Case: 61 yo female, former smoker (quit 1 year ago) hx of DM & HTN. 10-year ASCVD risk=17.6% and CAC=487. Takes rosuvastatin 20mg QD. LDL now 124mg/dL. What next?

  • Add bempedoic acid (7%, 13 Votes)
  • Add ezetimibe (75%, 143 Votes)
  • Add inclisiran (1%, 2 Votes)
  • Add PCSK9 monoclonal antibody (17%, 32 Votes)

Total Voters: 190

Start Date: August 29, 2023 @ 1:32 PM
End Date: No Expiry

Case: 54 yo obese male with HTN, DM type 2, and CKD Stage 3 (eGFR=38 ml/min, uACR=340). Which of the following inventions would you recommend? (Select all that apply)

  • Low protein diet (<0.8 gm/kg body weight) (12%, 39 Votes)
  • ACE inhibitor (or ARB if cough) (37%, 118 Votes)
  • SGLT2 inhibitor (41%, 134 Votes)
  • Finerenone (or other MRA) (10%, 32 Votes)

Total Voters: 161

Start Date: June 27, 2023 @ 11:24 PM
End Date: No Expiry

CASE: 53 year old female newly diagnosed with DM Type 2. Co-morbid HTN and obesity (BMI = 34). A1c = 8.1%, FBG = 127, eGFR>60. Best initial treatment choice?

  • Diet and lifestyle modification (alone) for 3-6 months (3%, 5 Votes)
  • Lifestyle plus metformin (34%, 54 Votes)
  • Lifestyle plus SGLT-2 inhibitor (5%, 8 Votes)
  • Lifestyle plus GLP1-RA (weekly injection) (58%, 93 Votes)

Total Voters: 160

Start Date: May 4, 2023 @ 12:31 PM
End Date: No Expiry

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