Title
Does Simvastatin Affect Insulin Sensitivity in Dyslipidemic Type 2 Diabetic Patients?
Effects of High Dose Simvastatin Therapy on Glucose Metabolism and Ectopic Lipid Deposition in Non-Obese Type 2 Diabetic Patients
Phase
N/ALead Sponsor
University of ViennaStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Hypercholesterolemia Diabetes Cardiovascular DiseaseIntervention/Treatment
simvastatin ...Study Participants
20We aimed to address the issue whether statins affect insulin resistance. To this end, we combined the available state-of-the art technology for detailed assessment of both whole-body and tissue specific insulin sensitivity in vivo in humans (euglycemic-hyperinsulinemic clamp, stable isotope [6,6-2H2]glucose dilution technique, proton nuclear magnetic resonance spectroscopy - 1H MRS - of liver and skeletal muscle). Outcome measures were determined before and after 8 weeks therapy with 80 mg Simvastatin in hypercholesterolemic patients with type 2 diabetes.
80 mg Simvastatin daily for 8 weeks
The placebo was identical in appearance and was provided by the same manufacturer
Inclusion Criteria: Type 2 diabetic patients with known duration of disease: 3-10 years Age: 35-75 years BMI<32 kg/m2 Hypercholesterolemia: fasting serum low density lipoprotein (LDL) Cholesterol concentration < 4.16 mmol/L (<160 mg/dl) Normotriglyceridemia: fasting plasma triglyceride concentration < 2.75 mmol/L (250 mg/dl) Creatinine levels < 1.8 mg /dl Liver transaminases < 20% over the upper limit with no active liver disease and CK < 50% above the upper limit Blood pressure less than 160/100 mmHg were accepted as eligible for enrollment Exclusion Criteria: Hypertension, cardiovascular disease or metabolic diseases other than T2DM as determined by medical history, physical examination and routine laboratory tests Alcohol consumption (more than 10 drinks/week) Poor glycemic control (HbA1c<9%) Patients requiring insulin, patients with type 1 diabetes Patients taking any medicine known to interfere with metabolism of statins or with insulin sensitivity as summarized in an exclusionary drug table Patients receiving any hypolipidemic medication or diet during the last 2 months before enrollment