Pathogenesis and Management of the Diabetogenic Effect of Statins: a Role for Adiponectin and Coenzyme Q10?

  • Dick C. Chan
  • Jing Pang
  • Gerald F. Watts
Statin Drugs (BS Wiggins, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Statin Drugs


There is growing evidence to suggest that statin therapy is associated with an increased risk of incident diabetes. The risk for statin-related diabetes depends upon many factors including age, pre-existing diabetic risk, type and potency of statin. Several mechanisms have been suggested for the diabetogenic effects of statins involving processes that alter islet ß-cell function, resulting in impaired glucose metabolism. Recent evidence suggests that the association of statin therapy with the development of diabetes may be partly mediated by a statin-induced decrease in circulating adiponectin and coenzyme Q10. The available evidence suggests the benefit of statins in reducing cardiovascular events outweigh the risk of developing diabetes. Moreover, statin therapy does not impair glycemic control in diabetic patients. Expert recommendations for the use of statins in people at risk of developing diabetes have recently been published. However, further research is required to elucidate both the association between statin use and incident diabetes as well as underlying mechanisms.


HMG-CoA reductase inhibitors Type 2 diabetes Insulin-resistance Adipocytokines Cardiovascular disease Coenzyme Q10 


Compliance with Ethics Guidelines

Conflict of Interest

Dick C. Chan, Jing Pang and Gerald F. Watts declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major important

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© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Metabolic Research Centre, School of Medicine and PharmacologyUniversity of Western AustraliaPerthAustralia
  2. 2.Cardiometabolic MedicineRoyal Perth HospitalPerthAustralia

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