Question of the Week | August 4, 2020

RJ is 67 years old with a 40+ year history of type 1 diabetes. GFR is 62, UACR is < 30, A1c is 6.7%, B/P is 132/72, LDL cholesterol is 98, his BMI is 28.6. RJ uses multiple daily injections and CGM to manage his diabetes.

RJs other medications include: Levothyroxine 100mcg daily, atorvastatin 40mg daily, Aspirin 81 mg daily and a multivitamin.

Based on your assessment, which of the following interventions would improve RJs outcome?

  1. Add an ACE Inhibitor
  2. Lifestyle intervention
  3. Suggest addition of an ARB
  4. Increase atorvastatin dose

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