Genetic and genomic testing and counseling for specific medical conditions is currently being offered in certain medical practices within Duke Primary Care.

Genetic and genomic test results are most commonly obtained through a blood sample or a cheek swab (buccal swab). The sample is sent to a laboratory for testing, and results are typically returned within one to four weeks. Patients usually need to sign an informed consent to have this testing completed.

When the test results are returned, your internal medicine provider at Duke Primary Care Pickett Road or Duke Family Medicine Center can help you interpret your results. If you have obtained a test elsewhere, your Duke physician will help you interpret those results.   

What Genetic and Genomic Tests Reveal

Genetic and genomic testing can be used to identify patients who are at risk for developing or passing on specific chronic conditions like diabetes, heart disease, breast cancer, prostate cancer, and blood clotting disorders.

Additionally, genetic testing can be used to identify the underlying causes of developmental or medical problems. 

Genetically Tailored Treatment

As the number of available genetic tests grows, our physicians are engaged in efforts to explore the value of the tests in predicting inheriting diseases and tailoring treatment for patients' specific genetic needs.

After receiving your test results, your internist can develop a strategy to optimize your health that takes your specific genetic risk into account.

This tailored treatment may include health and lifestyle changes, additional screening tests, and more personalized medication prescriptions.  

Coverage for genetic testing can vary based on your insurance plan, so it is best to check with your provider to see if it is a covered service. Alternately, patients can use their health savings accounts (HSA) to pay for the test.