Question

A 55-year-old man with newly diagnosed type 2 diabetes (A1C 8.4%) has no clinical atherosclerotic cardiovascular disease, chronic kidney disease, or other major comorbidities. His LDL-C is 3.0 mmol/L. According to the 2021 Canadian Cardiovascular Society dyslipidemia guideline, which of the following best describes the recommended lipid management?

Accepted Answer

Initiate high-intensity statin therapy because most people with diabetes are a statin-indicated condition

Answer

No statin therapy is indicated because LDL-C is <5.0 mmol/L

Answer

Lifestyle modification alone for 6-12 months, then reassess the need for statin

Answer

Initiate ezetimibe monotherapy instead of a statin

Answer

Start a low-dose statin only if his 10-year Framingham risk is >=20%

Practice question