But My Blood Pressure is Normal!

Case Study

Mr. O’Connor is a 52 year old man who has had type 2 diabetes for 7 years. Mr. O’Connor has calf claudication. He has a blood pressure of 120/75 mmHg.

What is the best approach for vascular protection for Mr. O’Connor?

Start by reviewing the ABCDEs for all Patients with Diabetes
Then complete the Vascular Protection Medication Assessment Tool

Reveal Answer

Mr. O’Connor has end organ damage with macrovascular disease. Diabetes Canada guidelines recommend therapy with:

Statin to target LDL <2.0 mmol/L
ACEi or ARB in doses that have been shown to have vascular protection
ASA (clopidogrel if intolerant to ASA)

Additional learning point: Use ACEi or ARB for vascular protection even in patients with normal blood pressure

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