Thank you for the additional information.
If there is mild atherosclerosis seen on a x-ray and there are no symptoms that could be due to arterial disease, such as leg pain with exertion, then there is no direct treatment of the atherosclerosis.
Instead, treatment is oriented towards risk factors for the atherosclerosis, for whichever risk factors are present in that individual. So, it is appropriate to control elevated blood pressure and diabetes, as you are doing. It also would be appropriate to check to see of your cholesterol is elevated, and consider treatment if it is significantly elevated.
It also would be appropriate to be following healthy lifestyle habits, including quitting smoking if you smoke, eating a healthy diet, getting regular exercise, and losing weight if overweight.
If you develop leg pain in the future, then it would be appropriate to consider further evaluation of the aorta and the arterial supply to the legs, but it does not need to be done at this point, based on mild changes seen on a plain x-ray.
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