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
Year available 2008
Sub-type Editorial
DOI 10.1136/bmj.a1902
Open Access Status
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
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?”
Keyword Medicine, General & Internal
General & Internal Medicine
MEDICINE, GENERAL & INTERNAL
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: Tue, 14 Apr 2009, 01:20:31 EST by Gillian Vey on behalf of General Practice SOMC