Some of the problems can be resolved through blood glucose control. Others require dietary or pharmacological intervention. If dyslipidemia was present after blood glucose normalized, continue to check annually. If lipids normal, then check every 5 years until age 18, then annually. Type 1 Blood glucose control will often help correct dyslipidemia.
Obesity exacerbates dyslipidemia.
Assess for inborn error of lipid metabolism. Evaluate for renal disease and alcohol abuse. Nicotinic acid may elevate blood glucose. Generally not recommended. May worsen hypertriglyceridemia, constipation and gastric distress common.