for Health Care Providers

Other Diabetes Therapies Important for Reduction of Macrovascular Disease, including CV Events

Other Therapies Important for reduction of macrovascular disease, including CV events
Intervention	Dosage	Comments
Aspirin	81 mg daily	Recommended as secondary prevention for patients with a history of CV disease Consider as primary prevention for patients aged ≥40 with type 2 diabetes and ≥1 other CV risk factors Consider for patients aged 30-40 with type 2 diabetes and other CV risk factors, and for those with type 1 diabetes
Smoking cessation	N/A	Assess readiness at each visit Refer to cessation programs when patient is ready Offer adjuncts as needed (eg, nicotine patches, bupropion) See Smoking Cessation
ACE inhibitor or ARB	Varies by agent	For treatment of microalbuminuria and hypertension in diabetic patients
Hydrochlorothiazide	25 mg daily	For treatment of hypertension

From Diabetes
Primary Care of Veterans with HIV
Office of Clinical Public Health Programs
Veterans Health Administration, 2009