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      Directions and Essential Experimental Findings of Statin Treatment in Diabetic Patients

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            Summary

            The purpose of  conducted study  was to determine which of the different types of statins ensure a better control of biological markers in diabetic patients and which of the lipid molecules studied, could be a first choice of lipid-lowering therapy in people suffering from diabetes. The measurement of blood glucose levels depending on  type of statin used, was another target of this research. Dyslipidemia was a major risk factor for cardiovascular complications in people with diabetes. According to ROC statistical analysis it was found that Atorvastatin was the most effective statin in controlling dyslipidemia in diabetic patients, because has ensured optimum control of HDL, LDL - cholesterol, triglycerides and glycemic values, effect which was resulted  from the particular chemical structure of Atorvastatin. Atorvastatin  was  discovered to be the best predictor in diabetes mellitus type 2 treatment, with a  sensitivity  about 78% and  specificity to 45%., the most highest values compared  to Rosuvastatin and Simvastatin. Area Under the Curve (AUC = 0.610; AUC ˃ 0.600)

             

            In the diabetic patients treated with Atorvastatin, blood glucose level was the lowest of the three statins: 95.88 mg/dL; p = 0.034 and presented  the highest statistically significant value (p ˂ 0.05), The lowest triglycerides  value was measured in diabetic patients treated with Atorvastatin (110.97 mg/dL, p = 0.042), very high statistically significant.

            Between three studied antidiabetic drugs: Atorvastatin, Rosuvastatin and  Simvastatin., it was discovered that Atorvastatin was  the best and the most effective  predictor in diabetes mellitus type 2  patients treatment. Atorvastatin  was provided with a  sensitivity  about 78% and  specificity to 45%., which were  the most highest values compared  to those of patients treated with Rosuvastatin and Simvastatin. Area Under the Curve assigned to patients treated with Atorvastatin   (AUC = 0.610; AUC ˃ 0.600) . Other two statins (Rosuvastatin and Simvastatin) do not appear to be positive predictors in diabetes mellitus type 2 therapy and healing (AUC assigned to Rosuvastatin = 0.529 and AUC for Simvastatin = 0,439; AUC ˂ 0.600).

            Abstract

            The purpose of conducted study was to determine which of the different types of statins ensure a better control of biological markers in diabetic patients and which of the lipid molecules studied, could be a first choice of lipid-lowering therapy in people suffering from diabetes. The measurement of blood glucose levels depending on type of statin used, was another target of this research. Dyslipidemia was a major risk factor for cardiovascular complications in people with diabetes. According to ROC statistical analysis it was found that Atorvastatin was the most effective statin in controlling dyslipidemia in diabetic patients, because has ensured optimum control of HDL, LDL - cholesterol, triglycerides and glycemic values, effect which was resulted from the particular chemical structure of Atorvastatin. Atorvastatin was discovered to be the best predictor in diabetes mellitus type 2 treatment, with a sensitivity about 78% and specificity to 45%., the most highest values compared to Rosuvastatin and Simvastatin. Area Under the Curve (AUC = 0.610; AUC ˃ 0.600)

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            Author and article information

            Journal
            ScienceOpen Preprints
            ScienceOpen
            6 January 2024
            Affiliations
            [1 ] University of Medicine and Pharmacy "Grigore T. Popa", Biomedical Sciences Department, Faculty of Medical Bioengineering, 16 Universitatii Street, Iasi 700115, Romania ( https://ror.org/03hd30t45)
            Author notes
            Author information
            https://orcid.org/0000-0003-1364-9362
            Article
            10.14293/PR2199.000628.v1
            c88730c0-fd6e-4934-85da-e641e367db5c

            This work has been published open access under Creative Commons Attribution License CC BY 4.0 , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Conditions, terms of use and publishing policy can be found at www.scienceopen.com .

            History
            : 6 January 2024
            Categories

            All data generated or analysed during this study are included in this published article (and its supplementary information files).
            Earth & Environmental sciences,Medicine,Statistics,Engineering,Chemistry,Materials science
            diabetes mellitus,dyslipidemia,statins,biological markers,competitive inhibitors,LDL-cholesterol,triglycerides,blood glucose levels

            References

            1. Pelin Ana Maria, Gavat Cristian Catalin, Balan Gabriela, Popescu Eugenia, Georgescu Costinela Valerica. Particularities of Statin Therapy in Diabetic Patients. Revista de Chimie. Vol. 68(4):720–725. 2017. Revista de Chimie SRL. [Cross Ref]

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