Metabolic Complications of HIV and Antiretroviral Therapy: Dyslipidemia, Insulin Resistance, and Cardiovascular Disease

  • Authors: Judith S. Currier, MD, MSc; Risa Hoffman, MD, MPH (More Info)
  • Editors in Chief: Joseph J. Eron, Jr., MD; Daniel R. Kuritzkes, MD
  • Last Reviewed: 10/10/18 (What's New)

Summary

  • Diet, exercise, and reduction of BMI are important lifestyle modifications known to prevent the development of dyslipidemia
  • A dietician-delivered intensive education intervention based on National Cholesterol Education Program dietary guidelines (Table 7) can prevent antiretroviral-associated lipid elevations in adults starting ART[Lazzaretti 2012]
  • Diabetes, thyroid disorders, and renal disease should be managed aggressively and exacerbating medications avoided

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