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. 2019 Aug 7;8(2):78–131. doi: 10.12997/jla.2019.8.2.78
Content Strength of recommendation Level of evidence
Patients with diabetes are recommended to take blood lipid test at the time of diagnosis and every year thereafter. I E
In addition to the routine lipid testing (total cholesterol, HDL-C, LDL-C, triglyceride), non-HDL-C or apoB may be measured to assess diabetic dyslipidemia. IIa A
In diabetic patients without CVD, the recommended target for LDL-C is <100 mg/dL. I A
In diabetic patients with CVD risk factors or target organ damage such as albuminuria and chronic kidney disease, an LDL-C target of <70 mg/dL should be considered. I B
Patients with diabetes and dyslipidemia must engage in aggressive lifestyle modifications. I A
Strict glycemic control is helpful to control hypertriglyceridemia. I C
Statin is the first line treatment for patients with diabetes and dyslipidemia. I A
If statin therapy is not sufficient to achieve the target LDL-C goal in patients with diabetes and CVD, adding ezetimibe should be considered. IIa B
If statin therapy is not sufficient to achieve the target LDL-C goal in patients with diabetes and CVD, adding PCSK9 inhibitors may be considered. IIb B