Problem
You see Jeanette, a 45-year-old Caucasian female, who presents to your office for a well visit. She has a family history of heart disease. Her father had a MI at age 60. She smokes 1 ppd. Upon physical examination, her blood pressure (BP) is 164/96 mm Hg; her weight is 72 kg, and her BMI is 28. No edema or murmur is noted. Her laboratory work-up shows normal range electrolytes. Her creatinine is 0.9 mg/dL, and her total cholesterol is (TC) 192 mg/dL, HDL-C 46 mg/dL, triglycerides 180 mg/dL, LDL-C 110 mg/dL, non-HDL-C 146 mg/ dL. Jeanette's BP was 148/90 mm Hg at her last visit 1 month ago when seen for a URI. She takes Metformin 875 mg BID for diabetes. According to the ACC/AHA hypertension and hyperlipidemia guidelines, how will you treat Jeanette?