Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2133
Título: The Use of Statins in People at Risk of Developing Diabetes Mellitus: Evidence and Guidance for Clinical Practice
Autor: Sattar, N
Ginsberg, H
Ray, K
Chapman, MJ
Arca, M
Averna, M
Betteridge, DJ
Bhatnagar, D
Bilianou, E
Carmena, R
Ceska, R
Corsini, A
Erbel, R
Flynn, P
Garcia-Moll, X
Gumprecht, J
Ishibashi, S
Jambart, S
Kastelein, J
Maher, V
Marques da Silva, P
Masana, L
Odawara, M
Pedersen, T
Rotella, CM
Salti, I
Teramoto, T
Tokgozoglu, L
Toth, P
Valensi, P
Vergès, B
Palavras-chave: HSM MED
Anticholesteremic Agents/administration & dosage
Anticholesteremic Agents/adverse effects
Anticholesteremic Agents/pharmacology
Anticholesteremic Agents/therapeutic use
Cardiovascular Diseases/epidemiology
Cardiovascular Diseases/prevention & control
Cholesterol, LDL/blood
Cohort Studies
Comorbidity
Diabetes Mellitus, Type 2/epidemiology
Diabetes Mellitus, Type 2/etiology
Diabetes Mellitus, Type 2/prevention & control
Disease Susceptibility
Fasting/blood
Forecasting
Hemoglobin A, Glycosylated/analysis
Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage
Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects
Hydroxymethylglutaryl-CoA Reductase Inhibitors/pharmacology
Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use
Meta-Analysis as Topic
Multicenter Studies as Topic/statistics & numerical data
Observational Study as Topic
Practice Guidelines as Topic
Prediabetic State/epidemiology
Risk Assessment
Risk Factors
Data: 2014
Editora: Elsevier
Citação: Atheroscler Suppl. 2014 Jun;15(1):1-15
Resumo: Reducing low-density lipoprotein cholesterol (LDL-C) levels using statins is associated with significant reductions in cardiovascular (CV) events in a wide range of patient populations. Although statins are generally considered to be safe, recent studies suggest they are associated with an increased risk of developing Type 2 diabetes (T2D). This led the US Food and Drug Administration (FDA) to change their labelling requirements for statins to include a warning about the possibility of increased blood sugar and HbA1c levels and the European Medicines Agency (EMA) to issue guidance on a small increased risk of T2D with the statin class. This review examines the evidence leading to these claims and provides practical guidance for primary care physicians on the use of statins in people with or at risk of developing T2D. Overall, evidence suggests that the benefits of statins for the reduction of CV risk far outweigh the risk of developing T2D, especially in individuals with higher CV risk. To reduce the risk of developing T2D, physicians should assess all patients for T2D risk prior to starting statin therapy, educate patients about their risks, and encourage risk-reduction through lifestyle changes. Whether some statins are more diabetogenic than others requires further study. Statin-treated patients at high risk of developing T2D should regularly be monitored for changes in blood glucose or HbA1c levels, and the risk of conversion from pre-diabetes to T2D should be reduced by intensifying lifestyle changes. Should a patient develop T2D during statin treatment, physicians should continue with statin therapy and manage T2D in accordance with relevant national guidelines.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2133
Aparece nas colecções:MED - Artigos

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