Lipid Management in Patients with Endocrine Disorders
Publication Date: September 19, 2020
Last Updated: March 16, 2022
Assessment
1. Screening and Cardiovascular Disease Risk Assessment
Measurement of Lipids
1.1 In adults with endocrine disorders, we recommend a lipid panel for the assessment of TG levels and for calculating LDL-C. Technical Remarks:
- Non-fasting lipid panels are acceptable for initial screening.
- If TG levels are elevated or if genetic dyslipidemia is suspected, repeat a fasting lipid panel.
- If lipoprotein(a) [Lp(a)] levels are measured, fasting or non-fasting samples can be obtained.
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Hypertriglyceridemia
2. Hypertriglyceridemia
2.1 In adults with fasting TG levels over 500 mg/dL (5.6 mmol/L), we recommend pharmacologic treatment as adjunct to diet and exercise to prevent pancreatitis. ()
Technical Remark:
- Patients with TG levels over 1000 mg/dL (11.3 mmol/L) often do not get an adequate response to medications and therefore, control of diabetes, modification of diet, and weight loss are essential.
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Overview
Title
Lipid Management in Patients with Endocrine Disorders
Authoring Organization
Endocrine Society
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