PMID- 29255368 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220311 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 10 DP - 2017 TI - Effect of different doses of statins on the development of type 2 diabetes mellitus in patients with myocardial infarction. PG - 481-489 LID - 10.2147/DMSO.S149463 [doi] AB - BACKGROUND: Cardiovascular diseases and type 2 diabetes mellitus (T2DM) may have common developmental mechanisms associated with lipid metabolism disorders. Dyslipidemia and progression of atherosclerosis in people with T2DM are accompanied by an increase in cardiovascular mortality. This study examined the dose-dependent action of atorvastatin on carbohydrate metabolism and adipokine status in patients within 12 months after myocardial infarction (MI). METHODS: A total of 156 male MI patients who had received atorvastatin 20 mg/day (78 patients) or 40 mg/day (78 patients) starting from day 1 of onset were enrolled. Glucose, insulin, C-peptide, resistin, adiponectin, and ghrelin levels were measured at baseline, day 12, and months 3 and 12. Patients were monitored for new incidences of T2DM for 12 months after MI. RESULTS: For acute phase MI, patients had moderate insulin resistance, hyperglycemia, and hyper-insulinemia, high leptin and resistin levels, and low ghrelin and adiponectin levels. Atorvastatin 20 mg/day was more effective at correcting the imbalances. Patients taking atorvastatin 40 mg/day (group 2) following MI showed increases in levels of glucose, insulin, and C-peptide and insulin resistance progression after 12 months of therapy, as evidenced by increased quantitative insulin sensitivity check index scores and detection of new T2DM cases. CONCLUSION: Atorvastatin improved adipokine profiles and ghrelin levels, with low doses showing more significant effects. Atorvastatin dose prescribed for MI patients should take into account the degree of insulin resistance and adipokine status. FAU - Gruzdeva, Olga AU - Gruzdeva O AD - Federal State Budgetary Institution, Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia. FAU - Uchasova, Evgenya AU - Uchasova E AD - Federal State Budgetary Institution, Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia. FAU - Dyleva, Yulia AU - Dyleva Y AD - Federal State Budgetary Institution, Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia. FAU - Akbasheva, Olga AU - Akbasheva O AD - State Budget Educational Institution of Higher Professional Education, Siberian State Medical University, Russian Federation Ministry of Health, Tomsk, Russia. FAU - Karetnikova, Victoria AU - Karetnikova V AD - Federal State Budgetary Institution, Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia. FAU - Shilov, Aleksandr AU - Shilov A AD - Federal State Budgetary Institution, Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia. FAU - Barbarash, Olga AU - Barbarash O AD - Federal State Budgetary Institution, Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia. LA - eng PT - Journal Article DEP - 20171205 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 CIN - Diabetes Metab Syndr Obes. 2018 Apr 12;11:131. PMID: 29697702 PMC - PMC5722009 OTO - NOTNLM OT - adipokine OT - inflammation OT - myocardial infarction OT - resistin OT - statin COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2017/12/20 06:00 MHDA- 2017/12/20 06:01 PMCR- 2017/12/05 CRDT- 2017/12/20 06:00 PHST- 2017/12/20 06:00 [entrez] PHST- 2017/12/20 06:00 [pubmed] PHST- 2017/12/20 06:01 [medline] PHST- 2017/12/05 00:00 [pmc-release] AID - dmso-10-481 [pii] AID - 10.2147/DMSO.S149463 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2017 Dec 5;10:481-489. doi: 10.2147/DMSO.S149463. eCollection 2017.