CLINICAL MEDICINE

MEDICINE

NEPHROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 63 year old female patient came to the polyclinic for control. The patient has a history of DM since 5 years ago. On blood examination, LDL levels were 130 mg/dl and triglycerides 350 mg/dl. The right treatment is____
A
Statin
B
Assam fibrate
C
Niasin
D
Statins and fibric acid
E
Niacin and statins
Explanation: 

Detailed explanation-1: -Target LDL cholesterol levels for adults with diabetes are <100 mg/dl (2.60 mmol/l); HDL cholesterol levels are >40 mg/dl (1.02 mmol/l); and triglyceride levels are <150 mg/dl (1.7 mmol/l). In women, who tend to have higher HDL cholesterol levels than men, an HDL goal 10 mg/dl higher may be appropriate.

Detailed explanation-2: -The traditional Friedewald equation estimates LDL cholesterol this way: total cholesterol minus HDL cholesterol minus triglycerides divided by five. For simplicity’s sake, the formula applies a one-size-fits-all factor of five to everyone.

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