A 58-year-old man with type 2 diabetes for 8 years, hypertension, and albuminuria has no history of cardiovascular events. HbA1c is 7.4% on Metformin ...

Question

A 58-year-old man with type 2 diabetes for 8 years, hypertension, and albuminuria has no history of cardiovascular events. HbA1c is 7.4% on Metformin 1 g twice daily. LDL-C is 2.6 mmol/L. According to Canadian guidelines, which lipid strategy is most appropriate?

Accepted Answer

Start moderate- to high-intensity statin therapy regardless of baseline LDL-C

Answer

No statin needed because LDL-C is below 3.5 mmol/L

Answer

Use ezetimibe monotherapy because of diabetes

Answer

Start a PCSK9 inhibitor as first-line therapy

Answer

Lifestyle modification only

ca-mccqe1 MCQ (SBA): Diabetes-related cardiovascular risk

A 58-year-old man with type 2 diabetes for 8 years, hypertension, and albuminuria has no history of cardiovascular events. HbA1c is 7.4% on Metformin 1 g twice daily. LDL-C is 2.6 mmol/L. According to Canadian guidelines, which lipid strategy is most appropriate?