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An analysis was made of the effect of alternateday dosing of atorvastatin and
standard once-daily dosing, based on mean low-density lipoprotein (LDL) reduction
from baseline in type 2 diabetics.
Forty-four type 2 diabetics were enrolled in the study. In compliance with
American Diabetes Association (ADA) and National Cholesterol Education Program
Expert Panel (NCEP-III) guidelines, LDL-C<100 mg/dl was chosen as the treatment
target. Patients were assigned to 10 mg atorvastatin as an initial dose every
day. The atorvastatin dose was doubled every 6 weeks if the patients failed
to reach the treatment target. After achieving LDL<100 mg/dl, the patients
were assigned to the corresponding atorvastatin dose every other day for 12
weeks.
Thirty-three patients correctly completed the study. LDL-C decreased 39% after
the every-day period and 23% after the alternate-day atorvastatin dosing period
(p<0.05). The target LDL-C concentration of <100 mg/dl was maintained
in 19 patients (57.6%) in the alternate-day period. None of the 33 patients
showed elevations in liver enzymes or creatine kinase during the alternate-day
dosing period. Alternate-day dosing of atorvastatin could be an effective and
safe alternative to daily-dosing in some type 2 diabetic patients.
Acta Diabetol. 2006 Nov;43(3):75-8.
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DID YOU KNOW:
Aerobic vs. Anerobic for Patients with Diabetes: Combining resistance training,
such as weight lifting, with aerobic workouts appears to be the most beneficial
for type 2 for long-term control of blood sugar control than either form of
exercise alone, researchers report. For any type of exercise training lasting
12 weeks or longer, the researchers found, hemoglobin A1C levels fell by 0.8
percent. There was some evidence that combining aerobic exercise with resistance
training had more of an effect than either type of exercise alone. Diabetes
Care, November 2006.
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