31-year-old man, uncontrolled type 1 diabetes (HbA1c 16.4%) with microalbuminuria, attended diabetic OPD and had his lipids checked:

LIPID PROFILE

Cholest. H 34.50 mmol/L

Trigly. H 179 mmol/L

HDL-C H 2.40 mmol/L

LDL-C NA mmol/L

Looked at his sample out of the fridge this morning and it wasn't even full fat milk consistency, it was like a solid clotted cream with no discernible serum above or below the creamy clot.

Q1: is this a record triglcerides?

Q2: is it all due to uncontrolled type1 diabetes?

Q3: is it worth measuring LPL and apo CII ...etc?

Q4: would you admit for hospital care, what is his individual risk of developing acute pncreatitis?

Many thanks

Mohammad

Dr. M A Al-Jubouri
Consultant Chemical Pathologist

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