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1-Minute Consult

Is it time to abandon fasting for routine lipid testing?

Zareen Farukhi, MD and Samia Mora, MD, MHS
Cleveland Clinic Journal of Medicine December 2017, 84 (12) 919-922; DOI: https://doi.org/10.3949/ccjm.84a.16135
Zareen Farukhi
Center for Lipid Metabolomics, Division of Preventive Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
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Samia Mora
Center for Lipid Metabolomics, Division of Preventive Medicine, Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA
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    TABLE 1

    Guidelines and recommendations that support nonfasting lipid testing

    OrganizationRecommendations
    American Association of Clinical Endocrinologists and American Association of Endocrinology,19 2017Nonfasting testing is acceptable if fasting is impractical
    European Atherosclerosis Society and European Federation of Clinical Chemistry and Laboratory Medicine,5 2016Fasting testing not routinely required
    Canadian Hypertension Education Program,6 2016Fasting lipid testing no longer required; nonfasting testing equally appropriate
    European Society of Cardiology,8 2016Nonfasting testing can be used in patients without severe hypertriglyceridemia
    Canadian Cardiovascular Society,7 2016Nonfasting testing is an acceptable alternative to fasting testing
    National Institute for Health and Care Excellence (UK),10 2014Fasting testing not necessary
    US Department of Veterans Affairs,1 2014Nonfasting testing is recommended
    American College of Cardiology and American Heart Association,9 2013Fasting testing is preferred but not mandatory
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Cleveland Clinic Journal of Medicine: 84 (12)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 12
1 Dec 2017
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Is it time to abandon fasting for routine lipid testing?
Zareen Farukhi, Samia Mora
Cleveland Clinic Journal of Medicine Dec 2017, 84 (12) 919-922; DOI: 10.3949/ccjm.84a.16135

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Is it time to abandon fasting for routine lipid testing?
Zareen Farukhi, Samia Mora
Cleveland Clinic Journal of Medicine Dec 2017, 84 (12) 919-922; DOI: 10.3949/ccjm.84a.16135
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  • Article
    • GUIDELINES HAVE CHANGED
    • EFFECTS OF THE POSTPRANDIAL STATE ON LIPID LEVELS AND RISK ASSESSMENT
    • EVIDENCE SUPPORTING NONFASTING LIPID TESTING
    • OTHER BENEFITS OF NONFASTING LIPID TESTING
    • GETTING WITH THE GUIDELINES
    • LIMITATIONS OF THE EVIDENCE
    • TAKE-HOME POINTS
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