Serum lipid profiles and glycemic control in adolescents and young adults with type 1 diabetes mellitus
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Purpose: We aimed to investigate serum lipid profiles and glycemic control in adole- scents and young adults with type 1diabetes mellitus (T1DM). Methods: This cross-sectional study included 29 Korean young adults and adole- scents with T1DM. The median age was 17 years (range, 10–25 years) and 18 (62.1%) were female. We compared the lipid profiles of patients with dyslipidemia and those without dyslipidemia. Correlations between glycosylated hemoglobin (HbA1c) and lipid profiles (total cholesterol [TC], low-density lipoprotein cholesterol [LDL-C], high-density lipoprotein cholesterol [HDL-C], and triglyceride [TG]) were determined by linear regression analysis. Results: Of the 29 patients with T1DM, 11 (37.9%) were classified as having dyslipidemia due to the following lipid abnormality: TC≥200 mg/dL in 8 patients, LDL-C≥130 mg/dL in 4 patients, TG≥150 mg/dL in 2 patients, and HDL-C≤35 mg/dL in 2 patients. Compared to patients without dyslipidemia, patients with dyslipidemia were more likely to have higher values of HbA1c (median, 10.6%; range, 7.5%–12.3% vs. median, 8.0%; range, 6.6%–10.0%; P=0.002) and a higher body mass index z score (median, 0.7; range, –0.57 to 2.6 vs. median, –0.4; range, –2.5 to 2.2; P=0.02). HbA1c levels were positively correlated with TC (P=0.03, R 2 =0.156) and TG (P=0.005, R 2 =0.261). Conclusion: A substantial proportion of adolescents and young adults with T1DM had dyslipidemia. We found a correlation between poor glycemic control and poor lipid profiles in those patients.
Abstract
Purpose: We aimed to investigate serum lipid profiles and glycemic control in adole- scents and young adults with type 1diabetes mellitus (T1DM). Methods: This cross-sectional study included 29 Korean young adults and adole- scents with T1DM. The median age was 17 years (range, 10–25 years) and 18 (62.1%) were female. We compared the lipid profiles of patients with dyslipidemia and those without dyslipidemia. Correlations between glycosylated hemoglobin (HbA1c) and lipid profiles (total cholesterol [TC], low-density lipoprotein cholesterol [LDL-C], high-density lipoprotein cholesterol [HDL-C], and triglyceride [TG]) were determined by linear regression analysis. Results: Of the 29 patients with T1DM, 11 (37.9%) were classified as having dyslipidemia due to the following lipid abnormality: TC≥200 mg/dL in 8 patients, LDL-C≥130 mg/dL in 4 patients, TG≥150 mg/dL in 2 patients, and HDL-C≤35 mg/dL in 2 patients. Compared to patients without dyslipidemia, patients with dyslipidemia were more likely to have higher values of HbA1c (median, 10.6%; range, 7.5%–12.3% vs. median, 8.0%; range, 6.6%–10.0%; P=0.002) and a higher body mass index z score (median, 0.7; range, –0.57 to 2.6 vs. median, –0.4; range, –2.5 to 2.2; P=0.02). HbA1c levels were positively correlated with TC (P=0.03, R 2 =0.156) and TG (P=0.005, R 2 =0.261). Conclusion: A substantial proportion of adolescents and young adults with T1DM had dyslipidemia. We found a correlation between poor glycemic control and poor lipid profiles in those patients.
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