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Despite better microvascular outcomes, intensive insulin therapy was associated with a high rate in severe hypoglycemia (62 episodes per 100 patient-years of therapy).

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Rhabdomyolysis is more likely to occur in people over the age of 65 years, who already have kidney problems, and who have uncontrolled hypothyroidism (low thyroid hormone levels).

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If ACE inhibitors, ARBs, or diuretics are used, monitor renal function and serum potassium levels.

Their decision to stop the study was based on statistical certainty that Niaspan would not show benefit with further follow-up.

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See the charts below on clinical endpoints related to statins.

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Risk factors for heart disease include diabetes; high LDL; low HDL; older age; smoking; high blood pressure; retinopathy (damage to the blood vessels in the retina of the eye); protein in the urine; or a family history of early heart disease.

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Second, pravastatin inhibits LDL production by inhibiting hepatic synthesis of VLDL, the LDL precursor.

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See full prescribing information for NIASPAN.

Many long-acting versions have been made available to avoid this bothersome side effect.

Its FDA-approved indications are for type IV and V hyperlipidemia (ie, elevations in VLDL only or both VLDL and chylomicrons).

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Patients were given dietary counseling and randomized to treatment with either conventional therapy with double placebo (or placebo plus colestipol if the LDL-C was elevated); lovastatin plus colestipol; or Niacin plus colestipol.

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