Recommendations: Pediatric Dyslipidemia (Type 1 Diabetes) (1)
Recommendations for the screening and treatment of children and adolescents with type 1 diabetes for dyslipidemia are summarized in four slides1 Slide 1 of 4 If there is a family history of hypercholesterolemia (total cholesterol 240 mg/dl) or a cardiovascular event before age 55 years, or if family history is unknown, then a fasting lipid profile should be performed on children 2 years of age soon after diagnosis (after glucose control has been established) People diagnosed with type 1 diabetes in childhood have a high risk of early subclinical2-4 and clinical5 CVD117References American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S41. Krantz JS, Mack WJ, Hodis HN, Liu CR, Liu CH, Kaufman FR. Early onset of subclinical atherosclerosis in young persons with type 1 diabetes. J Pediatr 2004;145:452-457. Järvisalo MJ, Putto-Laurila A, Jartti L, et al. Carotid artery intima-media thickness in children with type 1 diabetes. Diabetes 2002;51:493-498. Haller MJ, Samyn M, Nichols WW, et al. Radial artery tonometry demonstrates arterial stiffness in children with type 1 diabetes. Diabetes Care 2004;27:2911-2917. Orchard TJ, Forrest KY, Kuller LH, Becker DJ, for the Pittsburgh Epidemiology of Diabetes Complications Study. Lipid and blood pressure treatment goals for type 1 diabetes: 10-year incidence data from the Pittsburgh Epidemiology of Diabetes Complications Study. Diabetes Care 2001;24:1053-1059.