TY - JOUR T1 - Familial hypertriglyceridaemia and type 2 diabetes in pregnancy: prevention of acute pancreatitis with diet control and omega-3 fatty acids JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-227321 VL - 12 IS - 5 SP - e227321 AU - Melissa Ong AU - Lynne Jerreat AU - Aisha Hameed Y1 - 2019/05/17 UR - http://casereports.bmj.com/content/12/5/e227321.abstract N2 - Acute pancreatitis in pregnancy is rare and can be caused by hypertriglyceridaemia. The management of hypertriglyceridaemia in pregnancy is complex and challenging as many lipid-lowering medications have been found to be unsafe in pregnancy. Patients who present with hypertriglyceridaemia commonly have multiple risk factors such as, diabetes, alcohol excess and hypothyroidism which pose a greater challenge to the management of these patients. We present a case of a 31-year-old woman presenting with familial hypertriglyceridaemia and type 2 diabetes mellitus in her third pregnancy. She had an uneventful pregnancy with the use of omega-3 fatty acids nutritional support, low-fat diet and tight glucose control with insulin and metformin. ER -