Evidence map›Paper›PMID 21499090›Full record

ReviewCurrent opinion in cardiology2011

Are statins diabetogenic?

Uchechukwu K Sampson, Macrae F Linton, Sergio Fazio

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
15.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 118 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Statin Use and Hyperglycemia: Do Statins Cause Diabetes?Current atherosclerosis reports · 2024
    Review
  4. Medication-Induced Hyperglycemia and Diabetes Mellitus: A Review of Current Literature and Practical Management Strategies.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Bempedoic Acid: The New Kid on the Block for the Treatment of Dyslipidemia and LDL Cholesterol: A Narrative Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Observational
  16. The "cholesterol paradox" among inpatients - retrospective analysis of medical documentation.Archives of medical sciences. Atherosclerotic diseases · 2018
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Uchechukwu K SampsonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232-6300, USA. u.sampson@vanderbilt.edu
Macrae F Linton
Sergio Fazio
Vanderbilt University Medical Center · US

Funding

MACROPHAGE EXPRESSION OF APOAI AND ATHEROSCLEROSISR01HL065709 · NHLBI · VANDERBILT UNIVERSITY · PI FAZIO, SERGIO · 2000 to 2008
$3.2M
Macrophage Akt and IKKalpha signaling in apoptosis and atherosclerosisR01HL105375 · NHLBI · VANDERBILT UNIVERSITY · PI LINTON, MACRAE F · 2010 to 2013
$1.8M
ApoE and SR-BI as Determinants of HDL and Macrophage Function in AtherogenesisR01HL086988 · NHLBI · VANDERBILT UNIVERSITY · PI LINTON, MACRAE F · 2007 to 2010
$1.5M
NHLBI NIH HHS HL086988NHLBI NIH HHS HL105375NHLBI NIH HHS HL65709NHLBI NIH HHS R01 HL065709NHLBI NIH HHS R01 HL086988NHLBI NIH HHS R01 HL105375
6 · The paper itself

Abstract

purpose of reviewStatins are widely utilized for low-density lipoprotein lowering and for prevention of atherosclerotic cardiovascular disease. Although these drugs have a good safety record, increased risk of developing diabetes during extended use has recently garnered attention. Here we review clinical trial evidence related to statin use and incident diabetes, and the potential mechanisms for this association. RECENT

findingsThe increased incidence of diabetes with rosuvastatin treatment in Justification for the Use of Statins in Primary Prevention: an intervention Trial Evaluating Rosuvastatin (JUPITER) reignited attention on the link between statin therapy and diabetes. The JUPITER findings are supported by two recent meta-analyses of large-scale placebo-controlled and standard care-controlled trials, which, respectively, observed a 9% [odds ratio 1.09; 95% confidence interval (CI) 1.02-1.17] and 13% (risk ratio 1.13; 95% CI 1.03-1.23) increased risk for incident diabetes associated with statin therapy. However, the underlying mechanisms for this association remain unclear. Experimental evidence supports a paradigm implicating inhibition of β-cell glucose transporters, delayed ATP production, pro-inflammatory and oxidative β-cell effects of plasma-derived cholesterol, inhibition of calcium channel-dependent insulin secretion, and β-cell apoptosis. SUMMARY: The aggregate of large clinical trials supports the notion that statins modestly increase the risk of incident diabetes. Because diabetes is a risk equivalent condition for coronary and peripheral arterial diseases, these findings create a paradox whereby needed statin therapy may be withheld to avoid excess risk of diabetes while representing the strongest cardiovascular risk reduction tool in diabetics. We simply recommend regular glucose monitoring in patients taking statins.

Indexed as

Blood GlucoseCardiovascular DiseasesDiabetes MellitusHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipidemiasMeta-Analysis as TopicRandomized Controlled Trials as TopicRisk FactorsBlood GlucoseHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID21499090
PMCPMC3341610
OpenAlexW1967494888

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.