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A 58-year-old man who has Type 2 diabetes has excellent glycemic control (hemoglobin A1c value of 6.4%) on diet alone. He exercises and maintains a desirable weight and body mass index. His blood pressure is 110/80 mm Hg. His total cholesterol level is 203 mg/dL (5.25 mmol/L), triglyceride level is 87 mg/dL (0.98 mmol/L), HDL cholesterol level is 64 mg/dL (1.66 mmol/L), and calculated LDL cholesterol level is 122 mg/dL (3.15 mmol/L).
Which of the following is the best strategy for managing this patient's disease?
- Continue current management of diet and exercise.
- Add a statin.
- Add metformin.
- Add Niacin.
- Add metformin + statin.
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