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The Fatty Acid Profile in Patients with Newly Diagnosed Diabetes: Why It Could Be Unsuspected
C Castro-Correia1, S Sousa2, S Norberto3
1Unidade de Endocrinologia Pediátrica, Hospital Pediátrico Integrado, Centro Hospitalar S. João, Faculty of Medicine, University of Porto, 4200 Porto, Portugal.
Insights
Children with newly diagnosed type 1 diabetes have higher omega-3 fatty acids. This highlights the importance of early nutritional interventions for managing childhood diabetes.
Area of Science:
- Biochemistry
- Pediatrics
- Nutritional Science
Background:
- Inflammation is linked to fatty acid levels and various diseases, including diabetes.
- Specific fatty acid profiles may be altered in inflammatory conditions.
Purpose of the Study:
- To compare plasma fatty acid profiles in children with newly diagnosed type 1 diabetes, those diagnosed over a year prior, and healthy controls.
- To investigate the relationship between fatty acid composition and type 1 diabetes in prepubescent children.
Main Methods:
- Plasma fatty acid profiles were analyzed in three groups: prepubescent children with inaugural diabetes, prepubescent children with non-inaugural diabetes (diagnosed >1 year prior), and healthy prepubescent controls.
- All participants had a Body Mass Index (BMI) below the 85th percentile.
Main Results:
- Children with recently diagnosed diabetes exhibited higher levels of omega-3 fatty acids compared to controls.
- The omega-6/omega-3 fatty acid ratio was higher in the control group.
- Non-recently diagnosed diabetic children showed elevated omega-6 fatty acid levels compared to both recently diagnosed diabetic children and controls.
Conclusions:
- Diabetic children demonstrated increased levels of alpha-linolenic acid, EPA, DHA, and other unsaturated fatty acids.
- These findings underscore the critical role of early nutritional assessment and intervention in the comprehensive management of type 1 diabetes in children.
Context:
Several studies have shown a link between proinflammatory activity and the presence or deficit of some fatty acids. Inflammation is associated with several diseases including diabetes.
Objective:
To characterize and compare the fatty acids profiles in children with inaugural type 1 diabetes, diabetic children (at least 1 year after diagnosis), and healthy children.
Design:
Plasma fatty acids profiles in children with inaugural diabetes, children with noninaugural diabetes, and controls, all of whom were prepubescent with a BMI < 85th percentile, were evaluated.
Results:
Omega-3 fatty acid levels were higher in recently diagnosed subjects with diabetes than in controls. The ratio of omega-6/omega-3 fatty acids was higher in the control population. Omega-6 fatty acid levels were higher in the nonrecent diabetic subjects than in the children with recently diagnosed diabetes, and the levels were higher in the nonrecent diabetes group compared to the control group.
Conclusion:
Our findings showed higher levels of alpha-linolenic acid, EPA, and DHA, as well as mono- and polyunsaturated fatty acids, in diabetic children. These findings reinforce the importance of precocious nutritional attention and intervention in the treatment of diabetic children.
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