Review Question - QID 108460

A 69-year-old man presents for a routine follow up appointment. He reports no symptoms at this time. The patient’s past medical history is significant for diabetes mellitus, peripheral vascular disease, and hypertension. His current medications include metformin, glyburide, lisinopril, metoprolol, and hydrochlorothiazide (HCTZ). He is up-to-date on his immunizations. He does not smoke cigarettes, drinks 4-5 beers weekly, and does not report illicit drug use. The patient's temperature is 98.6°F (37.0°C), blood pressure is 124/84 mmHg, pulse is 90/min, and respirations are 16/min. Physical exam reveals a normal S1 and S2 with an S4 gallop. His lungs are clear bilaterally. A fasting lipid panel was performed last week demonstrating a low-density lipoprotein (LDL) level of 85 mg/dL and triglycerides of 160 mg/dL. A hemoglobin A1c is found to be 6.8%. Which of the following is the most appropriate intervention for the patient at this time?