Abstract:
BACKGROUND:This study investigated the rate of relapse of dyslipidemia and the factors which could predict relapse following a short-term statin discontinuation after achieving a target low density lipoprotein cholesterol (LDL-C) level in type 2 diabetic patients without cardiovascular disease (CVD). METHODS:Ninety-nine subjects on rosuvastatin treatment and whose LDL-C level was lower than 100 mg/dL were randomly assigned to discontinue or maintain statin treatment at a 2:1 ratio. The subjects were followed-up after 10 weeks. A relapse of dyslipidemia was defined as a reascent of LDL-C level to greater than 100 mg/dL. RESULTS:The statin discontinuation group had a significant rate of relapse compared to the maintenance group (79% vs. 3%, respectively). Pretreatment and baseline lipid levels, their ratios, and hemoglobin A1c level were significantly different between the relapse and nonrelapse groups. The pretreatment and baseline lipid profiles and their ratios were independently associated with relapse. The pretreatment LDL-C level was the most useful parameter for predicting a relapse, with a cutoff of 123 mg/dL. During the follow-up period, no CVD event was noted. CONCLUSION:The relapse rate of dyslipidemia was high when statins were discontinued in type 2 diabetic patients without CVD. Statin discontinuation should be considered carefully based on the pretreatment lipid profiles of patients.
journal_name
Diabetes Metab Jjournal_title
Diabetes & metabolism journalauthors
Lee SH,Kwon HS,Park YM,Ko SH,Choi YH,Yoon KH,Ahn YBdoi
10.4093/dmj.2014.38.1.64subject
Has Abstractpub_date
2014-02-01 00:00:00pages
64-73issue
1eissn
2233-6079issn
2233-6087journal_volume
38pub_type
杂志文章abstract:BACKGROUND:Thyroid disease and metabolic syndrome are both associated with cardiovascular disease. The aim of this study was to investigate the correlation between thyroid hormones and obesity sub-phenotypes using nationwide data from Korea, a country known to be iodine replete. METHODS:This study was based on data ob...
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journal_title:Diabetes & metabolism journal
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journal_title:Diabetes & metabolism journal
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更新日期:2015-10-01 00:00:00
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doi:10.4093/dmj.2011.35.2.173
更新日期:2011-04-01 00:00:00
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journal_title:Diabetes & metabolism journal
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更新日期:2013-02-01 00:00:00
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更新日期:2020-02-01 00:00:00
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journal_title:Diabetes & metabolism journal
pub_type: 杂志文章
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journal_title:Diabetes & metabolism journal
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更新日期:2016-02-01 00:00:00
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更新日期:2012-08-01 00:00:00
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abstract::Despite overall reductions in heart disease prevalence, the risk of developing heart failure has remained 2-fold greater among people with diabetes. Growing evidence has supported that fluctuations in glucose level and uptake contribute to cardiovascular disease (CVD) by modifying proteins, DNA, and gene expression. I...
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doi:10.4093/dmj.2017.41.1.1
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更新日期:2012-02-01 00:00:00
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