Risk of diabetes with statins

What you need to knowStatins are associated with a small increased risk of new-onset diabetes, which is higher in people with other risk factors for diabetes, and in association with high intensity statins and older ageWhen starting a patient on statins, emphasise the importance of lifestyle modifications, including healthy diet and physical activityConsider monitoring blood glucose levels when starting or intensifying statin therapy (although no evidence based guidance is available for how often this monitoring should occur)A 65 year old white man is presenting for his routine check-up. He has no history of smoking, hypertension, diabetes, or cardiovascular disease, and takes no regular medications. His total cholesterol is 5.25 mmol/L, low density lipoprotein (LDL) cholesterol is 3.34 mmol/L, and high density lipoprotein (HDL) cholesterol is 1.5 mmol/dL. His blood pressure is 125/70 mm Hg. He is attempting to adhere to a heart-healthy lifestyle. You discuss whether to start a statin…
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