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[Atorvastatin lowers C-reactive protein in dislipemic patients with type 2 diabetes mellitus]
Fátima Illán Gómez1, M Soledad Alcaraz Tafalla, Mercedes Pascual Díaz
1Sección de Endocrinología y Nutrición, Hospital Universitario Morales Meseguer, Murcia, Spain. mariaf.illan@carm.es
Insights
Atorvastatin significantly reduced C-reactive protein (CRP) levels in patients with type 2 diabetes. This reduction in inflammation marker was linked to improved glucose control, independent of LDL cholesterol changes.
Area of Science:
- Cardiology
- Endocrinology
- Pharmacology
Background:
- Type 2 diabetes mellitus (T2DM) elevates cardiovascular disease (CVD) risk.
- C-reactive protein (CRP) is a key inflammation marker linked to cardiovascular events.
- Statins, including atorvastatin, possess anti-inflammatory properties.
Purpose of the Study:
- To investigate the effect of atorvastatin on CRP levels in patients with T2DM.
- To explore the relationship between CRP changes and other clinical markers.
Main Methods:
- A study involving 30 patients with T2DM and hyperlipidemia.
- Administration of 20 mg daily atorvastatin for 6 months.
- Measurement of CRP levels at baseline and after 6 months, alongside clinical and biochemical data collection.
Main Results:
- Atorvastatin significantly decreased CRP levels (median change: -4.99 mg/l; p < 0.001).
- Baseline CRP correlated with body mass index, serum fibrinogen, and microalbuminuria.
- CRP reduction correlated with improved fasting glucose and glycosylated hemoglobin levels.
Conclusions:
- Atorvastatin effectively reduces CRP levels in T2DM patients.
- The anti-inflammatory effect of atorvastatin is largely independent of LDL cholesterol reduction.
- CRP reduction is associated with better glycemic control in T2DM.
Background And Objective:
Type 2 diabetes mellitus is associated with an augmented risk for cardiovascular disease. The levels of C-reactive protein (CRP), the prototypic marker of inflammation, are associated with an increased risk for cardiovascular events. The statins have direct anti-inflammatory effects. Thus, we tested the effects of atorvastatin on levels of CRP on patients with type 2 diabetes.
Patients And Method:
We evaluated CRP in baseline and 6 months after onset of 20 mg daily atorvastatin therapy of 30 patients with type 2 diabetes with hyperlipidemia. Clinical and biochemical data were obtained.
Results:
CRP-levels were significantly decreased after treatment with atorvastatin compared with baseline (median change: -4,99 mg/l; p < 0.001). We observed an correlation between CRP baseline with body mass index (r = 0.429; p = 0.018), serum fibrinogen (r = 0.607; p = 0.001) and microalbuminuria (r = 0.470; p = 0.01). Conversely, there was no significant correlation between CRP baseline with LDL cholesterol. The CRP reduction was significantly correlated with fasting glucose (r = -0.457; p = 0.019) and glycosylated hemoglobin at 6 months (r = -0.421; p = 0.03).
Conclusions:
These results confirm findings from previous studies that atorvastatin reduce CRP levels in a largely LDL cholesterol independent manner.
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