Management of Lipid Abnormalities in Patients with Diabetes.

Abstract:

PURPOSE OF REVIEW:To describe lipid abnormalities in diabetes, when they occur and the evidence base for lipid management with established and new drugs to prevent diabetes complications. We also discuss how to manage statin intolerance. RECENT FINDINGS:Statins remain first-line therapy in patients with diabetes, though newer therapies to reduce LDL-C have emerged, including ezetimibe as an add-on therapy to statins, and injectable PCSK9 inhibitors, both of which are safe and effective in diabetes. Emerging evidence suggests a need to consider lipid-lowering therapies more often in younger patients with both type 1 and type 2 diabetes. Statins remain the cornerstone of lipid management in diabetes but other options are increasing. There is also now evidence for better managing apparent statin intolerance. Notably, younger patients lose the most life years from their diabetes, an observation that future guidelines need to consider.

journal_name

Curr Cardiol Rep

authors

Sillars A,Sattar N

doi

10.1007/s11886-019-1246-1

subject

Has Abstract

pub_date

2019-11-22 00:00:00

pages

147

issue

11

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-019-1246-1

journal_volume

21

pub_type

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