Abstract
This study investigates the relationship between diabetes type, familial history, and cholesterol levels among patients in Sindh’s underserved communities. A total of 150 diabetic individuals with parental or grandparental diabetes history were analyzed for dyslipidemia patterns using fasting lipid profiles. Results revealed significant disparities in cholesterol levels between Type I and Type II diabetics, particularly among those with a strong familial predisposition. Findings underscore the compounded risk of cardiovascular disease in socioeconomically disadvantaged regions due to limited screening and care. The study highlights the urgent need for targeted lipid management strategies in resource-limited settings to reduce preventable complications.