Milky Blood in a Middle‐Aged Man With Diabetes Mellitus: Familial Chylomicronemia Syndrome due to GPIHBP1 Mutation

Diabetes mellitus is a common cause of secondary hypertriglyceridemia. However, lipemic plasma with severe hypertriglyceridemia, limited response to strict dietary measures, commonly used pharmacotherapy, and good glycemic control, should raise suspicion of a primary cause. Positive family history and genetic studies can give a diagnosis of familial dyslipidemia syndromes.