DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
DM Full Guideline (2010) - VA/DoD Clinical Practice Guidelines Home
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Version 4.0<br />
<strong>VA</strong>/<strong>DoD</strong> <strong>Clinical</strong> <strong>Practice</strong> <strong>Guideline</strong><br />
for the Management of Diabetes Mellitus<br />
ineffective. Once glycemic control is improved, the TG level should be reassessed and addressed.<br />
9. Statin drug therapy should be initiated for patients with previous documented CHD or CVD equivalent<br />
(diabetes with other major risk factors) if baseline LDL-C is greater than or equal to 100 mg/dL. [A]<br />
10. Statin drug therapy should be initiated for patients with documented <strong>DM</strong> with no major risk factors if<br />
baseline LDL-C is greater than or equal to 130 mg/dL. [ C ]<br />
11. Statin drug therapy should be considered for all patients with CHD or CVD equivalent (diabetes with other<br />
major risk factors) regardless of LDL-C baseline. [ B ]<br />
Table D-6. Dyslipidemia Therapy Thresholds and Goals<br />
Risk<br />
Category<br />
Disease Status or<br />
Risk Factors<br />
Calculated<br />
10-Year Risk<br />
TLC<br />
LDL-C Level for<br />
Considering<br />
Statin Drug Therapy<br />
LDL Goal of<br />
Therapy<br />
Secondary<br />
Prevention<br />
Primary<br />
Prevention<br />
Very high<br />
Recent ACS N/A All All<br />
CHD or<br />
<strong>DM</strong> with other<br />
risk factors<br />
<strong>DM</strong> with no other<br />
risk factors<br />
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