Friday, September 14, 2012

Statins in Diabetics

As discussed at lectures today, the American Diabetes Association 2012 Standards of Medical Care in Diabetes state:
  • Statin therapy should be added to lifestyle therapy, regardless of baseline lipid levels, for diabetic patients:
    • ○ with overt CVD. (A)
    • ○ without CVD who are over the age of 40 years and who have one or more other CVD risk factors. (A)
  • For patients at lower risk than those above (e.g., those without overt CVD and under the age of 40 years), statin therapy should be considered in addition to lifestyle therapy if LDL cholesterol remains >100 mg/dL or in those with multiple CVD risk factors. (E)
  • In individuals without overt CVD, the primary goal is an LDL cholesterol <100 mg/dL (2.6 mmol/L). (A)
  • In individuals with overt CVD, a lower LDL cholesterol goal of <70 mg/dL (1.8 mmol/L), using a high dose of a statin, is an option. (B) 

    For full details, see the entire set of Standards at: (Click on "Full Text" and search for Dyslipidemia)

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