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Rejecting cookies may affect your ability to use some of the features offered by the website. Find Doctors Services Locations. Medical Professionals. Research Community. Medical Learners. Job Seekers. High Cholesterol. Specialist Treating and Preventing High Cholesterol. These risk factors include: Diabetes: High blood sugar leads to higher LDL cholesterol and may damage the lining of your arteries. Treatment for Lipid Cholesterol Disorders. Diagnosing Cholesterol Disorders Lipid disorders are diagnosed through a blood test called a lipid profile.
Evaluations may be needed when a patient: Has trouble lowering his or her cholesterol level with medication Is unable to tolerate statins, a type of medication used to lower cholesterol Has a genetic disorder that affects lipid levels, such as one that causes high cholesterol or high triglyceride levels from birth, or other lipid abnormalities, such as sitosterolemia Has severe hypertriglyceridemia and is at risk for pancreatitis, which carries a high risk of complications and death Patients may also be screened for secondary disorders, such as hypothyroidism , uncontrolled diabetes , obesity, kidney disease and other conditions that can worsen lipid disorders.
Treatment Options Treatment for lipid disorders is aimed at intense management of cardiovascular risks to prevent heart attacks, stroke and peripheral vascular disease. Medical Nutrition Therapy All patients require nutrition therapy as part of their treatment.
Medication Medications may be prescribed to manage high blood cholesterol levels. Exercise Plan Exercise is part of an overall plan to improve cardiovascular fitness, improve symptom control in people with peripheral vascular disease and improve overall health.
Follow-up Visits Follow-up visits after treatment begins are important to assess lipid levels, to determine if patients are tolerating medication and meeting their goals to lower lipid levels, and to assess the development of cardiovascular disease. View Specialists.
With the cost of treating cardiovascular diseases expected to double by , according to the American Heart Association, a greater impetus may be placed on establishing practices solely dedicated to the diagnosis and treatment of dyslipidemia lipid disorders. The core function of a lipidologist to treat or prevent dyslipidemia, a condition characterized by high levels of "bad" low-density lipoprotein LDL cholesterol and triglycerides as well as low levels of "good" high-density lipoprotein HDL cholesterol.
Studies have long shown a direct association between dyslipidemia and the development of atherosclerosis hardening of the arteries , coronary artery disease , peripheral artery disease , heart attack, and stroke. With that being said, the cardiovascular system is not the sole concern of a lipidologist.
Dyslipidemia can affect other organ systems, contributing to the development or severity of chronic kidney disease , diabetes , and liver cirrhosis or vice versa. Since most people will be referred to a lipidologist after dyslipidemia has been diagnosed, the specialist's work will be mainly focused on identifying the underlying cause. Once that is determined, he or she will help devise a treatment plan, which typically involves lifestyle changes including exercise, weight loss, and reduced saturated fats and various lipid-lowering drugs, if needed.
The lipidologist will typically start by ascertaining the type of dyslipidemia you have, broadly described as follows:. In some cases, primary dyslipidemia may be compounded by secondary dyslipidemia. A lipidologist is skilled in advanced cholesterol testing. Advanced tests can detect multiple cholesterol subclasses and provide 13 qualitative measurements of cardiovascular disease risk.
This includes the size and quantities of cholesterol and triglycerides, as well as the identification of an LDL subtype called apolipoprotein B linked to familial hypercholesterolemia. By identifying the underlying mechanism of dyslipidemia, the lipidologist may be able to render a more tailored response to treatment.
On top of blood testing, the lipidologist may recommend magnetic resonance imaging MRI to evaluate the amount of fat in muscle tissues. Research suggests that high intramuscular fat is independently associated with high total cholesterol as well as impaired glucose tolerance a predictor of type 2 diabetes.
The management of cholesterol has long been considered a facet of primary care. But, as more and more people find themselves unable to control their cholesterol, lipidologists are increasingly being sought to find new solutions for this hard-to-treat population.
This includes people who have become resistant to statin drugs or are unable to tolerate the side effects. Once the condition is diagnosed, the treatment plan would typically involve lifestyle changes including exercise, weight loss, and reduced saturated fats and various lipid-lowering drugs, if needed.
Some people, including those with severe familial cholesterolemia, are unable to sufficiently lower their LDL with statin drugs. Others may be unable to tolerate the side effects. Others still may be treated for primary dyslipidemia even though the cause may be genetic. Because lipidologists understand the dynamics of dyslipidemia, they may be better equipped to prescribed treatments able to overcome these obstacles.
Among some of the more specialized treatments currently available:. In rare cases, surgical procedures such as partial ileal bypass surgery , liver transplantation, or liver portocaval shunting may be used to treat conditions associated with dyslipidemia. Beyond medications, lipidologists oversee dietary and exercise interventions , particularly for those at high risk of cardiovascular disease.
This generally involves a monitored diet of which only 7 percent to 10 percent of the total daily calories would be fat. Aerobic exercise, stress management training, smoking cessation, and psychosocial support may also be a part of the intensive treatment program. There are two types of certification programs in clinical lipidology.
One is offered through the ABCL and is intended for physicians only.
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