USMLE Step 2 - Question 39

A 56 year old male with a history of obesity and poorly controlled diabetes mellitus presents for a routine clinic visit. He has no physical complaints. His lipid profile is below:

Total cholesterol 202 mg/dL

LDL 96 mg/dL

HDL 26 mg/dL

Triglycerides 452 mg/dL

Which of the following is the most appropriate therapeutic option at this time?

A. Start an HMG-CoA reductase inhibitor

B. Start gemfibrozil

C. Start niacin

D. Strict diabetic control