Do statins give you diabetes?

Original Title

Effects of statin therapy on diagnoses of new-onset diabetes and worsening glycaemia in large-scale randomised blinded statin trials: an individual participant data meta-analysis

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Summary

Statins can slightly raise blood sugar, which might push some people who are already close to having diabetes over the line into a diagnosis. But they don’t cause full-blown diabetes in healthy people very often.

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Surprising Findings

Most of the increased diabetes diagnoses come from more frequent HbA1c testing in high-intensity trials, not just biological effect.

It suggests detection bias—more monitoring leads to more diagnoses, making high-intensity statins appear riskier than they biologically are.

Practical Takeaways

If you’re on a high-intensity statin, ask your doctor about checking your blood sugar—especially if you’re overweight, inactive, or have a family history of diabetes.

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Publication

Journal

The lancet. Diabetes & endocrinology

Year

2024

Authors

Christina David Lisa Jonathan Enti Kelly Heather Charlie Lis Reith Preiss Blackwell Emberson Spata Davies Halls, C. Reith, D. Preiss, L. Blackwell, J. Emberson, E. Spata, Kelly Davies, H. Halls, C. Harper, L. Holland, Kate Wilson, Alistair J. Roddick, Christopher P. Cannon, Robert Clarke, H. Colhoun, P. N. Durrington, S. Goto, G. Hitman, G. K. Hovingh, J. Jukema, Wolfgang Koenig, Ian Marschner, B. Mihaylova, Connie Newman, J. Probstfield, Paul M Ridker, M. Sabatine, N. Sattar, Gregory G. Schwartz, L. Tavazzi, Andrew M. Tonkin, S. Trompet, Harvey White, Salim Yusuf, Jane Armitage, Anthony C. Keech, J. Simes, R. Collins, C. Baigent, Elizabeth Barnes, J. Fulcher, W. Herrington, Adrienne Kirby, Rachel L. O’Connell, M. Blazing, Eugene Braunwald, James de Lemos, S. Murphy, T. Pedersen, M. Pfeffer, Stephen W. Wiviott, Michael Clearfield, J. R. Downs, Antonio M. Gotto, Stephen Weis, Bengt Fellström, H. Holdaas, A. Jardine, David Gordon, Barry J. Davis, Curt D. Furberg, Richard Grimm, S. Pressel, Mahboob Rahman, M. Koren, B. Dahlöf, Ajay Gupta, Neil R. Poulter, Peter S Sever, H. Wedel, Robert H. Knopp, S. Cobbe, R. Schmieder, F. Zannad, D. J. Betteridge, J. Fuller, A. Neil, C. Hawkins, L. Moyé, F. Sacks, J. Kjekshus, J. Wikstrand, Christoph Wanner, V. Krane, M. Franzosi, R. Latini, D. Lucci, Aldo P. Maggioni, R. Marchioli, E. Nicolis, G. Tognoni, J. Bosch, Eva M Lonn, L. Bowman, M. Landray, S. Parish, R. Peto, J. Kastelein, Robert Glynn, Jean G Macfadyen, S. MacMahon, John Shaw, Patrick Serruys, G. Knatterud, G. J. Blauw, I. Ford, Peter W Macfarlane, C. Packard, James Shepherd, R. Bulbulia, R. Haynes, P. Sleight, Pierre Amarenco, K. Welch, Lars Wilhelmsen, Philip Barter, J. Larosa, S. Kean, M. Robertson, Robin Young, H. Arashi, M. Flather, U. Goldbourt, J. Hopewell, G. Kitas, Liam Smeeth, Jonathan A. Tobert, J. Varigos, Emily Banks, Michael Blastland, Stephen Evans, Robert Temple, P. Weissberg, Janet Wittes

Open Access
80 citations
Analysis v1
Do statins give you diabetes? — Quality Score & Summary | Fit Body Science