Fast Five Quiz: Type 2 Diabetes and Dyslipidemia

Anne L. Peters, MD

Disclosures

May 16, 2022

Owing to chronic hyperglycemia, patients with type 2 diabetes are at an increased risk for cardiovascular complications. In addition, many patients with type 2 diabetes also have other risk factors for CVDs, such as hypertension and hyperlipidemia. Thus, in addition to glycemic control and lifestyle modifications, vigorous cardiac risk reduction should be a priority in patients with type 2 diabetes.

Most patients with diabetes and hypertension should be treated to a blood pressure of < 140/90 mm Hg; individuals at high risk for CVD may have lower targets, such as < 130/80 mm Hg. Treatment of hypertension may include angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, thiazide diuretics, and calcium channel blockers.

According to the American Diabetes Association, primary prevention with statins and a target LDL of < 100 mg/dL are recommended in all diabetic patients 40-75 years of age, regardless of the presence of established CVD. In patients with very high-risk CVD target LDL is < 70 mg/dL.

Learn more about type 2 diabetes.

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