[Effect of metabolic control on plasma lipids and lipoproteins in insulin-dependent diabetes in children and adolescents]

Abstract

Plasma triglycerides, total cholesterol, phospholipids, HDL-cholesterol, HDL-phospholipids, apolipoproteins A-I and B, haemoglobin AIc and C-peptide were measured in 113 children and adolescents (49 males and 64 females) with insulin-dependent diabetes. These patients were divided into four groups according to sex and age (more or less than 12 years old) and into three subgroups according to metabolic control. In female adolescents with poor control, triglycerides and apolipoprotein B were increased whereas HDL-cholesterol, HDL-phospholipids and (HDL/LDL + VLDL)-cholesterol were significantly decreased. In poorly-controlled male adolescents, similar changes were observed except for HDL-cholesterol and HDL-phospholipids which were not significantly decreased. In adolescents, haemoglobin AIc correlated directly with triglycerides, total cholesterol, phospholipids, apolipoprotein B and inversely with HDL-cholesterol, HDL-phospholipids and (HDL/LDL + VLDL)-cholesterol. In children aged less than 12 years, no significant change of HDL-cholesterol or apolipoprotein B was observed even in the poorly-controlled group.