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Serum lipid and lipoprotein composition in infants of diabetic mothers

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Abstract

Diabetes mellitus (DM) alters carbohydrate and lipid metabolism to a great extent. This study was planned to determine whether infants of insulin dependent and gestational diabetic mothers have abnormal lipid metabolism. Three groups of newborns were included in the study; group I consisted of 7 infants of diabetic mothers (IDM) with insulin dependent DM (Type 1 DM), group Il of 18 infants of gestational diabetic mothers and group III of 20 control neonates whose mothers had no history of DM. Total cholesterol (TC), triglyceride (TG) and high density lipoprotein-cholesterol (HDL-C) values in groups I and II were no different compared to those in group III (p>0.05). However, low density lipoprotein-cholesterol (LDL-C) and LDL-C/HDL-C ratio were similar between groups I and II (p>0.05) but significantly higher in both infants of type I diabetic mothers and gestational diabetic mothers compared to control infants (p<0.05). Apolipoprotein A-I (Apo A-1) and apolipoprotein B (Apo B) levels, Apo A-I/Apo B and HDL-C/Apo A-I ratios were similar in between groups. However, Apo B/LDL-C ratio was significantly lower in groups I and II compared to control group (p<0.05). In conclusion, diabetes in pregnant women causes a tendency to LDL hypercholesterolemia in the offspring. These infants should be longitudinally followed up to assess whether this observation imposes an increased risk for atherosclerosis for advanced ages.

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Authors and Affiliations

  1. Department of Pediatrics, Ege University Medical Faculty, Bornova 35100, Izmir, Turkey

    Mete Akisü, Sükran Darcan, Resmiye Oral & Nilgün Kültürsay

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  1. Mete Akisü
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  2. Sükran Darcan
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  3. Resmiye Oral
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  4. Nilgün Kültürsay
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Correspondence to Mete Akisü.

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Akisü, M., Darcan, S., Oral, R. et al. Serum lipid and lipoprotein composition in infants of diabetic mothers. Indian J Pediatr 66, 381–386 (1999). https://doi.org/10.1007/BF02845529

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