Introduction Statin therapy is associated with an increased risk of
developing diabetes. Among bariatric patients, the influence of this therapy on
various metabolic outcomes, such as diabetes status and its remission, is
largely unknown.
Methods This was a retrospective study of 1710 patients who underwent
bariatric surgery at our hospital between January/2010 and
June/2017. We compared patients with and without statin therapy at
baseline, 12 and 24 months after surgery regarding statin use and its impact on
several clinical and analytical parameters. Multiple linear regression was
performed, adjusting differences for age, sex, surgery type, antidiabetic drugs
at baseline, hypertension at baseline, LDL cholesterol
˃ 130 mg/dL, weight variation one year after surgery,
and age of obesity onset.
Results The overall prevalence of statin use was 20.2% before,
13.6% 12 months after surgery, and 15.0% 24 months after
surgery. There was a larger reduction in fasting glucose and HbA1c at 12 and 24
months after surgery among statin-treated patients, with the opposite trend for
weight reduction and BMI. Statin-treated patients with diabetes had lower
diabetes remission rates (45.3 vs 68.5%) 12 months after surgery,
with the highest reduction in HbA1c (1.3±1.3 vs
−1.1±1.2%; p=0.042), fasting glucose
(−40.8±48.8 vs
−30.9±41.6 mg/dL; p=0.028), and insulin
(−21.7±28.2 vs −13.4±14.2 mIU/L;
p=0.039). The proportion of new-onset cases of diabetes was equal
between statin-treated vs non-treated individuals at 12 months (1.9%)
and 24 months (1.0%) after surgery.
Conclusion Bariatric surgery seems to lead to diabetes remission more
frequently in patients not treated with statins. A larger reduction was observed
in fasting glucose and HbA1c among statin-treated patients. Statin did not
contribute to an increased proportion of new-onset diabetes after surgery.
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