The patient seems to have good control of his diabetes mellitus; although an optimal plasma glucose level and hemoglobin A1c proportion are desirable, changing his current therapy at this point would not have an optimal effect on the lipid panel. According to the new guidelines of the National Cholesterol Education Program regarding adenosine triphosphate III, diabetes mellitus is regarded as a coronary heart disease risk equivalent, and the goals for lipid levels in patients with the disease should be a low-density lipoprotein level less than 100 mg/dL, a cholesterol level less than 200 mg/dL, and a triglyceride level less than 150 mg/dL.
- Start administering an antilipidemic agent.
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