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NICE guidelines for hyperlipidaemia in children and young people with type I diabetes: time for a rethink?
  1. T Hussain,
  2. A Bagnall,
  3. J C Agwu
  1. Department of Paediatrics, Sandwell Hospital, West Bromwich, UK
  1. Correspondence to:
    Dr T Hussain
    25 St Denis Road, Selly Oak, Birmingham B29 4LN, UK; tarique{at}doctors.org.uk

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Both diabetes mellitus and hyperlipidaemia are recognised risk factors for atherosclerosis. Postmortem studies show that aortic and coronary atherosclerosis is commonly seen before age 20 years. Hyperlipidaemia is correlated with the extent of early atherosclerotic lesions in adolescents and young adults.1,2 Despite this, the current NICE guidelines recommend that screening for children with type 1 diabetes is not indicated.3 The arguments …

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