Aspirin and Diabetes- Do I Need To Take Aspirin When I Have Diabetes?

Will Aspirin Lower My Risk For Diabetes Complications?

Should I Take Aspirin Daily If I Have Diabetes?
You may have heard that you should take an aspirin every day to prevent a heart attack. The American Heart Association and the American Diabetes Association recommend that diabetics:

Take aspirin as primary prevention. This means that you will take aspirin  daily to prevent an initial  heart attack, stroke, transient ischemic attack, or angina if you have an elevated risk. Your risk is elevated if you are a man older than 50 or woman older than 60 and you have one of the following risks:

•    Smoker
•    Elevated blood pressure or hypertension
•    Obesity
•    Elevated cholesterol
•    Family history of heart disease

You should talk with your doctor to determine your risk. If you are younger than the ages stated above and do not have other medical problems that increase your risk, aspirin may not be indicated for you as your risk of side effects may be greater than any benefit.

Take aspirin as secondary prevention. This means that you take aspirin daily to prevent heart attack, stroke, transient ischemic attack, or angina after you have previously had one of these events in the past. If you have previously had one of these events, there is good evidence aspirin may help prevent another event.

Aspirin and Diabetes- What Aspirin Dose?
In patients that are going to take aspirin, the American Diabetes Association recommends a dose between 75–162 mg/day. If you have an aspirin allergy, clopidogrel (75 mg/day) can be used.

Aspirin and Diabetes- What Are the Side Effects?
Bleeding is the main side effect that you need to worry about with aspirin use. The most common for of bleeding is from the gastrointestinal tract.

American Diabetes Association. Accessed November December 27, 2012. Standards of Diabetes Care-2012

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