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Correspondence
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Volume 352:205-207 January 13, 2005 Number 2
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Thiazolidinediones

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 by Yki-Järvinen, H.
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To the Editor: In her otherwise excellent review of thiazolidinediones, Dr. Yki-Järvinen (Sept. 9 issue)1 states that "the effects of rosiglitazone or pioglitazone on the size of LDL [low-density lipoprotein] particles have not been studied in a double-blind, placebo-controlled trial." That is not quite the case. In a double-blind, randomized trial of pioglitazone as compared with placebo in nondiabetic patients with normolipidemia and hypertension, pioglitazone increased LDL particle size.2 Furthermore, in two open-label studies involving patients with type 2 diabetes, the size of LDL particles was increased by rosiglitazone, as compared with placebo,3 and by pioglitazone, as compared with gliclazide.4


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