PMID- 34391828 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20211124 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 179 DP - 2021 Sep TI - Association of statins with mortality in type 2 diabetes patients with intensive glycemic therapy. PG - 109005 LID - S0168-8227(21)00364-8 [pii] LID - 10.1016/j.diabres.2021.109005 [doi] AB - AIMS: Intensive glycemic therapy could lead to increased mortality in patients with type 2 diabetes mellitus (T2DM). But it remains unclear whether statins use improves prognosis in T2DM patients with intensive glycemic therapy. METHODS: Using data from Action to Control Cardiovascular Risk in Diabetes trial and performing propensity score matching and Cox proportional hazards regression, we explored the relationship between statin use and the risk of mortality in intensive-therapy group. RESULTS: In the intensive-therapy group, total mortality (TM) in patients with statins treatment is lower than those without statins (hazard ratio (HR), 0.68; 95% confidence interval (CI) 0.49-0.95; P = 0.022); the effects of statins on cardiovascular mortality (CM) and primary outcomes (PO), however, were negligible (CM: HR 0.96; 95% CI 0.61-1.51; P = 0.854; PO: HR 0.88; 95% CI 0.65-1.19; P = 0.415). Besides, the risk of TM, CM and PO in patients with the intensive therapy combined with statins use was similar to those in the standard group (TM: P = 0.445; CM: P = 0.362; PO: P = 0.637). CONCLUSIONS: Statins may alleviate the risk of TM in T2DM patients receiving intensive glycemic therapy. CI - Copyright (c) 2021. Published by Elsevier B.V. FAU - Liao, Longsheng AU - Liao L AD - Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Liu, Yamei AU - Liu Y AD - Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Zheng, Chunxiang AU - Zheng C AD - Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Xiang, Yuan AU - Xiang Y AD - Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Zhang, Zhe AU - Zhang Z AD - Department of Genetics and Cell Biology, Basic Medical College, Qingdao University, Qingdao, Shandong, China. FAU - Cheng, Xunjie AU - Cheng X AD - Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China. Electronic address: chengcsu319@csu.edu.cn. FAU - Bai, Yongping AU - Bai Y AD - Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China. Electronic address: baiyongping@csu.edu.cn. LA - eng PT - Journal Article DEP - 20210812 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Blood Glucose) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) SB - IM MH - Blood Glucose MH - *Diabetes Mellitus, Type 2/drug therapy MH - Humans MH - *Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - Diabetes mellitus OT - Mortality OT - Statins COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/08/16 06:00 MHDA- 2021/11/25 06:00 CRDT- 2021/08/15 20:38 PHST- 2021/01/24 00:00 [received] PHST- 2021/07/14 00:00 [revised] PHST- 2021/08/04 00:00 [accepted] PHST- 2021/08/16 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] PHST- 2021/08/15 20:38 [entrez] AID - S0168-8227(21)00364-8 [pii] AID - 10.1016/j.diabres.2021.109005 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2021 Sep;179:109005. doi: 10.1016/j.diabres.2021.109005. Epub 2021 Aug 12.