[Comparative evaluation of the lipid metabolic indices of children with a hereditary predisposition for diabetes and in manifest diabetes mellitus]. / Sravnitel'naia otsenka pokazatelei obmena lipidov u detei s nasledstvennoi predraspolozhennost'iu k diabetu i pri iavnom sakharnom diabete.

The paper is concerned with the results of investigation of serum lipid, phospholipid and lipoprotein spectra in 31 sibs, 100 children with diabetes mellitus (DM), 83 women in birth with DM and their fetuses. This study showed a necessity of planned investigation of sibs not only for the detection of glucose tolerance but also of primary and secondary dyslipemia. In children with manifest DM the ratio of lipid, phospholipid and lipoprotein fractions was disturbed and depended upon a degree of compensation, a period of disease and a dose of insulin. The type of changes in the women in birth with DM was the same as during pregnancy: there was an increase in the concentration of total lipids and some of their fractions: nonesterified fatty acids, triglycerides, cholesterol, and atherogenic lipoproteins. Liposynthetic activation observed in infants born to DM mothers, was associated with the metabolic effects of insulin, of which a degree of hypersecretion seemed to determine the type of lipidograms.

[Indices of the lipid spectrum of the blood serum and erythrocyte membranes in diabetes mellitus in children]. / Pokazateli spektra lipidov syvorotki krovi i membran éritrotsitov pri sakharnom diabete u detei.

The paper is concerned with the results of a comparative study of the blood serum lipid spectrum and erythrocytic membranes in 100 children with diabetes mellitus aged 7 to 15 and 20 healthy children of the same age. The ratio of lipid and lipoprotein fractions depending on a degree of compensation, duration of disease and the presence of complications was disturbed in the blood serum and erythrocytic membranes of the diabetic children. The recovery of lipid metabolism was delayed as compared to clinical convalescence of the patients, therefore appropriate correcting therapy was required.