example autolisp code
(DEFUN C:Test1 ( / activedocument db e iacadapplication modelspace
paperspace res)
  (vl-load-com)
  (setq IAcadApplication (vlax-get-acad-object)
	ActiveDocument (vla-get-ActiveDocument IAcadApplication)
	ModelSpace (vla-get-ModelSpace ActiveDocument)
  )
  (setq db "C:\\Dev\\Lisp\\Spatialite\\libspatialite\\dll\\test-2.3.sqlite")
  (DSQL_OPEN db)
  ; load spatialite
  (DSQL_loadext db
"C:\\Dev\\Lisp\\Spatialite\\libspatialite\\dll\\libspatialite-2.dll")
  (setq res (DSQL_QUERY db  "SELECT X(Geometry), Y(Geometry) from Towns;"))
  (DSQL_CLOSE db)
  (foreach e (cdr res)
   (vla-AddPoint ModelSpace (vlax-3d-point (list (nth 0 e) (nth 1 e) 0)))
  )
)
(DEFUN C:Test2 ( / activedocument cnt db  iacadapplication modelspace
paperspace ptlist res res2)
  (setq IAcadApplication (vlax-get-acad-object)
        ActiveDocument (vla-get-ActiveDocument IAcadApplication)
        ModelSpace (vla-get-ModelSpace ActiveDocument)
        clr 1
  )
  (setq db "C:\\Dev\\Lisp\\Spatialite\\libspatialite\\dll\\test-2.3.sqlite")
  (DSQL_OPEN db)
  (DSQL_loadext db
"C:\\Dev\\Lisp\\Spatialite\\libspatialite\\dll\\libspatialite-2.dll")
   (setq res (DSQL_QUERY db "SELECT PK_UID ,
NumPoints(ExteriorRing(Geometry)) FROM Regions;"))
     (foreach e (cdr res)
       (setq cnt 1)
       (setq ptlist '())
       (while (> (cadr e) cnt)
        (setq res2 (DSQL_QUERY db
            (strcat"SELECT X(PointN(ExteriorRing(Geometry), %d)), "
                         " Y(PointN(ExteriorRing(Geometry), %d)) FROM
Regions WHERE PK_UID = '%d';")
             cnt cnt (car e) ))
        (setq ptlist (append ptlist (cdr res2)))
        (setq cnt (1+ cnt))
       )
       (if (>(length ptlist)1)
       (progn
         (DrawLwPolyLine ModelSpace ptlist clr)
         (setq clr (1+ clr))
         (if (= clr 6)
           (setq clr 1))
        )
       )
      )
   (DSQL_CLOSE db)
)
(defun DrawLwPolyLine (DocSpace PointList clr / e plist ptl o)
  (setq	ptl   PointList
	plist '()
  )
  (foreach e ptl
    (setq plist	(cons (car e) plist)
	  plist	(cons (cadr e) plist)
    )
  )
  (setq o
    (vla-addLightweightPolyline
      DocSpace
      (vlax-safearray-fill
	(vlax-make-safearray
	  vlax-vbDouble
	  (cons	0
		(-
		  (length plist)
		  1
		)
	  )
	)
	(reverse plist)
      )
    )
   )
   (vla-put-closed o t)
   (vla-put-color o clr)
)