Abstract

Introduction: Statins are one of the most widely used therapies in different groups of patients not only because of cholesterol-lowering properties but also due to their non-lipid related mechanisms. However, the effects of atorvastatin on inflammatory and coagulation markers in type 2 diabetic patients are not well examined. Objectives: To evaluate, the effects of two different doses of atorvastatin on lipid profile, inflammatory coagulation markers, and liver enzymes in type 2 diabetic patients. Patients and Methods: In a randomized double-blinded controlled trial, 150 diabetic patients were randomly assigned to get atorvastatin 10 mg/d (n = 74) or 40 mg/d (n = 76) for 12 weeks. The concentration of biomarkers was determined both at the onset of the study as well as at the completing time of the intervention. Results: Significant differences between the mean levels of lipid profiles, fibrinogen, interleukin-1 (IL-1) and IL-6 were observed between two groups after three months treatment with atorvastatin 10 and 40 mg/d (P<0.05). Furthermore, significant improvement in all blood values after atorvastatin 40 mg/d ingestion was observed (P<0.05) except for homocysteine and creatine phosphokinase (CPK) levels (P>0.05). Conclusion: Atorvastatin therapy especially with higher dose was associated with inflammation and coagulation parameters improvement in diabetic individuals.

Highlights

  • Statins are one of the most widely used therapies in different groups of patients because of cholesterol-lowering properties and due to their non-lipid related mechanisms

  • Based on independent samples t test (Table 3), significant differences between the mean levels of total cholesterol, low density lipoprotein-cholesterol (LDL-C), HDL-C, fibrinogen, IL-1 and IL-6 were observed between the groups (P < 0.05) while the reduction in the levels of mentioned parameters in group B was greater than group A

  • Improvement in the serum fasting blood sugar (FBS), HbA1C, AST, TG, total cholesterol, LDL-C, IL-1 and IL-6 values was achieved after treatment with atorvastatin 10 in group A according to paired t test results while, the difference was statistically significant in those markers before and after treatment (P < 0.05)

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Summary

Introduction

Statins are one of the most widely used therapies in different groups of patients because of cholesterol-lowering properties and due to their non-lipid related mechanisms. Objectives: To evaluate, the effects of two different doses of atorvastatin on lipid profile, inflammatory coagulation markers, and liver enzymes in type 2 diabetic patients. Results: Significant differences between the mean levels of lipid profiles, fibrinogen, interleukin-1 (IL-1) and IL-6 were observed between two groups after three months treatment with atorvastatin 10 and 40 mg/d (P < 0.05). Type 2 diabetes mellitus as chronic metabolic disorder, is characterized by inappropriate hyperglycemia due to the deficiency in or resistance to insulin [1]. It has gotten pandemic proportions and regarded as one of the causes of healthcare costs, incapability, and mortality [2]. The effects of different doses of atorvastatin on inflammatory and coagulation markers in type 2 diabetic patients are not well studied

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