Guidelines for Diabetes

March 2018

UK Guidelines

Diabetes UK states:  “Diabetes UK recommends that people with diabetes without known cardiovascular disease should discuss their individual risk with their healthcare team.”

JBS 3 2014 “There is no role for aspirin in primary prevention of CVD in type 1 diabetes.”

“Low dose aspirin is not recommended for primary prevention of CVD in patients with type 2 diabetes.”

NICE NG17 2015 (updated July 2016) “Do not offer aspirin for the primary prevention of cardiovascular disease to adults with type 1 diabetes.”

NICE NG28 2015 (updated May 2017) Type 2 diabetes in adults- management “Do not offer antiplatelet therapy (aspirin or clopidogrel) for adults with type 2 diabetes without cardiovascular disease.”

SIGN 116 2010 (last revised Nov 2017) Management of Diabetes “Low-dose aspirin is not recommended for primary prevention of vascular disease in patients with diabetes.”


USA GUIDELINES

PREVENTION OF CARDIOVASCULAR EVENTS IN DIABETICS

The American Diabetes Association 2014 does advocate the use of aspirin for primary prevention of CVD for some people (Usually men over 50 and women over 60 years with other risk factors e.g. high BP and/or cholesterol) http://professional.diabetes.org/pel/taking-aspirin-protect-your-heart-english