Clinical Diabetes 24:189-190, 2006
© American Diabetes Association ®, Inc., 2006
Dyslipidemia in a Patient With Type 2 Diabetes
John E. Anderson, MD
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Presentation
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C.W. is a 51-year-old white man diagnosed with type 2 diabetes in March
2002. At the time of diagnosis, he had typical symptoms of weight loss,
polyuria, and polydipsia. Examination revealed a healthy male with height of
6'1" and weight of 224 lb (BMI 29.6 kg/m2). Laboratory
evaluation was remarkable for a random glucose of 580 mg/dl, triglycerides of
5,777 mg/dl, total cholesterol of 550 mg/dl, HDL cholesterol of 102 mg/dl, LDL
cholesterol not calculable secondary to triglycerides, and a hemoglobin
A1c (A1C) of 13.6%.
Over the next several months, he did remarkably well on combinations of
sulfonylurea and metformin, with fenofibrate added to reduce the severe
hypertriglyceridemia. His A1C was 5.9%, LDL 97 mg/dl, HDL 39 mg/dl, and
triglycerides 236 mg/dl by August 2002.
He has remained in good physical health but has continued to struggle with
control of his dyslipidemia over the last year, despite the addition of a
statin. His HDL has decreased to < 30 mg/dl with a gradual, steady increase
in his triglycerides.
On 28 June 2006, he presented to the office, with examination revealing a
weight of 250 lb. (BMI 33.0 kg/m2) and blood pressure of 110/76
mmHg. His medications were reviewed and are listed . . . [Full Text of this Article]
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Copyright © 2006 by the American Diabetes Association.
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