Skip to main content

Main menu

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Other Publications
    • NeuroSciences Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
Saudi Medical Journal
  • Other Publications
    • NeuroSciences Journal
  • My alerts
  • Log in
Saudi Medical Journal

Advanced Search

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Follow psmmc on Twitter
  • Visit psmmc on Facebook
  • RSS
Review ArticleSystematic Reviews
Open Access

Do statins really cause diabetes?

A meta-analysis of major randomized controlled clinical trials

Alaa J. Rahal, Ahmed I. ElMallah, Rita J. Poushuju and Rana Itani
Saudi Medical Journal October 2016, 37 (10) 1051-1060; DOI: https://doi.org/10.15537/smj.2016.10.16078
Alaa J. Rahal
From the Department of Pharmacology and Therapeutics (Rahal, Poushijian, Itani), Faculty of Pharmacy, Beirut Arab University, Beirut, Lebanon, and the Department of Pharmacology & Therapeutics (ElMallah), Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt
PharmD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Ahmed I. ElMallah
From the Department of Pharmacology and Therapeutics (Rahal, Poushijian, Itani), Faculty of Pharmacy, Beirut Arab University, Beirut, Lebanon, and the Department of Pharmacology & Therapeutics (ElMallah), Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rita J. Poushuju
From the Department of Pharmacology and Therapeutics (Rahal, Poushijian, Itani), Faculty of Pharmacy, Beirut Arab University, Beirut, Lebanon, and the Department of Pharmacology & Therapeutics (ElMallah), Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt
PharmD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rana Itani
From the Department of Pharmacology and Therapeutics (Rahal, Poushijian, Itani), Faculty of Pharmacy, Beirut Arab University, Beirut, Lebanon, and the Department of Pharmacology & Therapeutics (ElMallah), Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt
PharmD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • References
  • PDF
Loading

References

  1. ↵
    1. McKenney JM
    (2003) Pharmacologic characteristics of statins. Clin Cardiol 26(4 Suppl 3):III32–III38.
    OpenUrlPubMed
  2. ↵
    1. Kavalipati N,
    2. Shah J,
    3. Ramakrishan A,
    4. Vasnawala H
    (2015) Pleiotropic effects of statins. Indian J Endocrinol Metab 19:554–562.
    OpenUrlCrossRefPubMed
  3. ↵
    1. Jingru Z,
    2. Xiangjian Z,
    3. Lipeng D,
    4. Ya W,
    5. Lili C
    (2014) The many roles of statins in ischemic stroke. Current Neuropharmacology 12:564–574.
    OpenUrl
  4. ↵
    1. Corsini A,
    2. Maggi FM,
    3. Catapano AL
    (1995) Pharmacology of competitive inhibitors of HMG-CoA reductase. Pharmacol Res 31:9–27.
    OpenUrlPubMedWeb of Science
  5. ↵
    1. Corsini A,
    2. Bellosta S,
    3. Baetta R,
    4. Fumagalli R,
    5. Paoletti R,
    6. Bernini F
    (1999) New insights into the pharmacodynamic and pharmacokinetic properties of statins. Pharmacol Ther 84:413–428.
    OpenUrlCrossRefPubMedWeb of Science
    1. McTaggart F,
    2. Buckett L,
    3. Davidson R,
    4. Holdgate G,
    5. McCormick A,
    6. Schneck D,
    7. et al.
    (2001) Preclinical and clinical pharmacology of Rosuvastatin, a new 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor. Am J Cardiol 87:28B–32B.
    OpenUrlPubMedWeb of Science
  6. ↵
    1. Kajinami K,
    2. Mabuchi H,
    3. Saito Y
    (2000) NK-104: a novel synthetic HMG-CoA reductase inhibitor. Expert OpinInvestig Drugs 9:2653–2661.
    OpenUrl
  7. ↵
    1. Schachter M
    (2005) Chemical, pharmacokinetic, and pharmacodynamic properties of statins: an update. Fundam Clin Pharmacol 19:117–125.
    OpenUrlCrossRefPubMedWeb of Science
  8. ↵
    1. Kashani A,
    2. Phillips CO,
    3. Foody JM,
    4. Wang Y,
    5. Mangalmurti S,
    6. Ko DT,
    7. et al.
    (2006) Risks associated with statin therapy: A systematic overview ofrandomized clinical trials. Circulation 114:2788–2797.
    OpenUrlAbstract/FREE Full Text
  9. ↵
    1. Newman CB,
    2. Palmer G,
    3. Silbershatz H,
    4. Szarek M
    (2003) Safety of atorvastatin derived from analysis of 44 completed trials in 9,416 patients. Am J Cardiol 92:670–676.
    OpenUrlCrossRefPubMedWeb of Science
  10. ↵
    1. Desai CS,
    2. Martin SS,
    3. Blumenthal RS
    (2014) Non-cardiovascular effects associated with statins. BMJ 349:3743.
    OpenUrl
  11. ↵
    1. Stone NJ,
    2. Robinson JG,
    3. Lichtenstein AH,
    4. Bairey Merz CN,
    5. Blum CB,
    6. Eckel RH,
    7. et al.
    (2014) 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 129(25 Suppl 2):S1–S45.
    OpenUrlFREE Full Text
  12. ↵
    1. Freeman DJ,
    2. Norrie J,
    3. Sattar N,
    4. Neely RD,
    5. Cobbe SM,
    6. Ford I,
    7. et al.
    (2001) Pravastatin and the development of diabetes mellitus: evidence for a protective treatment effect in the West of Scotland Coronary Prevention Study. Circulation 103:357–362.
    OpenUrlAbstract/FREE Full Text
  13. ↵
    1. Ridker PM,
    2. Danielson E,
    3. Fonseca FA,
    4. Genest J,
    5. Gotto AM Jr.,
    6. Kastelein JJ,
    7. et al.
    (2008) Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med 359:2195–2207.
    OpenUrlCrossRefPubMedWeb of Science
  14. ↵
    1. Collins R,
    2. Armitage J,
    3. Parish S,
    4. Sleigh P,
    5. Peto R
    (2003) MRC/BHF Heart Protection Study of cholesterol-lowering with simvastatin in 5963 people with diabetes: a randomised placebo-controlled trial. Lancet 361:2005–2016.
    OpenUrlCrossRefPubMedWeb of Science
    1. Keech A,
    2. Colquhoun D,
    3. Best J,
    4. Kirby A,
    5. Simes RJ,
    6. Hunt D,
    7. et al.
    (2003) Secondary prevention of cardiovascular events with long-term pravastatin in patients with diabetes or impaired fasting glucose: results from the LIPID trial. Diabetes Care 26:2713–2721.
    OpenUrlAbstract/FREE Full Text
  15. ↵
    1. Sever PS,
    2. Dahlöf B,
    3. Poulter NR,
    4. Wedel H,
    5. Beevers G,
    6. Caulfield M,
    7. et al.
    (2003) Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations, in the Anglo-Scandinavian Cardiac Outcomes Trial-Lipid Lowering Arm (ASCOT-LLA): a multicentre randomised controlled trial. Lancet 361:1149–1158.
    OpenUrlCrossRefPubMedWeb of Science
    1. Sattar N,
    2. Preiss D,
    3. Murray HM,
    4. Welsh P,
    5. Buckley BM,
    6. de Craen AJ,
    7. et al.
    (2010) Statins and risk of incident diabetes: a collaborative meta-analysis of randomised statin trials. Lancet 375:735–742.
    OpenUrlCrossRefPubMedWeb of Science
  16. ↵
    1. Preiss D,
    2. Seshasai SR,
    3. Welsh P,
    4. Murphy SA,
    5. Ho JE,
    6. Waters DD,
    7. et al.
    (2011) Risk of incident diabetes with intensive-dose compared with moderate-dose statin therapy: a meta-analysis. JAMA 305:2556–2564.
    OpenUrlCrossRefPubMedWeb of Science
    1. Coleman CI,
    2. Reinhart K,
    3. Kluger J,
    4. White CM
    (2008) The effect of statins on the development of new-onset type 2 diabetes: a meta-analysis of randomized controlled trials. Curr Med Res Opin 24:1359–1362.
    OpenUrlCrossRefPubMedWeb of Science
  17. ↵
    1. Rajpathak SN,
    2. Kumbhani DJ,
    3. Crandall J,
    4. Barzilai N,
    5. Alderman M,
    6. Ridker PM
    (2009) Statin therapy and risk of developing type 2 diabetes: a meta-analysis. Diabetes Care 32:1924–1929.
    OpenUrlAbstract/FREE Full Text
  18. ↵
    1. Zaharan NL,
    2. Williams D,
    3. Bennett K
    (2013) Statins and risk of treated incident diabetes in a primary care population. Br J Clin Pharmacol 75:1118–1124.
    OpenUrlCrossRefPubMed
  19. ↵
    1. Danaei G,
    2. Garcia Rodriguez LA,
    3. Fernandez Cantero O,
    4. Hernan MA
    (2013) Statins and risk of diabetes: an analysis of electronic medical records to evaluate possible bias due to differential survival. Diabetes Care 36:1236–1240.
    OpenUrlAbstract/FREE Full Text
  20. ↵
    1. Culver AL,
    2. Ockene IS,
    3. Balasubramanian R,
    4. Olendzki BC,
    5. Sepavich DM,
    6. Wactawski-Wende J,
    7. et al.
    (2012) Statin use and risk of diabetes mellitus in postmenopausal women in the Women’s Health Initiative. Arch Intern Med 172:144–152.
    OpenUrlCrossRefPubMedWeb of Science
  21. ↵
    1. Moher D,
    2. Liberati A,
    3. Tetzlaff J,
    4. Altman DG
    (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151:264–269.
    OpenUrlCrossRefPubMedWeb of Science
  22. ↵
    1. Waters DD,
    2. Ho JE,
    3. DeMicco DA,
    4. Breazna A,
    5. Arsenault BJ,
    6. Wun CC,
    7. et al.
    (2011) Predictors of new-onset diabetes in patients treated with atorvastatin: results from 3 large randomized clinical trials. J Am Coll Cardiol 57:1535–1545.
    OpenUrlFREE Full Text
  23. (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S). Lancet 344:1383–1389.
    OpenUrlCrossRefPubMedWeb of Science
  24. (2002) Major outcomes in moderately hypercholesterolemic, hypertensive patients randomized to pravastatin vs usual care: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT-LLT). JAMA 288:2998–3007.
    OpenUrlCrossRefPubMedWeb of Science
    1. Downs JR,
    2. Clearfield M,
    3. Weis S,
    4. Whitney E,
    5. Shapiro DR,
    6. Beere PA,
    7. et al.
    (1998) Primary prevention of acute coronary events with lovastatin in men and women with average cholesterol levels: results of AFCAPS/TexCAPS. Air Force/Texas Coronary Atherosclerosis Prevention Study. JAMA 279:1615–1622.
    OpenUrlCrossRefPubMedWeb of Science
  25. ↵
    1. Kjekshus J,
    2. Apetrei E,
    3. Barrios V,
    4. Böhm M,
    5. Cleland JG,
    6. Cornel JH,
    7. et al.
    (2007) Rosuvastatin in older patients with systolic heart failure. N Engl J Med 357:2248–2261.
    OpenUrlCrossRefPubMedWeb of Science
    1. Nakamura H,
    2. Arakawa K,
    3. Itakura H,
    4. Kitabatake A,
    5. Goto Y,
    6. Toyota T,
    7. et al.
    (2006) Primary prevention of cardiovascular disease with pravastatin in Japan (MEGA Study): a prospective randomised controlled trial. Lancet 368:1155–1163.
    OpenUrlCrossRefPubMedWeb of Science
  26. ↵
    1. Shepherd J,
    2. Blauw GJ,
    3. Murphy MB,
    4. Bollen EL,
    5. Buckley BM,
    6. Cobbe SM,
    7. et al.
    (2002) Pravastatin in elderly individuals at risk of vascular disease (PROSPER): a randomised controlled trial. Lancet 360:1623–1630.
    OpenUrlCrossRefPubMedWeb of Science
  27. ↵
    1. Tavazzi L,
    2. Maggioni AP,
    3. Marchioli R,
    4. Barlera S,
    5. Franzosi MG,
    6. Latini R,
    7. et al.
    (2008) Effect of rosuvastatin in patients with chronic heart failure (the GISSI-HF trial): a randomised, double-blind, placebo-controlled trial. Lancet 372:1231–1239.
    OpenUrlCrossRefPubMedWeb of Science
  28. ↵
    1. Nakata M,
    2. Nagasaka S,
    3. Kusaka I,
    4. Matsuoka H,
    5. Ishibashi S,
    6. Yada T
    (2006) Effects of statins on the adipocyte maturation and expression of glucose transporter 4 (SLC2A4): implications in glycaemic control. Diabetologia 49:1881–1892.
    OpenUrlCrossRefPubMedWeb of Science
  29. ↵
    1. Baker WL,
    2. Talati R,
    3. White CM,
    4. Coleman CI
    (2010) Differing effect of statins on insulin sensitivity in non-diabetics: a systematic review and meta-analysis. Diabetes Res Clin Pract 87:98–107.
    OpenUrlCrossRefPubMed
  30. ↵
    1. Brault M,
    2. Ray J,
    3. Gomez YH,
    4. Mantzoros CS,
    5. Daskalopoulou SS
    (2014) Statin treatment and new-onset diabetes: a review of proposed mechanisms. Metabolism 63:735–745.
    OpenUrlCrossRefPubMedWeb of Science
  31. ↵
    1. Takaguri A,
    2. Satoh K,
    3. Itagaki M,
    4. Tokumitsu Y,
    5. Ichihara K
    (2008) Effects of atorvastatin and pravastatin on signal transduction related to glucose uptake in 3T3L1 adipocytes. J Pharmacol Sci 107:80–89.
    OpenUrlCrossRefPubMed
  32. ↵
    1. Chetboun M,
    2. Abitbol G,
    3. Rozenberg K,
    4. Rozenfeld H,
    5. Deutsch A,
    6. Sampson SR,
    7. et al.
    (2012) Maintenance of redox state and pancreatic beta-cell function: role of leptin and adiponectin. J Cell Biochem 113:1966–1976.
    OpenUrlCrossRefPubMed
  33. ↵
    1. Maeda T,
    2. Horiuchi N
    (2009) Simvastatin suppresses leptin expression in 3T3-L1 adipocytes via activation of the cyclic AMP-PKA pathway induced by inhibition of protein prenylation. J Biochem 145:771–781.
    OpenUrlCrossRefPubMed
  34. ↵
    1. Yada T,
    2. Nakata M,
    3. Shiraishi T,
    4. Kakei M
    (1999) Inhibition by simvastatin, but not pravastatin, of glucose-induced cytosolic Ca2+signalling and insulin secretion due to blockade of L-type Ca2+channels in rat islet beta-cells. Br J Pharmacol 126:1205–1213.
    OpenUrlCrossRefPubMedWeb of Science
  35. ↵
    1. Xia F,
    2. Xie L,
    3. Mihic A,
    4. Gao X,
    5. Chen Y,
    6. Gaisano HY,
    7. et al.
    (2008) Inhibition of cholesterol biosynthesis impairs insulin secretion and voltage-gated calcium channel function in pancreatic beta-cells. Endocrinology 149:5136–5145.
    OpenUrlCrossRefPubMedWeb of Science
  36. ↵
    1. Unit ES
    (2005) Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins. Lancet 366:1267–1278.
    OpenUrlCrossRefPubMedWeb of Science
  37. ↵
    1. Goldstein MR,
    2. Mascitelli L
    (2013) Do statins cause diabetes? Curr Diab Rep 13:381–390.
    OpenUrlCrossRefPubMed
PreviousNext
Back to top

In this issue

Saudi Medical Journal: 37 (10)
Saudi Medical Journal
Vol. 37, Issue 10
1 Oct 2016
  • Table of Contents
  • Cover (PDF)
  • Index by author
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on Saudi Medical Journal.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Do statins really cause diabetes?
(Your Name) has sent you a message from Saudi Medical Journal
(Your Name) thought you would like to see the Saudi Medical Journal web site.
Citation Tools
Do statins really cause diabetes?
Alaa J. Rahal, Ahmed I. ElMallah, Rita J. Poushuju, Rana Itani
Saudi Medical Journal Oct 2016, 37 (10) 1051-1060; DOI: 10.15537/smj.2016.10.16078

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Do statins really cause diabetes?
Alaa J. Rahal, Ahmed I. ElMallah, Rita J. Poushuju, Rana Itani
Saudi Medical Journal Oct 2016, 37 (10) 1051-1060; DOI: 10.15537/smj.2016.10.16078
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • References
  • Figures & Data
  • eLetters
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Leaders produce leaders and managers produce followers
Show more Systematic Reviews

Similar Articles

CONTENT

  • home

JOURNAL

  • home

AUTHORS

  • home
Saudi Medical Journal

© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

Powered by HighWire