<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 69-year-old man presents for a general follow up appointment. He states that he is doing well and wants to be sure he is healthy. The patients past medical history is significant for type II diabetes mellitus, peripheral vascular disease, and hypertension. His current medications include metformin, glyburide, lisinopril, metoprolol and hydrochlorothiazide. His blood pressure is 13090 mmHg and pulse is 80min. A fasting lipid panel was performed last week demonstrating an LDL of 85 mgdL and triglycerides of 160 mgdL. The patient states that he has not experienced any symptoms since his last visit. The patients blood glucose at this visit is 100 mgdL. Which of the following is recommended in this patient?? A: Increase lisinopril dose, B: Increase HCTZ dose, C: Increase metformin dose, D: Begin statin therapy, E: Discontinue metoprolol and start propranolol,  <response>: This 69 year old male patient has a history of type 2 diabetes, hypertension, and peripheral vascular disease. He is on appropriate medications to manage these conditions including metformin, glyburide, lisinopril, metoprolol, and HCTZ. His blood pressure and glucose are well controlled on his current regimen. His LDL is near goal at 85 mgdL but his triglycerides are elevated at 160 mgdL. He has no new symptoms. Based on his cardiovascular risk factors including diabetes, hypertension, PVD, and elevated triglycerides, he would benefit from initiation of a statin medication to further reduce his risk of cardiovascular events. His current medications do not need adjustment.D: Begin statin therapy 