Aspirin in type 2 diabetes: Is there any evidence base?

Walsh, Maie and Spurling, Geoffrey (2008) Aspirin in type 2 diabetes: Is there any evidence base?. BMJ: British Medical Journal, 337 7679: a1902-a1902. doi:10.1136/bmj.a1902


Author Walsh, Maie
Spurling, Geoffrey
Title Aspirin in type 2 diabetes: Is there any evidence base?
Journal name BMJ: British Medical Journal
ISSN 0959-535X
0959-8154
1468-5833
Publication date 2008-10-16
Sub-type Editorial
DOI 10.1136/bmj.a1902
Volume 337
Issue 7679
Start page a1902
End page a1902
Total pages 1
Editor Fiona Godlee
Place of publication London, U.K.
Publisher BMJ Group
Collection year 2009
Language eng
Subject C1
920104 Diabetes
111502 Clinical Pharmacology and Therapeutics
11 Medical and Health Sciences
Formatted abstract
While I (MW) was observing general practitioner consultations as a medical student, a 46 year old woman with type 2 diabetes presented for prescriptions. Because this is a common presentation, I thought this was one consultation that I should tune into. The patient’s diabetes was well controlled by diet and lifestyle alone. Her most recent glycated haemoglobin value was 6.1%. Hypercholesterolaemia (total cholesterol/high density lipoprotein cholesterol 4.2) and hypertension (blood pressure 125/80 mm Hg) were effectively managed with drugs. She was a regular smoker, which gave her an absolute cardiovascular risk of 5-10% (New Zealand cardiovascular risk calculator; www.nzgg.org.nz/guidelines/0035/CVD_Risk_Chart.pdf) over five years. However, one of the drugs she was taking didn’t make sense to me, so I asked my supervisor why someone with well controlled diabetes who was otherwise healthy should be on aspirin. “It’s routine to give someone with type 2 diabetes aspirin,” he assured me. I must have looked unconvinced because his initial confidence faltered and gave way to a slightly uncertain frown. We wondered, “What is the evidence base behind routinely prescribing aspirin in type 2 diabetes?”
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published under "Practice: Evidence Based Case Report".

 
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Created: Mon, 13 Apr 2009, 15:20:31 EST by Gillian Vey on behalf of General Practice SOMC