А COMBINATJON BEТWEEN DIABETES MELLIТUS AND IDIOPATHIC HYPERLIPEMIA

Abstract

Despite the fact that fat metabolism disturbances in diabetes mellitus аге known а long time since, the relationship between diabetes and hyperlipemia has been emphasized оnlу in the past several decades.The presence of hyperlipemia in diabetes mellitus has been reported as early as 1799 bу Mariet, Traill (1823), Lecann (1903). Тhе first рubliсаtiоn оn eruptive xanthoma in dliabetes mellitus was made by Addison and Gull (1851). Тhereafter а great numbеr of diabetes mellitus cases have bееn described with eruptive xanthoma, Hyperlipemia аnd  hypercholesterolemia.On lhe other hand, il is known that in essential hyperlipemia in adults, disturbances are present in the carbohydrate metabolism as well.In 1955 Adlersberg and Wang made а description of five e patients with idiopathic hyperlipemia, slight dliabetes and severe vascular lesions. According to Chritlensen,  Dollerup and Jensen up to 1958 the total number of cases reported with idiopathic  hyprrlipemia amounts to 126. In one fifth of them, disturbances are noted in the caгbohydrate metabolism and merely in 16 - diabetic metabolic disorders. The same authors report а female patient with essential hyperlipemia, diabetes, severe arteriosclerosis with occlusion of the lower limb vessels and heavy neuropathy. They lay emphasis on the fact that diiabetes mellitus is encountered very often in the families of patients with essential hyperlipemia.In 1961 Вierman аnd Hamlin reported carbonhydrate induced hyperglyceridemia in 5  patients with diabetes mellitus.Actually, we have under observation at the Naval Hospital in Varпa а patient wilh diabetes mellitus and essentilal hyperlipemia