Author Affiliations: Department of Pathology and Laboratory Medicine, University of Calgary (Drs Sidhu and Naugler), and Calgary Laboratory Services (Dr Naugler), Calgary, Alberta, Canada.
It is gratifying to see that our recent article in this journal1 has led to renewed discussions of the utility of a fasting requirement for routine cholesterol testing. Aldasouqi and Grunberger raise an excellent point in their commentary on our article: there are patients for whom fasting is not only an inconvenience but may also represent a safety risk. It is also worth pointing out that while the risk of hypoglycemia may be particularly high for patients with diabetes,2 nondiabetic patients may also experience hypoglycemia after a prolonged fast.
Naugler C, Sidhu D. Is It Time to Eliminate the Need for Overnight Fasting for Lipid Tests in Patients With Diabetes?—Reply. JAMA Intern Med. 2013;173(10):936-937. doi:10.1001/jamainternmed.2013.663