Back to Search
Start Over
Diabetes in patients with HIV: patient characteristics, management and screening.
- Source :
-
The Netherlands journal of medicine [Neth J Med] 2015 Aug; Vol. 73 (7), pp. 310-5. - Publication Year :
- 2015
-
Abstract
- Background: As HIV management has become more successful during the past years, non-communicable diseases have become more prevalent among HIV-infected individuals. As a result, more HIV-infected patients die of cardiovascular diseases, with diabetes being one of the main risk factors. This study evaluates screening and management of diabetes among HIV-infected patients in a university hospital in the Netherlands.<br />Methods: We examined clinical characteristics, glycaemic control and cardiovascular risk management of HIV-infected patients with coexisting diabetes, and determined the frequency of diabetes screening in those without.<br />Results: Of 518 HIV-infected patients, 28 had been diagnosed with diabetes (5.4%), mostly (20÷28) after being diagnosed with HIV. Patients with coexisting diabetes were older, had a longer duration of HIV, lower CD4 cell counts and higher body mass index (BMI), and were more likely to use aspirin, statins and antihypertensive medication than those without diabetes (all p &lt; 0.05). HbA1c values were below 7% (53 mmol÷mol) in 54% of patients. Targets for systolic blood pressure (&lt; 140 mmHg), LDL cholesterol (&lt; 2.5 mmol÷l) and BMI (&lt; 25 kg÷m2) were achieved by 82%, 50% and 29% of patients, respectively. Annual ophthalmology examination, screening for microalbuminuria and foot control were rarely performed. Among the patients without known diabetes, diabetes screening during the past year had been performed using (non-fasting) plasma glucose in 56% and HbA1c in 10%, but 42% of patients had not been screened.<br />Conclusion: For HIV-infected individuals with diabetes, glycaemic control and cardiovascular risk management were reasonable, but screening for microvascular complications was rarely performed. Annual diabetes screening of HIV-infected patients was not routine.
- Subjects :
- Adult
Age Factors
Blood Glucose metabolism
Diabetes Mellitus, Type 1 diagnosis
Diabetes Mellitus, Type 1 drug therapy
Diabetes Mellitus, Type 2 diagnosis
Diabetes Mellitus, Type 2 drug therapy
Dyslipidemias complications
Dyslipidemias drug therapy
Female
Glycated Hemoglobin metabolism
Humans
Hypertension complications
Hypertension drug therapy
Male
Mass Screening methods
Mass Screening statistics & numerical data
Middle Aged
Netherlands
Retrospective Studies
Diabetes Mellitus, Type 1 complications
Diabetes Mellitus, Type 2 complications
HIV Infections complications
Hypoglycemic Agents therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1872-9061
- Volume :
- 73
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- The Netherlands journal of medicine
- Publication Type :
- Academic Journal
- Accession number :
- 26314713