Question

A 55-year-old woman with type 2 diabetes, diagnosed 5 years ago, attends a primary care review. She has no clinical cardiovascular disease, does not smoke, and has an LDL-C of 2.4 mmol/L. Blood pressure is 128/76 mmHg. According to current Canadian dyslipidaemia guidance, what is the most appropriate lipid management strategy?

Accepted Answer

Start a statin for primary prevention because she has diabetes and is over 40 years old

Answer

Reassure her that her LDL-C is acceptable and no statin is required

Answer

Delay statin therapy until her 10-year cardiovascular risk exceeds 20 percent

Answer

Use ezetimibe monotherapy instead of a statin to minimise myalgia risk

Answer

Begin a PCSK9 inhibitor because her LDL-C is above 1.8 mmol/L

Practice question