Statins and newly diagnosed diabetes.

Abstract:

AIMS:In order to evaluate a hypothesized protective effect of the use of HMG Co-A reductase inhibitors (statins) on the development of Type 2 diabetes, we conducted a nested case-control study based on data from the UK-based General Practice Research Database (GPRD). METHODS:We identified a population of adults 30-79 years of age between 1 January 1991 and 31 March 2002, who were being treated with a statin or who were diagnosed with hyperlipidaemia but were not being treated with a lipid-lowering drug. From this population we identified all incident cases of Type 2 diabetes. We conducted a nested case-control study encompassing 588 cases and 2063 matched controls. FINDINGS:We observed an adjusted odds ratio (OR) of 1.1 [95% confidence interval (CI) 0.8, 1.4] for current statin users compared with non-exposed subjects and adjusted ORs for pravastatin use alone and simvastatin use alone compared with non-exposed of 0.7 (95% CI 0.4, 1.2) and 1.0 (95% CI 0.7, 1.3), respectively. There was little evidence for a duration effect for simvastatin in these data, though there is a slight suggestion of a long-term protective effect with pravastatin. CONCLUSION:The current study results are most consistent with the conclusion that there is little if any protective effect of statins on the development of Type 2 diabetes.

journal_name

Br J Clin Pharmacol

authors

Jick SS,Bradbury BD

doi

10.1111/j.1365-2125.2004.02142.x

keywords:

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

303-9

issue

3

eissn

0306-5251

issn

1365-2125

pii

BCP2142

journal_volume

58

pub_type

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