Question

A 47-year-old man with type 2 diabetes (diagnosed 5 years ago) and no known cardiovascular disease has an LDL cholesterol of 2.9 mmol/L and total cholesterol of 5.0 mmol/L. His blood pressure is 128/78 mm Hg on an ACE inhibitor. He does not smoke. According to the 2021 Canadian Cardiovascular Society dyslipidaemia guideline, what is the most appropriate next step regarding lipid management?

Accepted Answer

Start a moderate- to high-intensity statin regardless of calculated risk

Answer

No statin therapy is indicated because his LDL is less than 3.5 mmol/L

Answer

Recommend diet and exercise only and repeat lipids in 3 years

Answer

Calculate Framingham risk score and treat only if >=20 percent

Answer

Order a coronary artery calcium score before making a decision

Practice question