A 60-Year-Old African-American Woman Requests a Statin But is Afraid of Getting Diabetes

Editor's Note: Based on the 2013 Blood Cholesterol, Lifestyle Management, Obesity, and Risk Assessment Guidelines.

A 60-year-old African-American woman has asked whether she should be taking a statin to reduce her risk of stroke, but is worried about the statin causing diabetes. Her mother had diabetes and had a stroke at age 62. She is a nonsmoker. Blood pressure is 142/88 mm Hg on 2 antihypertensive medications and BMI is 31. Her fasting lipid panel reveals a total cholesterol 200 mg/dL, HDL–C 55 mg/dL, triglyceride 100 mg/dL, and LDL–C 125 mg/dL. Her fasting blood sugar is 109 mm/dL and hemoglobin A1c is 5.9%. According to the Pooled Cohort Equation for African-American Women, her estimated 10-year ASCVD risk is 8.7%.

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