Lipid Goals According to AHA

The ADA favors achieving the following lipid goals, in sequence:

• LDL level less than 100 mg/dL
• HDL level more than 40 mg/dL in men and more than 50 mg/dL in women
• Triglyceride level less than 150 mg/dL

The National Cholesterol Expert Panel and the American Heart Association/American College of Cardiology suggested an LDL level lower than 70 mg/dL as an optional or reasonable target. To achieve the composite goals requires a combination of hypolipidemic drugs. The ADA, the National Kidney Foundation, and the Joint National Committee Report are concordant with a blood pressure goal of less than 130/80 mm Hg. To achieve this target in diabetic patients with or without chronic renal insufficiency, multiple antihypertensive drugs are needed. Hypoglycemic therapies should achieve a hemoglobin A1C concentration less than 7%. Aspirin is appropriate therapy for diabetic adults with or without vascular disease. Pharmacological treatment is concomitant with lifestyle interventions.