This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Acute coronary syndrome, Subject name: Medicine
[{'content': 'Elevated triglycerides and decreased HDL are seen in? \nSelect and explain. \nA. Smoker, B. Alcoholics, C. Athlete, D. Diabetes', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The most common pattern of dyslipidemia in diabetes mellitus is hyperiglyceridemia and reduced HDL levels. Increase free fatty acid flow to the liver - | production of apoB-containing triglyceride-rich VLDLs Hyperiglyceridemia -Excellent marker of the insulin-resistant condition. Thiazides cause dyslipidemia,hyperglycemia hence contraindicated in diabetic hypeensives. Antihypeensive drug of choice:-Angiotensin Conveing Enzyme (ACE) Inhibitors/Angiotensin II Receptor Blockers (ARBs). Metabolic syndrome X - Elevated levels of apoC-III carried on VLDLs Increase apoC-III can inhibit lipoprotein lipase- Hyperiglyceridemia Reduction in HDL cholesterol.', 'role': 'assistant'}]