Type 2 Diabetes Adult Outpatient Insulin Guidelines - CMA Foundation

National Cholesterol Education Program High
ATP III Guidelines At-A-Glance
Quick Desk Reference
(NHLBI 2001 including updates from the NCEP Report 2004)
1
Step 1
2
Step 2
3
Step 3
Determine lipoprotein levels–obtain complete lipoprotein profile after
9- to 12-hour fast.
ATP III Classification of LDL, Total, and HDL Cholesterol (mg/dL)
LDL Cholesterol – Primary Target of Therapy
< 100
(optional goal: < 70)* Optimal
100-12
9
Near
optimal/
above
optimal
130-15
9
Borderline
high
160-18
9
High
> 190
Very
high
Total Cholesterol
< 200
200-23
9
> 240
HDL Cholesterol
< 40
> 60
Identify presence of clinical atherosclerotic disease that confers high risk
for coronary heart disease (CHD) events (CHD risk equivalent):
■ Clinical CHD
■ Symptomatic carotid artery disease
■ Peripheral arterial disease
■
■
Desirable
Borderline
High
Low
High
Abdominal aortic aneurysm
Diabetes
high
*An LDL-C goal of =200 mg/dL plus non-HDL-C >=130 mg/dL
with low HDL-C [140/90 mmHg or on antihypertensive medication)
Low HDL cholesterol (60 mg/dL counts as a “negative” risk factor; its presence removes one
risk factor from the total count.
N A T I O N A L I N S T I T U T E S O F H E A L T H
N A T I O N A L H E A R T , L U N G , A N D B L O O D I N S T I T U T E
Blood Cholesterol
50 CMA FoundAtion . diAbetes And CArdiovAsCulAr diseAse Provider reFerenCe guide . july 2011