Pharm Discussion XII


A 44-year-old woman has a 10-year history of type 2 diabetes. She is a nonsmoker with well-controlled hypertension. She is on :

-dietary management

-metformin 1000mg BID

-omega-3 1000mg  ii BID

lisinopril/hydrochlorothiazide 20/25 QD.

She has a family history of diabetes.

BP 134/78, BMI of 36.0, HbA1C 7.5%

FLP: LDL–C 95 mg/dL, triglycerides 350 mg/dL, and HDL–C 38 mg/dL

  1. Based upon the case information and the patient’s lipid profile, describe your approach to therapy using each of the currently available guidelines:
    • 2013 ACC/AHA Blood Cholesterol Guidelines for ASCVD Prevention
    • 2014 NLA Recommendations for Patient-Centered Management of Dyslipidemia
    • 2016/2017 ACC Expert Consensus Decision Pathway on the Role of Non-Statin Therapies for Additional LDL-lowering
  2. Now that you have compared and contrasted the various approaches, how would you educate the patient on the medications you have chosen?

NOTE: If recommending therapy provide drug, dose and rationale please.

Post your initial response and Respond to one student. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required 

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