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Management of lipid disorders in diabetes: an overview of current recommendations
 
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Department of Internal Medicine, Diabetology, and Nephrology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Poland
 
 
Submission date: 2025-07-09
 
 
Acceptance date: 2026-03-13
 
 
Online publication date: 2026-04-08
 
 
Corresponding author
Przemysław Marcin Witek   

Department of Internal Medicine, Diabetology, and Nephrology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Poland, Poland
 
 
 
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ABSTRACT
Lipid disorders are highly prevalent among patients with diabetes. Despite their prevalence and well-established role in progression of cardiovascular (CV) diseases, dyslipidemia still remains poorly controlled. Dyslipidemia in diabetes is characterized by a distinct lipid profile: in type 2 diabetes, moderately elevated triglycerides and triglyceride-rich lipoproteins, normal or slightly elevated low-density lipoprotein cholesterol, and reduced high-density lipoprotein cholesterol (HDL-C) levels. In type 1 diabetes, hypertriglyceridemia is a common disorder, while HDL-C levels are often normal or elevated, especially in patients with poor glycemic control. Regular monitoring of the lipid profile in diabetic patients, along with effective treatment, is essential. The most important factor is determining the appropriate CV risk category and therapeutic target. Several classes of lipid-lowering agents are available, with statins forming the cornerstone of therapy. Other agents include ezetimibe, PCSK9 inhibitors or fibrates. The aim of this article is to discuss the treatment of dyslipidemia in Poland according to the current recommendations.
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