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Management strategies would include placing the patient on intensive insulin therapy targeting an A1C of lower than 7, making certain that appropriate antihypertensive agents are used to lower the BP to less than 12575 mm Hg, aggressively managing the hyperlipidemia using a combination of a statin with nicotinic acid, using low-dose aspirin, and initiating erythropoietin therapy to raise the hemoglobin to 11 to 12 g per dL. Because the patient is at high risk for silent ischemia, referral to a cardiologist should be provided.]