According to all the historical data, the risk of cardiac problems is higher for someone with diabetes. Therefore, more attention is paid to our cholesterol and the recommendations are to take statins.
Personally, I have a number of concerns with this
- the historic data is very blunt - you have diabetes or you don't. Little attention is paid to how well your diabetes is managed.
- historically, we have not had the tools to manage our diabetes (fast acting insulin, insulin pumps, CGMs, ...) that we have today so it was harder to maintain (or even know that you are maintaining) good blood sugar levels
- research into statins has shown a benefit if you are overweight and unfit. To my knowledge, there has been no research into the benefits of statins for an active person of a healthy weight.
Based on this, I have chosen to focus on managing my diabetes with the tools I have available to me, not going overboard with "unhealthy" food (but not completely banning myself from the odd cake or portion of chips as long as I bolus for it), keep active, maintain my weight, continue to monitor my cholesterol and not take any tablets for it unless it rises significantly.