(and, hence, ascertainment of documented macrovascular disease was not possible), the less stringent LDL cholesterol goal of 130 mg/dl was used. The triglyceride goal was 400 mg/dl (44).
A total of 98 patients in the DMCP had initial LDL cholesterol concentrations 130 mg/dl and 76 (77%) of them were tested at least twice. The final LDL cholesterol concentration remained 130 mg/dl in 33 (43%) of these patients. Fifty-three of the patients under usual care had initial LDL cholesterol concentrations 130 mg/dl and 25 (47%) were tested at least twice with final values remaining 130 mg/dl in 14 (56%) indi- viduals. Obtaining a second measurement was significantly higher (P 0.001) in patients under nurse directed care, but the percent remaining above goal was not significantly different between the two groups.