[Answered]: ML is a 63-year-old Hispanic female, BP 142/86 mm…

ML is a 63-year-old Hispanic female, BP 142/86 mm Hg, on amlodipine 5 mg/d, mixed dyslipidemia with an LDL-C of 110 mg/dL, high-density lipoprotein cholesterol (HDL-C) of 49 mg/dL, and triglycerides of 185 mg/dL, while taking pravastatin, 20 mg/d. She reports that she “didn’t feel good” on atorvastatin, 40 mg/d, and is hesitant to try a 3rd statin. She also states, “they can cause diabetes,” and is concerned the statin is putting her at a higher risk of diabetes because of her family history. Other labs: fasting blood glucose (FBG) 101 mg/dL, A1C 5.9%, serum creatinine (SCr) 1 mg/dL; urinary analysis and hepatic transaminases are within normal limits. Body mass index (BMI) 31 kg/m2 , waist circumference: 91.5 cm (36 inches), (-) tobacco, (-) EtOH, walks 3x/week. Her ACC/AHA 10-year ASCVD risk score is 7.8%. Family history: both parents developed type 2 diabetes mellitus (T2DM) and ASCVD in their early 60s.