Do you recommend starting a statin in youth (greater than 10 years old) with Type 1 diabetes mellitus and LDL cholesterol levels greater than 130?

In general, I probably would not consider starting a statin in a youth with T1D unless they had T1D AND Familial Hypercholesterolemia and/or an LDL >190 mg/dL or significant microvascular complications already. Recommendations are to consider statin therapy in individuals with diabetes of long durat...

I don't treat type 1 diabetes, and this is not an easy question because it suggests that type 1 diabetes should be treated like genetically proven familial hypercholesterolemia (FH), where we do start treatment in adolescent patients. I think I would need to know what the family history of atheroscl...