Question

A 45-year-old woman with a 6-year history of type 2 diabetes and no known cardiovascular disease attends for review. She is a non-smoker with well-controlled blood pressure. Her fasting lipid profile shows total cholesterol 5.6 mmol/L, LDL-C 3.4 mmol/L, HDL-C 1.1 mmol/L and triglycerides 1.8 mmol/L. Which lipid management strategy is most consistent with current Canadian recommendations?

Accepted Answer

Start a moderate- to high-intensity statin for primary prevention

Answer

Begin aspirin but defer statin therapy unless LDL-C exceeds 5.0 mmol/L

Answer

Start a fibrate as first-line therapy

Answer

Use dietary modification alone, with no indication for pharmacologic lipid-lowering

Answer

Order a coronary CT angiogram before deciding on therapy

Practice question