​Diabetes: ​Does aspirin help in lowering blood sugar risk?

A new study has found that taking low-dose aspirin actually helps reduce the risk of type 2 diabetes for older adults. The researchers observed adults over 65 who took a low-dose aspirin daily and found that it lowered the risk of diabetes by 15%. The reports of this study will be presented in early October at this year’s Annual Meeting of the European Association for the Study of Diabetes (EASD) in Hamburg, Germany,

For the study, the researchers used a low dose of aspirin, which is around 100 mg, on a daily basis. A total of 16,209 participants (8,086 randomized to aspirin and 8,123 to placebo) participated in the study. During the follow-up, a total of 995 new diabetes cases were found and in comparison with the placebo group, the aspirin group had a 15% reduction in the onset of diabetes and a slower rate of increase of fasting blood plasma glucose (FPG).

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"In experimental studies, it has been found that aspirin may affect the inflammatory markers responsible for insulin resistance, which may result in a reduced fasting blood sugar. But the dose of aspirin that would be required for any significant benefit on sugar would be extremely high wherein the individual may experience adverse effects of high dose aspirin," explains Dr. Tushar Tayal, Consultant, Internal Medicine, CK Birla Hospital, Gurugram.

"Although aspirin does not directly treat diabetes, it may be suggested for some diabetics to lower the risk of cardiovascular problems," says Dr. Bimal Chhajer, former consultant at AIIMS & Director, SAAOL Heart Centre, New Delhi. Dr. Chhajer explains that aspirin can be used as a preventive measure in situations where a person has diabetes since they are at an increased risk of heart attacks and strokes. Blood sugar levels are unaffected by aspirin, but the risks of potential side effects, including gastrointestinal bleeding and an increased risk of bleeding disorders, must be considered against the advantages. Doctors should carefully assess its use, taking into account each individual's specific risk factors and medical background.

"Aspirin can lead to gastrointestinal bleeding and, in some cases, intracranial bleeding. This risk is higher in certain individuals, especially the elderly," says Dr. Santosh Kumar Aggarwal, Sr Consultant- Internal Medicine, Marengo Asia Hospitals, Faridabad. "Aspirin is known for its antiplatelet properties, meaning it helps prevent the formation of blood clots. In the context of diabetes, aspirin is sometimes considered as a preventive measure against cardiovascular events," he adds.

"Research has shown that aspirin therapy may reduce the risk of heart attacks and strokes in people with diabetes, especially in those with additional risk factors such as a history of cardiovascular disease or other high-risk factors. However, the use of aspirin in diabetes is not a one-size-fits-all approach. It should be carefully considered on an individual basis," says Dr. Aggarwal.

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The experts suggest to exercise caution before taking aspirins for diabetes.

"In conclusion, aspirin's role in diabetes management is not universal, and its prescription should be personalized, considering the overall health and unique circumstances of the individual. Always consult with a healthcare provider before initiating or discontinuing any medication or treatment plan," advises Dr. Chhajer.


"The use of aspirin should be carefully evaluated and personalized, considering factors like age, overall health, and bleeding risk. It's essential for individuals with diabetes to work closely with their diabetologist or healthcare provider to determine the most appropriate cardiovascular risk reduction strategy tailored to their specific needs," suggests Dr. Aggarwal.