TABLE 7.

Recommendations for Statin and Combination Treatment in People With Diabetes

Age (years)Risk FactorsRecommended Statin Intensity*
<40NoneNone
ASCVD risk factor(s)**Moderate or high
ASCVDHigh
40–75NoneModerate
ASCVD risk factorsHigh
ASCVDHigh
ACS and LDL cholesterol ≥50 mg/dL (1.3 mmol/L) or in patients with a history of ASCVD who cannot tolerate high-dose statinsModerate plus ezetimibe
>75NoneModerate
ASCVD risk factorsModerate or high
ASCVDHigh
ACS and LDL cholesterol ≥50 mg/dL (1.3 mmol/L) or in patients with a history of ASCVD who cannot tolerate high-dose statinsModerate plus ezetimibe
  • * In addition to lifestyle therapy.

  • ** ASCVD risk factors include LDL cholesterol100 mg/dL (2.6 mmol/L), high blood pressure, smoking, chronic kidney disease, albuminuria, and family history of premature ASCVD.