Brief Answer: blood pressure medication would be good Detailed Answer: Hi, thanks for using healthcare magic Diabetes, high cholesterol and high blood pressure often go hand in hand. If a persons only has high blood pressure, the goal for the blood pressure is less than 140/90 mmHg. I If there is also a history of diabetes then the blood pressure goal is lower at less than 130/80 mmHG. This is because both diabetes and high blood pressure can put pressure on the kidneys , so once both are present, in order to avoid kidney disease, the blood pressure should be less than 130/80 mmHg. Because high cholesterol would increase the risk for heart disease and stroke, the goal for bad cholesterol is also lower for diabetics. Your wife's LDL is good at 93 ( though some diabetics aim for lower than 70 ) but her HDL is too low (it should be greater than 50 in women to have a protective effect). She should consider a blood pressure medication to protect her kidneys. If she can raise her HDL by lifestyle measures she can try this but if not a statin would help raise this level and further decrease her risk of heart disease. I hope this helps, feel free to ask any other questions

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