Final answer:
Appropriate management for a 59-year-old male with type 2 DM and HTN includes lifestyle modifications like diet and exercise, alongside medications for glucose, blood pressure, and lipid control to reduce high ASCVD risk.
Step-by-step explanation:
The most appropriate management for a 59-year-old male recently diagnosed with type 2 diabetes mellitus (DM) and hypertension (HTN) with a 10-year atherosclerotic cardiovascular disease (ASCVD) risk of 22.4% involves both lifestyle modifications and pharmacological interventions. Lifestyle changes such as adopting a healthy diet, increasing physical activity, and maintaining a healthy weight are critical steps in managing these conditions and reducing ASCVD risk. Medications to control blood glucose, blood pressure, and lipid levels are also important components of treatment and may include antihypertensive drugs, insulin or other hypoglycemic agents, and statins for cholesterol management.
Lifestyle modifications can not only improve health outcomes directly but also increase the efficacy of medications in controlling hypertension and diabetes, which are significant risk factors for cardiovascular disease. It's crucial to address all modifiable risk factors, including smoking cessation for smokers. Given the patient's high ASCVD risk, aggressive risk factor modification is required to prevent cardiovascular events such as heart attacks and strokes.