controls conclusively establish that statins do not reduce mortality in women.
(iii) There are no mortality figures suggesting a positive effect for people taking statins for more than five or six years.
(iv) In the PROSPER (PROspective Study of Pravastatin in the Elderly at Risk) study, in patients older than 70 years of age, there appeared to be arising increased rate of cancer, which may indicate that longer intervals of statin therapy may have other costs in the elderly.
(v) For both genders, the lack of all-cause mortality benefit is also illustrated by all published studies using atorvastatin vs. placebo, including the summary of 49 in-house studies including 14,236 individual patients.
(vi) The secondary prevention study SPARCL (Stroke Prevention by Aggressive Reduction in Cholesterol Levels) ended with five more deaths on highdose atorvastatin than on placebo.
(vii) To date, there are no placebo-controlled studies showing a mortality benefit when patients used lovastatin, fluvastatin, cerivastatin, or pitavastatin.
(viii) No mortality benefit from statins has ever been shown in patients older than 70 years of age.
(ix) No mortality benefit from statins has ever been shown in patients with heart failure.
(x) No mortality benefit from statins has ever been shown in patients with kidney failure.
(xi) Patients believing consciously or subliminally that ‘‘their cholesterol is under control’’ because they take a statin may postpone embarking on lifestyle changes, such as stopping smoking and abandoning eating habits that produce obesity and diabetes.
(xii) There is evidence that statins themselves promote diabetes, a life-long health risk.
 
Vos advises: "Because the lack of circulating statins is not the cause of atherosclerosis and their benefit on mortality is highly questionable, we should concentrate on lifestyle changes. Exercise, no smoking, and a healthy diet are well demonstrated in population studies to reduce the high mortality seen in so many economically developed countries".
 
He concludes that statins: "do not prevent cardiovascular and all-cause deaths".
 


Sunday, 26 July 2015

Statin use associated with a 101% increased risk of diabetes

This study was published in Atherosclerosis 2015 Jul 15;242(1):211-217
 
Study title and authors:
Liver fat, statin use, and incident diabetes: The Multi-Ethnic Study of Atherosclerosis.
Shah RV, Allison MA, Lima JA, Bluemke DA, Abbasi SA, Ouyang P, Jerosch-Herold M, Ding J, Budoff MJ, Murthy VL.
Department of Cardiology and Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
 
This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/26209814

This study investigated the influence of statins and liver fat on type 2 diabetes. The study included 3,153 individuals who initially did not take statins and were without cardiovascular disease, or type 2 diabetes.

Regarding statins, the study found that individuals who took statins had a 101% increased risk of developing diabetes compared with individuals who did not take statins.

Saturday, 4 July 2015

Statin use is associated with weight gain and a large increase in diabetes

This study was published in the Journal of the American Medical Association International Medicine 2014 Apr 24
 
Study title and authors:
Different Time Trends of Caloric and Fat Intake Between Statin Users and Nonusers Among US Adults: Gluttony in the Time of Statins?
Sugiyama T, Tsugawa Y, Tseng CH, Kobayashi Y, Shapiro MF.
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles2Department of Public Health/Health Policy, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan3Depa.
 
This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/24763487

This study examined the effects of statins on caloric intake, weight gain and diabetes. The study lasted eleven years and included 27,886 adults, 20 years or older, who completed a 24-hour dietary recall.

The study found over an 11 year period:
(a) The caloric intake of statin users increased by 9.6%.
(b) The caloric intake of non users DECREASED by 1.9%.
(c) The BMI of statin user increased by 1.3
(d) The BMI of non users increased by 0.5
(e) Diabetes increased by 7.8% in statin users.
(f) Diabetes DECREASED by 0.4% in non users.

This study shows statin use is associated with weight gain and a large increase in diabetes.
 


Sunday, 7 June 2015

Statin use associated with 87% increased risk of diabetes

This study was published in the Journal of General Internal Medicine 2015 Apr 28

Study title and authors:
Statins and New-Onset Diabetes Mellitus and Diabetic Complications: A Retrospective Cohort Study of US Healthy Adults.
Mansi I, Frei CR, Wang CP, Mortensen EM
Department of Medicine, VA North Texas Health System, 4500 S. Lancaster Rd #111E, Dallas, TX, USA, Ishak.mansi@va.gov.

This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/25917657

The objective of the study was to examine the association between statin use and new-onset diabetes, diabetic complications, and overweight/obesity in healthy adults. The study lasted 8.5 years and included 3,351 statins users who were matched with 3,351 nonusers.

The study found:
(a) Statin users had a 87% increased risk of developing new-onset diabetes compared to nonusers.
(b) Statin users had a 150% increased risk of developing diabetes with complications compared to nonusers.
(c) Statin users were 14% more likely to be overweight or obese compared to nonusers.

Mansi concluded: "Diabetes, diabetic complications, and overweight/obesity were more commonly diagnosed among statin-users than similar nonusers in a healthy cohort of adults. This study demonstrates that short-term clinical trials might not fully describe the risk/benefit of long-term statin use".

Tuesday, 10 March 2015

Statins increase the risk of diabetes by 46%

This study was published in Diabetologia DOI 10.1007/s00125-015-3528-5

Study title and authors:
Increased risk of diabetes with statin treatment is associated with impaired insulin sensitivity and insulin secretion: a 6 year follow-up study of the METSIM cohort
Henna Cederberg & Alena Stančáková & Nagendra Yaluri & Shalem Modi & Johanna Kuusisto & Markku Laakso
Institute of Clinical Medicine, Internal Medicine, University of Eastern Finland and Kuopio University Hospital

This study can be accessed at: http://www.medscape.com/viewarticle/840884

The aim of this work was to investigate the mechanisms underlying the risk of type two diabetes associated with statins. The study included 8,749 non-diabetic men, aged 45–73 years, who were followed up for 5.9 years.

The study found:
(a) Individuals taking statins had a 46% increased risk of developing diabetes compared to individuals not taking statins.
(b)  Insulin sensitivity was decreased by 24% in individuals on statin treatment compared with individuals without statin treatment.
(c)  Insulin  secretion was decreased by 12% in individuals on statin treatment compared with individuals without statin treatment.

Cederberg concluded: "Statin treatment increased the risk of type 2 diabetes by 46%, attributable to decreases in insulin sensitivity and insulin secretion".



Saturday, 26 July 2014

Statin use is associated with an increased risk of type two diabetes, which increases with longer duration of use

This study was published in BMC Cardiovascular Disorders 2014 Jul 15;14(1):85
 
Study title and authors:
Statins and the risk of type 2 diabetes mellitus: cohort study using the UK clinical practice pesearch datalink.
Macedo AF, Douglas I, Smeeth L, Forbes H, Ebrahim S.
 
This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/25022519

This study aimed to assess the effect of statins on type two diabetes development. The study comprised of 2,016,094 individuals, including 430,890 people who received a statin, matched to 1,585,204 people not prescribed a statin.

The study found:
(a) Statin users had a 57% increased risk of developing diabetes compared to non-users.
(b) The risk of developing diabetes increased with longer duration of statin use:
(b1) Those who were followed for one to three years had a 22% increased risk of diabetes.
(b2) Those who were followed for 15 to 20 years had a 263% increased risk of diabetes.


Macedo concluded: "Statin use is associated with an increased risk of T2DM (type two diabetes), which increases with longer duration of use".
 


Wednesday, 2 July 2014

The risk of diabetes rises as adherence with statin therapy increases

This study was published in Diabetes Care 2014 Jun 26. pii: DC_132215

Study title and authors:
Statins and the Risk of Diabetes: Evidence From a Large Population-Based Cohort Study.
Corrao G, Ibrahim B, Nicotra F, Soranna D, Merlino L, Catapano AL, Tragni E, Casula M, Grassi G, Mancia G.
Department of Statistics and Quantitative Methods, Division of Biostatistics, Epidemiology and Public Health, University of Milano-Bicocca, Milan, Italy giovanni.corrao@unimib.it.

This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/24969582

The objective of the study was to investigate the relationship between adherence with statin therapy and the risk of developing diabetes. The seven year study included 115,709 patients who were newly treated with statins. Adherence was measured by the proportion of days covered with statins.

The study found: 
(a) Compared with patients with very-low adherence (proportion of days covered less then 25%) those with low adherence (proportion of days covered 26-50%) had a 12% increased risk of developing diabetes.
(b) Compared with patients with very-low adherence (proportion of days covered less then 25%) those with intermediate adherence (proportion of days covered 51-75%) had a 22% increased risk of developing diabetes.
(b) Compared with patients with very-low adherence (proportion of days covered less then 25%) those with high adherence (proportion of days covered more than 75%) had a 32% increased risk of developing diabetes.

Corrao concluded: "In a real-world setting, the risk of new-onset diabetes rises as adherence with statin therapy increases".

Sunday, 11 May 2014

Possible mechanisms of how statins cause diabetes

This paper was published in Metabolism 2014 Feb 25

Study title and authors:
Statin treatment and new-onset diabetes: A review of proposed mechanisms.
Brault M, Ray J, Gomez YH, Mantzoros CS, Daskalopoulou SS
Department of Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

This paper can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/24641882

Brault notes that new-onset diabetes has been observed in clinical trials and meta-analyses involving statin therapy. Brault discusses the mechanisms that may be involved between statins and diabetes.

(a) Statins affect insulin secretion through direct, indirect or combined effects on calcium channels in pancreatic β-cells.
(b) Statins reduce the expression of glucose transporter 4 (GLUT 4). GLUT 4 is a protein that transports glucose from the bloodstream into cells. Reduced GLUT 4 in response to statins results in hyperglycemia (high blood sugar) and hyperinsulinemia (excess levels of insulin in the blood).
(c) Statin therapy decreases other important molecules such as coenzyme Q10, farnesyl pyrophosphate, geranylgeranyl pyrophosphate, and dolichol; their depletion leads to reduced intracellular signaling.
(d) Statins interference with intracellular insulin signaling pathways via inhibition of necessary phosphorylation events (phosphorylation influences protein enzymes) and reduction of small GTPase action (GTPases are key proteins in many critical biological processes such as hormonal and sensory signals, and the protein building ribosomes). 
(e) Statins can decrease levels of peroxisome proliferator activated receptor gamma and CCAAT/enhancer-binding protein which regulate glucose levels.
(f) Statins may also diminish levels of leptin and adiponectin which also play a role in regulating glucose levels.

Tuesday, 6 May 2014

Statins use is associated with increased HbA1c levels in patients with high blood pressure

This study was published in Diabetology and Metabolic Syndrome 2014 Apr 23;6:53

Study title and authors:
Statins use is associated with poorer glycaemic control in a cohort of hypertensive patients with diabetes and without diabetes.
Liew SM, Lee PY, Hanafi NS, Ng CJ, Wong SS, Chia YC, Lai PS, Zaidi NF, Khoo EM
Department of Primary Care Medicine, University of Malaya Primary Care Research Group (UMPCRG), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/24782916

This study sought to determine the association between the use of statins and glycaemic control in patients with high blood pressure. The study included 1,060 patients.

The study found:
(a) Analysis of the whole group found that statin users had 29% higher HbA1c levels than statin non users.
(b) Analysis of those with diabetes found that statin users had 20.8% higher HbA1c levels than statin non users.

Liew concluded: "Statins use is associated with increased HbA1c levels among hypertensive patients and hypertensive patients with diabetes".

Friday, 10 January 2014

Statins increase risk of diabetes by 32% in patients with impaired glucose tolerance

This study was published in the British Medical Journal 9 December 2013;347:f6745 

Study title and authors:
Role of diuretics, β blockers, and statins in increasing the risk of diabetes in patients with impaired glucose tolerance: reanalysis of data from the NAVIGATOR study
Lan Shen
 
This study can be accessed at: http://www.bmj.com/content/347/bmj.f6745?rss=1
 
The objective of this study was to examine the association of various drugs in patients with impaired glucose tolerance with new onset diabetes. The study lasted five years and included 9,306 patients. (If you have impaired glucose tolerance, your blood glucose is raised beyond the normal range but it is not so high that you have diabetes. However, if you have impaired glucose tolerance you are at risk of developing diabetes).
 
Regarding statins, the study found that statin use was associated with a 32% increased risk of new onset diabetes.

Monday, 30 December 2013

Statins increase the risk of diabetes in kidney transplant patients

This study was published in Transplantation 2013 Nov 26
 
Study title and authors:
HMG CoA Reductase Inhibitor Treatment Induces Dysglycemia in Renal Allograft Recipients.
Choe EY, Wang HJ, Kwon O, Cho Y, Huh KH, Kim MS, Kim YS, Ahn CW, Cha BS, Lee HC, Kang ES.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
 
This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/24285338

The aim of this study was to evaluate the influence of statins on the development of dysglycemia in kidney transplant patients. (Dysglycemia is defined as diabetes and impaired fasting glucose). The study included 394 patients without previously known diabetes or impaired fasting glucose who had undertaken kidney transplantation. Patients were grouped into the two groups according if they used statins (245 statin users and 149 nonusers).

The study found:
(a) Statin users had a 208% increased risk of dysglycemia compared to non users.
(b) The time to development of dysglycemia after transplantation was shorter in the statin group (38.8 months) than in the control group (47.2 months).

Choe concluded: "Statin treatment is associated with an elevation in fasting plasma glucose and in the development of dysglycemia in renal allograft recipients (kidney transplant patients)".

Friday, 27 September 2013

Statins increase the risk of muscle disease by 36% in diabetics

This study was published in Clinical Therapeutics 2008 Mar;30(3):535-42

Study title and authors
The risk of myopathy associated with thiazolidinediones and statins in patients with type 2 diabetes: a nested case-control analysis.
Koro CE, Sowell MO, Stender M, Qizilbash N.
Worldwide Epidemiology, GlaxoSmithKline, Collegeville, Pennsylvania 19426, USA. carol.e.koro@gsk.com

This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/18405791

This study investigated the association of statins and various antidiabetic drugs with the risk of myopathy (muscle disease) in patients with type two diabetes. The study included 3,696 patients with myopathy who were matched with 21,871 controls.

The study found that compared with patients who did not use either statins nor antidiabetic drugs, those who used statins had a 36% increased risk of muscle disease.

Tuesday, 3 September 2013

Statin major adverse effects have been under-reported and the way in which they withheld from the public, and even concealed, is a scientific farce

This paper was published in the Open Journal of Endocrine and Metabolic Diseases, Vol. 3 No. 3, 2013, pp. 179-185
 
Study title and authors:
The Ugly Side of Statins. Systemic Appraisal of the Contemporary Un-Known Unknowns
S. Sultan and N. Hynes
 
This paper can be accessed at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=34065

This paper undertook a comprehensive review of the scientific literature for articles relating to cardiovascular primary prevention and statin side effects.
 
The review found:
(a) There is a categorical lack of clinical evidence to support the use of statin therapy in primary prevention.
(b) Not only is there a dearth of evidence for primary cardiovascular protection, there is ample evidence to show that statins actually augment cardiovascular risk in women, patients with Diabetes Mellitus and in the young.
(c) Statins are associated with triple the risk of coronary artery and aortic artery calcification.
(d) There is increased risk of diabetes mellitus, cataract formation, and erectile dysfunction in young statin users.
(e) There is a significant increase in the risk of cancer and neurodegenerative disorders in the elderly plus an enhanced risk of a myriad of infectious diseases.
(f) A review of the use of statins found evidence of selective reporting of outcomes and failure to report adverse events.

Sultan concluded: "These finding on statin major adverse effects had been under-reported and the way in which they withheld from the public, and even concealed, is a scientific farce".

Friday, 12 April 2013

Statin use is associated with an 18% increased risk of diabetes

This study was published in the British Journal of Clinical Pharmacology 2013 Apr;75(4):1118-24
 
Study title and authors:
Statins and risk of treated incident diabetes in a primary care population.
Zaharan NL, Williams D, Bennett K.
Department of Pharmacology, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
 
This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/22845189

The aims of this study were to:
(i) Examine the incidence of new onset diabetes in patients treated with different types of statins. 
(ii) Examine the relationship between the duration and dose of statins and the subsequent development of new onset diabetes.

The study included 1,235,671 individuals who were followed for eight years.

The study found:
(a) Statin use was associated with an 18% increased risk of new onset diabetes.
(b) There was a statistically significant overall dose and duration effect increase in new onset diabetes for all statins, excepting fluvastatin, which only demonstrated a duration effect.

The researchers concluded: "An increased risk of new onset treated diabetes was found in those treated with statins showing significant duration and dose effect".

Thursday, 28 March 2013

Statins increase the risk of diabetes

This study was published in the Journal of the American College of Cardiology 2010 Mar 23;55(12):1209-16
 
Study title and authors:
Atorvastatin causes insulin resistance and increases ambient glycemia in hypercholesterolemic patients.
Koh KK, Quon MJ, Han SH, Lee Y, Kim SJ, Shin EK.
Department of Cardiology, Gachon University, Gil Medical Center, Incheon, Korea. kwangk@gilhospital.com
 
This study can be accessed at: http://www.ncbi.nlm.nih.gov/pubmed/20298928

This study investigated the association between statins and diabetes risk. The study was a randomized, single-blind, placebo-controlled parallel study that was conducted in 44 patients taking placebo and in 42, 44, 43, and 40 patients given daily atorvastatin 10, 20, 40, and 80 mg, respectively, during a two-month treatment period.

The study found:
(a) Atorvastatin at 10, 20, 40, and 80 mg daily significantly increased fasting insulin levels by 25%, 42%, 31%, and 45%, respectively.
(b) Atorvastatin at 10, 20, 40, and 80 mg daily significantly increased glycated hemoglobin levels (HbA1c levels) by 2%, 5%, 5%, and 5%, respectively.
(c) Atorvastatin at 10, 20, 40, and 80 mg daily decreased insulin sensitivity by 1%, 3%, 3%, and 4%, respectively.

Stain treatment increased fasting insulin levels, increased glycated hemoglobin levels and decreased insulin sensitivity which all indicate an increased risk of diabetes.