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Statins Cut Deaths and Major Cardiac Events Across Risk Levels in Type 2 Diabetes

UK primary-care data analyzed as a target-trial emulation found consistent benefits that the authors say should inform primary-prevention decisions for low-risk patients.

Overview

  • Researchers from the University of Hong Kong emulated a target trial using the IMRD‑UK primary‑care database, studying adults with type 2 diabetes aged 25 to 84 over as long as 10 years.
  • Initiating statins was associated with lower all-cause mortality and fewer major cardiovascular events across the full range of predicted 10‑year risk, including patients classified as low risk.
  • The analysis focused on primary prevention, comparing new statin users with similar nonusers who had no serious heart or liver disease at baseline.
  • Safety findings showed no increased risk of liver problems and only a very small increase in myopathy observed in one risk group.
  • The peer-reviewed results were published in Annals of Internal Medicine, with authors urging clinicians to weigh the benefits even for patients with low short‑term cardiovascular risk.