Metabolic control and the prevalence of dyslipidemia in children and adolescents with insulin-dependent diabetes mellitus
Torres Tamayo, M.; Lerman Garber, I.; Bravo Ríos, L.E.; Cardoso Saldaña, G.; Mendoza Morfín, F.; Zamora González, J.; Montero González, P.; Junco Lorenzana, E.; Posadas Romero, C.
Revista de Investigacion Clinica; Organo del Hospital de Enfermedades de la Nutricion 45(6): 545-552
1993
ISSN/ISBN: 0034-8376 PMID: 8159874 Document Number: 422147
Cholesterol, triglycerides and lipoprotein levels were assayed in serum of 152 children and teenagers with IDDM and in 228 non-diabetic siblings. A poor control of diabetes, reflected by high levels of glycosylated hemoglobin and/or high fasting blood glucose, was associated with statistically significant increases in total cholesterol, LDL-cholesterol and triglycerides, and a reduction in HDL-cholesterol. Mean total cholesterol levels in diabetic patients (171 +/- 33 mg/dL for males and 199 +/- 53 mg/dL for females) were statistically higher than those in their siblings (158 +/- 30 mg/dL and 164 +/- 33 mg/dL respectively). The prevalence of hypercholesterolemia (HC) and hypertriglyceridemia (HTG) were higher in the diabetic patients but statistically significant exclusively in females (prevalences of 40% vs 12% for HC and 30% vs 9% for HTG with a p value < 0.005). The diabetic patients in good metabolic control had similar lipid levels to those of their non-diabetic siblings. These data support the hypothesis that poor control of blood glucose is associated with atherogenic lipid profiles. The prevalence of hypercholesterolemia is impressively high in our diabetic population and indicates that all IDDM patients should have a serum lipid and lipoprotein analysis done annually; blood glucose control and dietary guidelines should be improved in these cases.