The Conundrum of Type 1 Diabetes: Part 1

Case Study

Part A:

Mr. Beatty is a 35 year old, and he has had type 1 diabetes for 18 years. He shows no signs of end organ damage from routine testing.

What is the best approach for vascular protection for Mr. Beatty?

Reveal Answer

Since Mr. Beatty has had diabetes for more than 15 years AND he is over age 30, even without end organ damage, 2013 CDA guidelines recommend therapy with:

  • Statin and target LDL ≤2.0 mmol/L

Part B:

Mrs. Workag is 35 year old woman, who has lived with type 1 diabetes for 18 years, and through routine testing, shows no signs of end organ damage.

What is the best approach for vascular protection for Mrs. Workag?

Reveal Answer

Because Mrs. Workag has lived with diabetes over 15 years AND is over 30 years of age, the 2013 CDA guidelines recommend therapy* with:

  • Statin and target LDL ≤2.0 mmol/L

 

*Statins have the potential to cause embryopathy. Since this patient is of childbearing age, these medications should only be used in the presence of proper preconception counseling and reliable contraception in women of childbearing age. A woman’s pregnancy plans should be discussed at every visit.

*The Canadian Diabetes Association is the registered owner of the name Diabetes Canada. All content on guidelines.diabetes.ca, CPG Apps and in our online store remains exactly the same. For questions, contact communication@diabetes.ca.