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Risk Level Target LDL level Lifestyle Modifications Medication


High < 70 mg/dL >70 mg/dL >100 mg/dL and consider for >70 mg/dL
CHD or equivalent


Moderate high risk100 mg/dl >130 mg/dL
(2 or 3 risk factors)

Moderate risk 130 mg/dl >160 mg/dL

Low risk 160 mg/dL >190 mg/dL

60-year-old diabetic male presents for follow-up. He is currently on metformin with glucose values consistently in the 100s and a hemoglobin A1c value of 5.8%. He has a blood pressure of 138/86 and a normal physical examination, including lower extremity neurologic examination. He has had regular eye exams, showing no signs of retinopathy. In planning future treatment of this patient, which of the following would you recommend?

A. Adding an ACE inhibitor

B. No change in therapy

C. Adding beta-blocker therapy

D. Ambulatory blood pressure monitoring

E. Adding sulfonylurea oral therapy

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a.

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AA

A. Adding an ACE inhibitor