Duke endocrinologists and other specialists manage and treat the full range of lipid disorders, including abnormalities in your cholesterol, triglyceride and other lipid levels. Lipid disorders can clog and damage your arteries, which increases your risk for heart disease and stroke. Our specialists treat highly-resistant lipid disorders and often develop effective treatment alternatives for people who cannot take statins, the most common cholesterol-lowering medications used today. Our goal is to help you manage your lipid disorder and help you lead a healthier, longer life.
Personalized Treatment Plans for Lipid Disorders
Lipids Lead to Atherosclerosis
As fatty substances, called lipids, circulate in the blood, they also filter into the walls of your arteries. This leads to a condition called atherosclerosis, which causes heart attack and most stroke. We treat atherosclerosis using statins, niacin, diet and weight loss, and other lifestyle changes, such as smoking cessation and diabetes management. We develop personalized treatment plans aimed at reducing your risk for heart attack and stroke by as much as 80 percent.
Duke Lipid Clinic Low Glycemic Diet
This unique diet plan was developed by our team and achieves proven results. A quarter of our patients maintain at least 10 pounds of weight loss for one year or longer after their first visit with us. Our diet leads to higher high density lipoproteins (HDL), also known as the “good” cholesterol level, and lower triglyceride levels, as well as better blood sugar control in diabetics
Duke Health offers locations throughout the Triangle. Find one near you.
A panel of blood tests that detect high levels of lipoprotein(a), a risk factor for heart disease and stroke. Blood tests also provide a lipoprotein particle analysis, which detects “small dense LDL” and increased LDL particle numbers. About half of all adults have increased risk from lipoprotein(a) or high LDL particle concentration. Other specialized tests may be used to diagnose unusual genetic or acquired lipid disorders.
CT Cardiac Scoring for Coronary Calcium
The heart scan produces images of your coronary arteries that doctors use to look for calcium deposits and clogged arteries. These deposits help your doctor determine where atherosclerosis is present.
Carotid Intima-Media Thickness Test
Ultrasound measures the thickness of the inner two layers of your carotid artery. Your doctor can use these measurements to diagnose carotid artery disease and risk for coronary heart disease caused by abnormal lipoprotein levels or familial risk factors.
Brachial Artery Reactivity
Ultrasound measures blood flow in the brachial artery, the major blood vessel in the upper arm.
Why Choose Duke
Statin Intolerance Expertise
Almost half of our patients come to us for our experience with statin intolerance. We specialize in developing personalized treatment alternatives for you, and lead research to find new strategies for lowering low density lipoproteins (LDL), also known as the “bad” cholesterol.
Latest Injection Therapies
If eligible, you’ll have access to clinical trials using the latest investigational drugs, including Anti-PCSK9, which can lower low density lipoprotein (LDL) levels by 50 percent with an injection given every two to four weeks.
Personalized Treatment Plans
Medications are very effective at treating lipid disorders, but some of our patients do not want to take daily medication. We work with you to develop the most effective treatment plans possible to manage your condition.
Comprehensive Lipid Management
We combine targeted, effective medications, lifestyle changes and the right diet for you to achieve more effective results.
Screening for Genetic Lipid Disorders
Some lipid disorders run in families. While primary care doctors handle basic lipid screening, we offer advanced screening and diagnostic services to people who know they are at risk due to family history. Early screening and detection helps us develop a preventive plan to better manage your risk factors early on.