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February 7, 2007

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Question from North Carolina, USA:

My son has developed high cholesterol. Is this normal for diabetic children?

Answer:

High cholesterol and/or high LDL cholesterol are very common, in about 40% of American kids, and probably a bit more common than that in kids with type 1 diabetes. The more uncontrolled the sugars, the higher the A1c, probably also the worse the lipids. Family history is also extremely important to know since diabetes and insulin deficiency may merely unmask what is an already present genetic excess lipid production. The most important of all, however, is the added future cardiovascular and circulatory risks so many of us are very aggressive with treating such hyperlipidemia by lowering saturated fat intake, lowering trans-fatty acid intake, and considering medication (plant stanols, sterols, Zetia and/or statins )

SB