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Re: dmiller post# 233796

Saturday, 12/14/2019 8:58:55 AM

Saturday, December 14, 2019 8:58:55 AM

Post# of 425962

You need to have diabetes or heart disease and then two more risk factors.



I think you misspoke. It's the other way around. You must have "established CVD" (whatever that is) OR you could have diabetes plus two risk factors. Here are the risk factors again and I am surprised obesity is not one of them, but I would bet the vast majority of diabetics have two of these.

a. Men ≥55?years of age and women ≥65?years of age
b. Cigarette smoker or stopped smoking within 3 months before Visit 1
c. HTN (BP ≥140?mm Hg systolic OR ≥90?mm Hg diastolic) or on antihypertensive medication
d. HDL-C ≤40?mg/dL for men or ≤50?mg/dL for women
e. hsCRP >3.00?mg/L (0.3?mg/dL)
f. Renal dysfunction: CrCl >30 and <60?mL/min
g. Retinopathy, defined as any of the following: nonproliferative retinopathy, preproliferative retinopathy, proliferative retinopathy, maculopathy, advanced diabetic eye disease, or a history of photocoagulation
h. Micro- or macroalbuminuria. Microalbuminuria is defined as either a positive micral or other strip test (may be obtained from medical records), an albumin/Cr ratio ≥2.5?mg/mmol, or an albumin excretion rate on timed collection ≥20?mg/min all on ≥2 successive occasions. Macroalbuminuria is defined as Albustix or other dipstick evidence of gross proteinuria, an albumin/Cr ratio ≥25?mg/mmol, or an albumin excretion rate on timed collection ≥200?mg/min all on ≥2 successive occasions.
i. ABI <0.9 without symptoms of intermittent claudication (patients with ABI <0.9 with symptoms of intermittent claudication are counted under CV Risk Stratum 1)
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