Two-Year Statin Therapy Does Not Alter the Progression of Intima-Media Thickness in Patients With Type 2 Diabetes Without Manifest Cardio-vascular Disease

Response to Cicero et al.

  1. Edith D. Beishuizen, MD1,
  2. Marcel A. van de Ree, MD, PHD2,
  3. J. Wouter Jukema, MD, PHD3,
  4. Jouke T. Tamsma, MD, PHD1 and
  5. Menno V. Huisman, MD, PHD1
  1. 1Department of General Internal Medicine, Leiden University Medical Center, Leiden, the Netherlands
  2. 2Department of Internal Medicine, Diakonessenhuis, Utrecht, the Netherlands
  3. 3Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands
  1. Address correspondence to E.D. Beishuizen, Department of General Internal Medicine, C1-R41, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, Netherlands. E-mail: e.d.beishuizen{at}lumc.nl

We thank Cicero et al. (1) for their comments on our article (2). We measured intima-media thickness (IMT) at baseline and after 1 and 2 years. Thus, the assertion by Cicero et al. that we “should have concluded that 15.4 months of treatment with 0.4 mg cerivastatin…is not efficacious in reducing IMT progression in type 2 diabetic subjects” cannot, in our view, be drawn from the data as gathered. Although the level of LDL cholesterol was significantly higher during 20-mg simvastatin treatment compared with 0.4-mg cerivastatin treatment (2.56 …

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