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Lipid Algorithm For Type 1 and Type 2 Diabetes Mellitus in Adults Revised 1-24-08 HMG Co-A Reductase Inhibitors LDL-C Equivalency in Patients with Hypercholesterolemia* Fluvastatin Pravastatin Lovastatin Simvastatin Atorvastatin Rosuvastatin Ezetimibe/ Simvastatin Approximate %LDL↓ 20 mg 10 mg 10 mg ----- ----- ----- ----- 15-20 40 mg 20 mg 20 mg 5-10 mg ----- ----- ----- 21-29 80-XL 40-80 mg 40 mg 20 mg 10 mg ----- ----- 30-38 ----- ----- 80 mg 40 mg 20 mg 5-10 mg 10/10 mg 39-47 ----- ----- ----- 80 mg 40 mg 20 mg 10/20 mg 48-54 ----- ----- ----- ----- 80 mg 40 mg 10/40 mg 55-59 ----- ----- ----- ----- ----- ----- 10/80 mg >59 Footnote: *this information is not based on head to head comparison (Page 2 of 3) 58 H EALTH PLANS www.cfhp.com
References: Revised 1-24-08 • Collins R, Armitage J, Parish S, Sleigh P, Peto R; Heart Protection Study Collaborative Group. MRC/BHF Heart Protection Study of cholesterol-lowering with simvastatin in 5963 people with diabetes: a randomised placebo-controlled trial. Lancet. 2003 Jun 14;361(9374):2005-16. • Heart Protection Study Collaborative Group. MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet. 2002 Jul 6;360(9326):7-22. • Colhoun HM, Betteridge DJ, Durrington PN, Hitman GA, Neil HA, Livingstone SJ, Thomason MJ, Mackness MI, Charlton-Menys V, <strong>Full</strong>er JH; CARDS investigators. Primary prevention of cardiovascular disease with atorvastatin in type 2 diabetes in the Collaborative Atorvastatin Diabetes Study (CARDS): multicentre randomised placebo-controlled trial.Lancet. 2004 Aug 21- 27;364(9435):685-96. • Grundy SM, Cleeman JI, Merz CN, Brewer HB Jr, Clark LT, Hunninghake DB, Pasternak RC, Smith SC Jr, Stone NJ; National Heart, Lung, and Blood Institute; American College of Cardiology Foundation; American Heart Association.Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation. 2004 Jul 13; 110(2):227-39. • Jones P, Kafonek S, Laurora I, Hunninghake D.Comparative dose efficacy study of atorvastatin versus simvastatin, pravastatin, lovastatin, and fluvastatin in patients with hypercholesterolemia (the CURVES study) Am J Cardiol. 1998 Mar 1;81(5):582-7. • Jones PH, Davidson MH. Reporting rate of rhabdomyolysis with fenofibrate + statin versus gemfibrozil + any statin.Am J Cardiol. 2005 Jan 1;95(1):120-2. • Maeda K, Noguchi Y, Fukui T.The effects of cessation from cigarette smoking on the lipid and lipoprotein profiles: a metaanalysis. Prev Med. 2003 Oct;37(4):283-90. • Keech A, Simes RJ, Barter P, Best J, Scott R, Taskinen MR, Forder P, Pillai A, Davis T, Glasziou P, Drury P, Kesäniemi YA, Sullivan D, Hunt D, Colman P, d'Emden M, Whiting M, Ehnholm C, Laakso M; FIELD study investigators. Effects of long-term fenofibrate therapy on cardiovascular events in 9795 people with type 2 diabetes mellitus (the FIELD study): randomised controlled trial. Lancet. 2005 Nov 26;366(9500):1849-61. • Rubins HB, Robins SJ, Collins D, Fye CL, Anderson JW, Elam MB, Faas FH, Linares E, Schaefer EJ, Schectman G, Wilt TJ, Wittes J.Gemfibrozil for the secondary prevention of coronary heart disease in men with low levels of high-density lipoprotein cholesterol. Veterans Affairs High-Density Lipoprotein Cholesterol Intervention Trial Study Group. N Engl J Med. 1999 Aug 5; 341(6):410-8. • Cholesterol Treatment Trialists' (CTT) Collaborators, Kearney PM, Blackwell L, Collins R, Keech A, Simes J, Peto R, Armitage J, Baigent C.Efficacy of cholesterol-lowering therapy in 18,686 people with diabetes in 14 randomised trials of statins: a metaanalysis.Lancet. 2008 Jan 12;371(9607):117-25. (Page 3 of 3) H EALTH PLANS www.cfhp.com 59
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Community First Health Plans Qualit
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10.5 ATP III Classification of Chol
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Such information is released only t
Page 7 and 8: Non Voting • Martin Jimenez, Dire
Page 9 and 10: The purpose of these guidelines is
Page 11 and 12: Table 1. Adult Preventive Services
Page 13 and 14: Recommended Adult Immunization Sche
Page 15 and 16: Footnotes — Recommended Adult Imm
Page 17 and 18: CFHP has adopted the National Asthm
Page 19 and 20: Patient Name ______________________
Page 21 and 22: Managing Asthma Long Term 41 FIGURE
Page 23 and 24: FIGURE 14. CLASSIFYING ASTHMA SEVER
Page 25 and 26: FIGURE 16. STEPWISE APPROACH FOR MA
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Page 29 and 30: II. Some hyperactive-impulsive or i
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Page 33 and 34: Criteria Requirements 33. Release o
Page 35 and 36: The evaluation of breast disease is
Page 37 and 38: Prevent Child Texas, a non-profit o
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Page 41 and 42: possible), a careful, complete, and
Page 43 and 44: Examination/Test Oral / Dental Insp
Page 45 and 46: GLYCEMIC CONTROL BIBLIOGRAPHY • R
Page 47 and 48: Publication # 45-11647 Targets* A1
Page 49 and 50: WORKSHEET Revised 10-20-05 Advancin
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Page 53 and 54: Publication # 45-11266 Age 126 mg/d
Page 55 and 56: Hypertension Algorithm for Diabetes
Page 57: Lipid Algorithm For Type 1 and Type
Page 61 and 62: WEIGHT LOSS ALGORITHM FOR OVERWEIGH
Page 63 and 64: Publication #45-11825 Screening 1 :
Page 65 and 66: Publication #45-12000 DIABETIC FOOT
Page 67 and 68: DIABETIC FOOT CARE/REFERRAL ALGORIT
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Page 73 and 74: Revised 10-25-07 IV INSULIN INFUSIO
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Page 77 and 78: Revised 2-21-08 Publication #: E45-
Page 79 and 80: Abbreviations AGI Alpha-Glucosidase
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Page 95 and 96: 11.3 Treatment of Hypertension H EA
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Risk Factors for Osteoporosis Fract
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It is well documented that obesity
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CLASSIFICATION OF OVERWEIGHT AND OB
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16.1.1 Preventive Pediatric Health
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TEXAS MEDICAID PROVIDER PROCEDURES
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CHILDREN’S SERVICES HANDBOOK P h
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CHILDREN’S SERVICES HANDBOOK P R
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FIGURE 2: Recommended immunization
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Comprehensive antepartum care is vi
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The following variables should be e
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CRITERIA 19. Unresolved Problems Fr
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CFHP OB/GYN SPECIALTY MEDICAL RECOR
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CFHP OB/GYN SPECIALTY MEDICAL RECOR
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According to the National Institute
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. aminotransferase (AST) and alanin
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PREVENTION RECOMMENDATIONS 1. The E
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2 to 20 years: Boys Body mass index
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AsthmaMatters is an initiative deve
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According to the Centers for Diseas
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