[Cardiovascular risk factors in children with type 1 diabetes and their relationship with the glycemic control]

Adela V Abregu1, Teresita del R Carrizo, Maria M Prado

  • 1Cátedra de Práctica Hospitalaria, Facultad de Bioquímica, Química y Farmacia, Universidad Nacional de Tucumán. vabregu@arnet.com.ar

Medicina
|November 22, 2005
PubMed

Insights

Children with type 1 diabetes have higher cardiovascular disease risks. Poor glycemic control in pediatric diabetics is linked to dyslipidemia and elevated fibrinogen, emphasizing early detection and strict metabolic management.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Cardiology

Context:

  • Type 1 diabetes (T1D) significantly increases cardiovascular disease (CVD) risk in children.
  • Pediatric T1D management requires understanding associated cardiovascular risk factors.
  • Glycemic control is a critical determinant of long-term health outcomes in diabetic children.

Purpose:

  • To assess cardiovascular risk factors in children with T1D.
  • To investigate the association between glycemic control and CVD risk markers.
  • To compare risk factors between well-controlled and poorly controlled diabetic children and healthy controls.

Summary:

  • Diabetic children (5-15 years) exhibited elevated total cholesterol, LDL-cholesterol, and HDL-cholesterol compared to controls.
  • Eighty-three percent of diabetic children had poor glycemic control (HbA1c ≥ 8%).
  • Poor glycemic control correlated with higher plasma fibrinogen levels, while lipid profiles showed minimal differences except for HDL-cholesterol.

Impact:

  • Identifies dyslipidemia and hyperglycemia as primary CVD risk factors in pediatric T1D.
  • Highlights the need for early screening of cardiovascular risk markers in diabetic children.
  • Underscores the importance of stringent metabolic control to mitigate CVD risk in this population.

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