Lipid Management in Patients with Endocrine Disorders: An Endocrine Society Clinical Practice Guideline

Author:

Newman Connie B1ORCID,Blaha Michael J2,Boord Jeffrey B3,Cariou Bertrand4,Chait Alan5,Fein Henry G6,Ginsberg Henry N7,Goldberg Ira J1,Murad M Hassan8,Subramanian Savitha5,Tannock Lisa R9

Affiliation:

1. Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, New York University Grossman School of Medicine, New York, New York

2. Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, Maryland

3. Department of Administration and Parkview Physicians Group Endocrinology Section, Parkview Health System, Fort Wayne, Indiana

4. Department of Endocrinology, L’institut du thorax, INSERM, CNRS, UNIV Nantes, CHU Nantes, Nantes, France

5. Department of Medicine, University of Washington, Seattle, Washington

6. Department of Medicine, Division of Endocrinology, Sinai Hospital, Baltimore, Maryland

7. Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York

8. Mayo Clinic Evidence-based Practice Center, Rochester, Minnesota

9. Department of Internal Medicine, University of Kentucky, Lexington, Kentucky

Abstract

Abstract Objective This guideline will provide the practicing endocrinologist with an approach to the assessment and treatment of dyslipidemia in patients with endocrine diseases, with the objective of preventing cardiovascular (CV) events and triglyceride-induced pancreatitis. The guideline reviews data on dyslipidemia and atherosclerotic cardiovascular disease (ASCVD) risk in patients with endocrine disorders and discusses the evidence for the correction of dyslipidemia by treatment of the endocrine disease. The guideline also addresses whether treatment of the endocrine disease reduces ASCVD risk. Conclusion This guideline focuses on lipid and lipoprotein abnormalities associated with endocrine diseases, including diabetes mellitus, and whether treatment of the endocrine disorder improves not only the lipid abnormalities, but also CV outcomes. Based on the available evidence, recommendations are made for the assessment and management of dyslipidemia in patients with endocrine diseases.

Funder

Endocrine Society

Publisher

The Endocrine Society

Subject

Biochemistry (medical),Clinical Biochemistry,Endocrinology,Biochemistry,Endocrinology, Diabetes and Metabolism

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