Diabetes
Conditions
Keywords
Statins, Glucose homeostasis, Diabetes, Impaired fasting glucose
Brief summary
Evaluate the effects of rosuvastatin (maybe the highest diabetogenic) and pravastatin (seems to be protective) on the glucose homeostasis and other biomarkers in subjects with impaired fasting glucose.
Detailed description
Statin therapy effectively reduces cardiovascular events. However, trial data1 and meta-analyses suggest that statins also confer increased risk of development of diabetes. In order to elucidate whether statins increase risk of diabetes, investigators conducted this study to evaluate the effects of rosuvastatin (maybe the highest diabetogenic) and pravastatin (seems to be protective) on the glucose homeostasis and other biomarkers in subjects with impaired fasting glucose.
Interventions
The impaired fasting glucose (IFG) subjects with total cholesterol 200-280 mg/dL were randomized into two groups: pravastatin 40 mg or rosuvastatin 10 mg. IFG subjects with total cholesterol less than 200 mg/dL will be served as controls.
The impaired fasting glucose (IFG) subjects with total cholesterol 200-280 mg/dL were randomized into two groups: pravastatin 40 mg or rosuvastatin 10 mg. IFG subjects with total cholesterol less than 200 mg/dL will be served as controls.
placebo
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 35-70 years old 2. Fasting blood glucose 100-125 mg/dL
Exclusion criteria
1. A1C \>7.0% 2. 2hr glucose during OGTT \>200 mg/dL 3. Total cholesterol \>280 mg/dL 4. Previous diabetic history, coronary artery disease 5. Allergy to rosuvastatin or parvastatin 6. Baseline ALT more than 3 times UNL 7. Serum Cr \> 2.0 mg/dL 8. Pregnancy, breast feeding or plan to be pregnant woman.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glucose homeostasis | 6 months | Compare the glucose homeostasis and some biomarkers of diabetes among control, parvastatin and rosuvastatin groups. Glucose and insulin response during OGTT. Some markers of insulin resistance and insulin secretion calculated from OGTT. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Some biomarkers of diabetes | 6 months | Such as GLP-1, GIP, IGF-1, HbA1c, FPG etc. |
| Progression of glucose homeostasis | 5 to 10 years. | We will repeat FPG and A1C every 6 months and OGTT every 1-2 years for up to 10 years to investigate the change of these parameters. |
| Chronic complications of diabetes | Up to 10 years | Retinopathy: The change of steps on the ETDRS Severity Scales. Nephropathy: UACR and eGFR change. All-cause mortality |
| Incidence of diabetes | 5 to 10 years. | We will repeat FPG and A1C every 6 months and OGTT every 1-2 years for up to 10 years to investigate the incidence of diabetes. |
Countries
Taiwan