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Clinical Parameters

Apr 14, 2018

Mr. Hernandez's  labs are notable for A1C 7.5, FPG 137 mg/dL, LDL-cholesterol 190 mg/dL, HDL-cholesterol 38 mg/dL, and triglycerides 232 mg/dL. You discuss his lab results, his diagnosis, and how to manage diabetes, then you make referrals to the appropriate diabetes team clinicians. You start Mr. Hernandez on metformin, lifestyle modifications, an ACE inhibitor, and a statin.

What clinical parameters are you looking to achieve?


Correct Answer: C. A1c<7%, BP<140/80 mmHg, LDL<100mg/dL

Educational Critique: For most individuals with diabetes, glycemic control (A1C<7%, FPG 70-130 mg/dL, PPG <180 mg/dL) has been associated with reduced microvascular complications and managing blood pressure (BP<140/80 mmHg). Lipid profiles have been shown to be effective in reducing macrovascular complications. Source: ADA Clinical Recommendations 2018