Tags

Type your tag names separated by a space and hit enter

Effect of statins on fasting glucose in non-diabetic individuals: nationwide population-based health examination in Korea.
Cardiovasc Diabetol 2018; 17(1):155CD

Abstract

BACKGROUND

Increasing evidence suggest that statin therapy has a diabetogenic effect. Individual types of statin may have a different effect on glucose metabolism. Using the repeated nationwide population-based health screening data in Korea, we investigated the longitudinal changes in fasting glucose level of non-diabetic individuals by use of statins.

METHODS

From the National Health Screening Cohort, we included 379,865 non-diabetic individuals who had ≥ 2 health screening examinations with fasting blood glucose level measured in 2002-2013. Using the prescription records of statins in the database, we calculated the proportion of days covered (PDC) and average number of defined daily doses per day (anDDD) by statins. We constructed multivariate linear mixed models to evaluate the effects of statins on the changes in fasting glucose (Δglu).

RESULTS

High PDC by statins had a significant positive effect on Δglu (coefficient for PDC 0.093 mmol/L, standard error 0.007, p < 0.001). anDDD by statins was also positively associated with Δglu (coefficient for anDDD 0.119 mmol/L, standard error 0.009, p < 0.001). Unlike statins, the PDC by fibrate and ezetimibe were not significantly associated with Δglu. There was no significant interaction effect on Δglu between time interval and statin. Considering individual types of statins, use of atorvastatin, rosuvastatin, pitavastatin, and simvastatin were significantly associated with increase of Δglu. Pravastatin, lovastatin, and fluvastatin were also positively associated with Δglu, but were not statistically significant.

CONCLUSIONS

More adherent and intensive use of statins was significantly associated with an increase in fasting glucose of non-diabetic individuals. In subgroup analysis of individual statins, use of atorvastatin, rosuvastatin, pitavastatin and simvastatin had significant association with increase in fasting glucose. Pravastatin, lovastatin, and fluvastatin had non-significant trend toward an increased fasting glucose. Our findings suggest the medication class effect of statins inducing hyperglycemia.

Authors+Show Affiliations

Department of Neurology, CHA Bundang Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Republic of Korea.Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Republic of Korea. kylee@yuhs.ac.

Pub Type(s)

Comparative Study
Journal Article
Observational Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30518364

Citation

Kim, Jinkwon, et al. "Effect of Statins On Fasting Glucose in Non-diabetic Individuals: Nationwide Population-based Health Examination in Korea." Cardiovascular Diabetology, vol. 17, no. 1, 2018, p. 155.
Kim J, Lee HS, Lee KY. Effect of statins on fasting glucose in non-diabetic individuals: nationwide population-based health examination in Korea. Cardiovasc Diabetol. 2018;17(1):155.
Kim, J., Lee, H. S., & Lee, K. Y. (2018). Effect of statins on fasting glucose in non-diabetic individuals: nationwide population-based health examination in Korea. Cardiovascular Diabetology, 17(1), p. 155. doi:10.1186/s12933-018-0799-4.
Kim J, Lee HS, Lee KY. Effect of Statins On Fasting Glucose in Non-diabetic Individuals: Nationwide Population-based Health Examination in Korea. Cardiovasc Diabetol. 2018 12 5;17(1):155. PubMed PMID: 30518364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of statins on fasting glucose in non-diabetic individuals: nationwide population-based health examination in Korea. AU - Kim,Jinkwon, AU - Lee,Hye Sun, AU - Lee,Kyung-Yul, Y1 - 2018/12/05/ PY - 2018/10/20/received PY - 2018/12/01/accepted PY - 2018/12/7/entrez PY - 2018/12/7/pubmed PY - 2019/3/15/medline KW - Diabetes mellitus KW - Glucose KW - Health examination KW - Statin SP - 155 EP - 155 JF - Cardiovascular diabetology JO - Cardiovasc Diabetol VL - 17 IS - 1 N2 - BACKGROUND: Increasing evidence suggest that statin therapy has a diabetogenic effect. Individual types of statin may have a different effect on glucose metabolism. Using the repeated nationwide population-based health screening data in Korea, we investigated the longitudinal changes in fasting glucose level of non-diabetic individuals by use of statins. METHODS: From the National Health Screening Cohort, we included 379,865 non-diabetic individuals who had ≥ 2 health screening examinations with fasting blood glucose level measured in 2002-2013. Using the prescription records of statins in the database, we calculated the proportion of days covered (PDC) and average number of defined daily doses per day (anDDD) by statins. We constructed multivariate linear mixed models to evaluate the effects of statins on the changes in fasting glucose (Δglu). RESULTS: High PDC by statins had a significant positive effect on Δglu (coefficient for PDC 0.093 mmol/L, standard error 0.007, p < 0.001). anDDD by statins was also positively associated with Δglu (coefficient for anDDD 0.119 mmol/L, standard error 0.009, p < 0.001). Unlike statins, the PDC by fibrate and ezetimibe were not significantly associated with Δglu. There was no significant interaction effect on Δglu between time interval and statin. Considering individual types of statins, use of atorvastatin, rosuvastatin, pitavastatin, and simvastatin were significantly associated with increase of Δglu. Pravastatin, lovastatin, and fluvastatin were also positively associated with Δglu, but were not statistically significant. CONCLUSIONS: More adherent and intensive use of statins was significantly associated with an increase in fasting glucose of non-diabetic individuals. In subgroup analysis of individual statins, use of atorvastatin, rosuvastatin, pitavastatin and simvastatin had significant association with increase in fasting glucose. Pravastatin, lovastatin, and fluvastatin had non-significant trend toward an increased fasting glucose. Our findings suggest the medication class effect of statins inducing hyperglycemia. SN - 1475-2840 UR - https://www.unboundmedicine.com/medline/citation/30518364/Effect_of_statins_on_fasting_glucose_in_non_diabetic_individuals:_nationwide_population_based_health_examination_in_Korea_ L2 - https://cardiab.biomedcentral.com/articles/10.1186/s12933-018-0799-4 DB - PRIME DP - Unbound Medicine ER -