Background: Individuals diagnosed with diabetes mellitus have an increased risk of cardiovascular
disease, often leading to premature morbidity and mortality. As the number of youth
developing T1D and T2D continues to grow, early onset predisposes patients to a longer burden of
disease and earlier onset of cardiovascular complications. Early identification and effective management
and treatment of risk factors can lead to decreased cardiovascular events and improved
quality of life.
Objective: In this study, we describe the prevalence of CVD risk factors in children with diabetes.
Results: 274 subjects were included in this study, all > 1 year since the time of diagnosis. 134 participants
were male (49%). Mean age was 13.7 years (males); 12.8 years (females). subjects
averaged 4 diabetes-related visits per year. At the time of their most recent clinic visit, 33% of subjects
had a HbA1c < 8%, and 29% had a HbA1c > 10%. Greater than 50% of subjects were overweight
or obese. A significant number of subjects were found to have dyslipidemia, and elevated
blood pressure was common.
Discussion: CVD risk factors are common in children with diabetes mellitus. Good glycemic control,
early identification, and effective life-long management of all CVD risk factors may help decrease
the high rate of premature morbidity and mortality in diabetes.